Form Dlr-Uid-222 - The Audit Of Wages And Benefits Paid Page 2

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INSTRUCTIONS FOR COMPLETING THE AUDIT OF WAGES AND BENEFITS PAID FORM (DLR-UID-222)
(1) Enter the date the individual started to work. If employment is seasonal, enter date started back to work during or nearest to the
period indicated under (7).
(2) Enter the last date worked if no longer employed.
(3) Check if currently employed.
(4) Enter the hourly pay rate.
(5) Check type of pay period and indicate pay dates.
(6) Check if no work performed in weeks listed.
(7) Circle days actually worked within the week. Also, circle days for which the claimant received other types of payment.
th
(Example: circle day which individual was paid holiday pay. July 4
, for example, should be circled if it was a paid holiday.)
Write “none” opposite weeks no work was performed.
(8) Enter the total hours actually worked during each week.
(9) Enter total gross wages and payments “earned” during each week even though part or all of the wages were paid at a later date.
Earnings should not be reported corresponding to your payroll period unless your pay period runs from Sunday through Saturday
midnight.
(10) Enter the date you paid the wages.
W
S
V
H
O
(11) Check if regular wages.
If other type of pay, enter hours earned that week
X
under the appropriate column.
W
S
V
H
O
For example:
would indicate thirty-two hours of vacation and eight
32
8
hours holiday.
UNLESS PREVIOUSLY REPORTED TO THE DEPARMENT, please complete the following.
(a) If a separation occurred during the weeks claimed, for any reason other than lack of work, please furnish complete
documentation on the separation as it appears in your records. Please use separate sheet.
(b) If this individual did not work, when work was available, please indicate that information on a separate sheet.
SDCL 61-3-2. Work record maintained by employing unit – inspection by department. Each employing unit shall keep true and
accurate work records containing information needed to administer this title according to rules promulgated pursuant to chapter 1-26
by the Secretary of Labor and Regulation. The records shall be kept for four years and shall be open to inspection and be subject to
being copied by the Department of Labor and Regulation at any reasonable time and as often as may be necessary.
Rule 47:06:02:01. Content of employer records. Each employer shall maintain a payroll record which shows the following:
Each employee’s name and social security account number;
(1)
(2)
The point at which services were performed by the employee;
(3)
The number of hours employed in each week and the wages paid for the week;
(4)
The date each employee was hired, rehired, or returned to work after a temporary layoff;
(5)
Time lost, if any, by each employee due to unavailability to work;
(6)
The date each employee was separated from employment and the reason for the separation;
(7)
The hours worked and the wages received for services in exempt employment such as agricultural labor;
(8)
The total wages paid to each employee during each calendar quarter, showing the following:
(a) Money wages;
(b) The cash value of other remuneration, including gratuities and tips;
(c) Deductions from wages for expenses incurred by each employee.
SDCL 61-5-35. Violation by employer to reduce benefits or contributions as misdemeanor – Separate offenses. Any employing unit or any officer
or agent of any employing unit or any other person who makes a false statement or representation knowing it to be false, or who knowingly fails to
disclose a material fact to prevent or reduce the payment of benefits to any individual entitled thereto or to avoid becoming or remaining subject to
this title or to avoid or reduce any contribution or other payment required from an employing unit under this title, or who intentionally fails or refuses
to make any such contributions or other payment or to furnish any reports required hereunder or to produce or permit the inspection or copying of
records as required hereunder, commits a Class 2 misdemeanor; and each such false statement or representation or failure to disclose a material fact
and each day of such failure or refusal shall constitute a separate offense.

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