DES

Downloads

 Alert! NOTE: Prior to downloading any of the forms on this page, make sure you have the appropriate reader for that form. If you are unsure, we suggest you download both Adobe Acrobat Reader and MS Word Viewer. Both of these viewers can be found under Software Downloads at the bottom of this page.

Forms - Employee Relations
Forms - Unemployment Insurance
Forms - Power of Attorney
 		Posters
Pamphlets
Software Downloads

Forms - Employee Relations
Job Listing Fax Forms
Waste no time displaying your job openings. Fax your job orders directly to the Division of Employment Security.
    Word Format: Job Listing Fax Forms
    PDF Format: Job Listing Fax Forms

opens a new browser window Reporting of New Hires

Forms - Unemployment Insurance
Form NCUI 101
Used to meet quarterly tax and wage reporting requirement.
item Online NCUI101 a fast and efficient way for you to submit reports.
item Download Form NCUI101 and Instructions:
item Form NCUI101B  -  Continuation Sheet for Report of Employee Wages
item Specifications and Record Layouts for Magnetic and Electronic Filing

Form NCUI 692
 In order to pay your taxes by the DEBIT ACH payment method, you must be enrolled by completing and submitting Form NCUI 692.
    Word Format:  NCUI692
    PDF Format:  NCUI692

Quarterly Tax Payment Voucher
 If you file your quarterly tax and wage report online and intend to pay by check or money order, download and complete this form. Attach your payment to the completed form and mail them to DES to ensure proper credit to your account.
    Word Format:  Quarterly Tax Payment Voucher
    PDF Format:  Quarterly Tax Payment Voucher

Form NCUI 101A1
 Used to notify the Division when changes in status occur such as changes in ownership, changes of address, when the business closes or ceases to operate, or when a closed or inactive business begins to operate again.
    Online NCUI101A
    Word Format:  NCUI101A1
    PDF Format:  NCUI101A1

Form NCUI 517-X
 Information about Unemployment Insurance for Workers on Temporary Layoff given to affected employees.
    Word Format:  NCUI517-X
    PDF Format:  NCUI517-X

Form NCUI 501
 Form used to File Unemployment Insurance for Employees on Temporary layoff. Employers who want more information about electronic claims filing should contact the Intrastate Unit in the State office by telephone at (919) 707-1237 or by FAX at (919) 733-1370.
    Word Format:  NCUI 501
    PDF Format:  NCUI 501

Form NCUI 517-Z
 An employer must notify employees when a mass layoff is pending, and also inform them of the time and place where they will be required to furnish information for unemployment insurance benefits.
    Word Format:  NCUI 517-Z
    PDF Format:  NCUI 517-Z

NCUI 500TW
 To have your employees Unemployment Insurance Benefits directly deposited into their bank account, or to have taxes taken out, you can utilize for NCUI500TW.
      Word Format: opens a new browser window NCUI 500TW
      PDF Format: opens a new browser window NCUI 500TW
To change tax withholding or direct deposit information you can utilize Form NCUI500TWC.
      Word Format: opens a new browser window NCUI 500TWC
      PDF Format: opens a new browser window NCUI 500TWC

Form NCUI 604
Each employer in the state of North Carolina must complete Form NCUI 604, Employer Status Report and submit this form for a determination of liable status.
item Use our Online NCUI604 Application and get a fast determination.
item Download Form NCUI 604:
item NCUI 604 Instructions:

NCUI 685
 Form used to correct errors made on previously submitted quarterly tax and wage reports
      Word Format: NCUI 685
      PDF Format: NCUI 685
Form NCUI685A - Continuation Sheet
      Word Format: NCUI 685A
      PDF Format: NCUI 685A

Specifications for the Automated Tax Rate Reporting Program
 The tax rate reporting program can be run at any time during a calendar year to report the current year tax rates. Below are links to download the file format specifications and FTP instructions.
      PDF Format:  File Specifications
      Word Format: FTP Instructions
      PDF Format:  FTP Instructions

Specifications for Automated Account Number Verification Program
 DES can match an Employer’s Federal Identification Number (FEIN) to a North Carolina reporting number.
      Word Format: Automated Account Number Verification Program
      PDF Format:   Automated Account Number Verification Program

Quarterly Tax and Wage Reporting - Specifications and Record Layouts for Magnetic and Electronic Filing
       Word Format: Specifications and Record Layouts for Filing
      PDF Format:  Specifications and Record Layouts for Filing

Forms - Power of Attorney
Power of Attorney instruction document
 Detailed explanation regarding types of Power of Attorney
      Word Format: Power of Attorney Instructions
      PDF Format:  Power of Attorney Instructions

Power of Attorney and Declaration of Representative form
 Allows the representative to file Employer's Quarterly Tax and Wage Reports, to file benefit information, and to generally authorize the reporting agent to do those things that the employer may do concerning the employer's tax and claims records with DES.
      Word Format: Power of Attorney
      PDF Format:  Power of Attorney

Notice of Attorney Supervision Form
 Allows an individual under the supervision of an attorney licensed to practice law in the State of North Carolina to represent employers in hearings and to enter appeals
      Word Format: Notice of Attorney Supervision Form
      PDF Format: Notice of Attorney Supervision Form

Posters
Labor Posters
List of employment-related posters NC private-sector employers must display.
    Word Format: opens a new browser window List of Employment - related Labor Posters
    PDF Format: opens a new browser window List of Employment - related Labor Posters

opens a new browser window US Department of Labor list of required posters
Some of the statutes and regulations enforced by agencies within the Department of Labor (DOL) require that notices be posted in the workplace. DOL provides electronic copies of the required posters.

opens a new browser window NC Department of Labor Posters

opens a new browser window NC Industrial Commission Workers Compensation Notice 17

Employers determined to be liable under the Employment Security Law (Chapter 96 of the North Carolina General Statutes) are required to prominently display in their workplace the poster.
    NCESC 524, Certificate of Coverage for and Notice to Workers (English)
    NCESC 524S, Certificado de cobertura y aviso para trabajadores sobre (Spanish)

Pamphlets
What You Need to Know About Appealing an Initial Determination and Participating in the Hearing.
This pamphlet explains what you must do if you wish to appeal an initial determination for benefits by the Division of Employment Security. This information will help you understand the process, the terms used, and the importance of complete, accurate, and timely information. Please refer to the contact information included in the pamphlet if you have further questions.
      Word Format: opens a new browser window NCESC568 Pamphlet
      PDF Format: opens a new browser window NCESC568 Pamphlet

What You Need to Know About Appealing a Decision by a Hearing Officer, Appeals Referee, Special Deputy Commissioner or the Commission.
This pamphlet provides your rights under the Employment Security Law of North Carolina and the DES regulations and provides instructions on how to file an appeal to an unfavorable decision. This information will help you understand your responsibilities as well as your rights in this process. Contact information is included in the pamphlet if you need more information.
      Word Format: opens a new browser window NCESC569 Pamphlet
      PDF Format: opens a new browser window NCESC569 Pamphlet

Software Downloads
DES TRACS 3.0  for Windows XP (Revised August 17th, 2012)
 DES TRACS 3.0  for Windows 7 (Revised August 17th, 2012)
 A desktop program to assist preparation of quarterly wage reporting and preparation of Attached Claims (workers who are temporarily laid off).
      Download Claims Quick Start Guide. (PowerPoint Presentation)
      Download DES Claims Booklet. (PDF Format)
      Download Tax Quick Start Guide. (PowerPoint Presentation)
      Download DES Wages Booklet. (PDF Format)

opens a new browser window Adobe Acrobat Reader
 Some of the forms on this page are in Adobe Acrobat (pdf) format. Adobe® Acrobat® Reader® is free software that lets you view and print Adobe Portable Document Format (PDF) files.

opens a new browser window MS Word Viewer
 Many of the forms on this page are in MS Word format. If you do not have the Microsoft Word or Microsoft Office software, you can download Word Viewer from Microsoft. Word Viewer allows you to view and print Word documents using the look and feel of Microsoft Word.

opens a new browser window  MS PowerPoint Viewer
 Some of the product demos and information on this site are Microsoft PowerPoint slide shows. If you do not have the Microsoft Office or Microsoft PowerPoint software, you can download PowerPoint Viewer from Microsoft. This viewer allows you to view and print PowerPoint slide shows.