Form TRD-31109 Employers Quarterly Wage, Withholding and Workers Compensation Fee Report

1 2 EMPLOYEE NAME (Last first and middle initial)EMPLOYEE SOCIAL SECURITY NUMBEREnter total of columns 3 4 and 5 this page 3 GROSS WAGES FOR THIS QUARTER 4 STATE INCOME TAX WITHHELD 5 WC FEE DUE and remitting tax withheld from employees or WC 1 (RPD 41054) Workers' Compensation Fee Return reporting the workers' compensation fees paid Your payment may not be properly recorded if paid with Form TRD 31109 At the bottom of Form TRD 31109 and the supplemental available and is encouraged for the following reports: by going to the Department's web site www tax newmexico gov and selecting online services The direct URL is https:// Column Instructions: COMPENSATION FEE REPORT complete the page numbering on each page Use as many supplemental schedules to Form TRD 31109 Employer's Quarterly Wage Withholding and Workers' Compensation Fee Report as needed Enter the number of workers (employees) to whom the Workers' Compensation Fee applies This is the number of covered employees you employed on the last working day of the calendar quarter If you have no covered employees on the last working day of the quarter enter zero Complete the total number of pages included in this report When additional space is needed to complete the quarter's Completing the report: Completing the top portion of Form TRD 31109 Employer's Quarterly Wage Withholding and Workers' Compensation Fee Report Enter the employer's Federal Employer Identifi cation Number (FEIN) and CRS Identification Number (CRS ID) Enter the month day and four digit year of the last day CRS 1 Combined Report System; and determine whether you are a monthly quarterly or semi annual Do not remit taxes or fees due with this report Filing Form Do not submit payment with this report Taxes and fees due must be reported and paid using forms ES903 CRS 1 or efile state nm us/uls2/Logon aspx employee portions or $4 30 per covered worker (employee) Employer's name Federal employer's account number (FEIN) EMPLOYER'S QUARTERLY WAGE WITHHOLDING AND WORKERS' EMPLOYER'S QUARTERLY WAGE WITHHOLDING AND WORKERS' COMPENSATION FEE REPORT EMPLOYER'S QUARTERLY WAGE WITHHOLDING AND WORKERS' COMPENSATION FEE REPORT Supplemental Schedule Employers who are not required to file Form ES903 must file Form TRD 31109 Employers submitting these quarterly detail information reports are not required to file annual W2 ES 903 Employer's Quarterly Wage and Contribution Report; fees You must report and pay withholding tax on Form CRS 1 filed original report A supplemental report type is a report filer You must report and pay workers' compensation fees on Filing online Form TRD 31109 Employer's Quarterly Wage Withholding and Workers' Compensation Fee Report must be submitted to the Taxation and Revenue Department by the last day of the month following the close of the calendar quarter If any due date falls on a Saturday Sunday or legal holiday the due date is the next business day File online at https:// efile state nm us/uls2/Logon aspx If you cannot file online Form WC 1 on or before the last day of the month following the close of a calendar quarter from our web site at www tax newmexico gov Do not use a How to pay withholding tax and workers' compensation In columns 1 and 2 enter the employee's social security information to the Department Instructions It is safe secure and saves time and money Online filing is mail Form TRD 31109 to Taxation and Revenue Department middle initial In column 3 enter the gross wages paid to the employee during the quarter In column 4 enter the amount of New Mexico income tax withheld during the quarter If a Workers' Compensation Fee was due for the employee enter the total fees due for the quarter Include the employer and name first followed by a comma the first name and the number and name Complete the name by entering the last Obtaining a quality paper form: of the calendar quarter of the report period The date should be entered as mm/dd/yyyy Complete the name and address block and check the box to indicate whether the report type is an original amended or supplemental report An amended report type is a report submitted to supersede a previously on or before the 25th of the month following the close of your or semi annual period Check your registration certificate to P O Box 2527 Santa Fe NM 87504 2527 For assistance call (505) 827 0832 pages of the form and supplemental schedules attached Sign and date the report Include the title e mail address and phone number of the employer or authorized agent as requested photocopy of the first page of the report However you may Quarter ending: report attach a completed supplemental schedule(s) and report period A report period may be a calendar month quarter schedule(s) enter the sum of the columns 3 4 and 5 On the first page also enter the total of columns 3 4 and 5 from all STATE OF NEW MEXICO STATE OF NEW MEXICO TAXATION AND REVENUE DEPARTMENT submitted to add to the original or amended report TAXATION AND REVENUE DEPARTMENT TAXATION AND REVENUE DEPARTMENT Page of The Department encourages all taxpayers to file electronically The Taxation and Revenue Department collects information for each employee the gross wages paid the state tax withheld and workers' compensation fees collected and remitted to the Department from Form ES903 Employer's Quarterly Wage and Contribution Report or from Form TRD 31109 Employer's Quarterly Wage Withholding and Worker's Compensation Fee Report Employers who are not required to file Form ES903 must file Form TRD 31109 Employers submitting these quarterly detail information reports are not required to file annual W2 information to the Department Submit Form TRD 31109 These reports and applicable taxes and fees due may be filed This report can be filed online at https://efile state nm us/uls2/Logon aspx This report may be filed online at https://efile state nm us/uls2/Logon aspx to the Taxation and Revenue Department by the last day of the month following the close of the calendar quarter Taxes or fees due may not be remit ted with this report File this rep ort online at https://efile state nm us/uls2/Logon aspx If you cannot file online mail this report to Taxation and Revenue Department P O Box 2527 Santa Fe NM 87504 2527 For assistance call (505) 827 0832 TRD 31109 Employer's Quarterly Wage Withholding and Workers' Compensation Fee Report; TRD 31109 is not a substitute for filing Form CRS 1 reporting use quality photocopies of the supplemental page Use this schedule if additional space is needed when filing Form TRD 31109 Employer's Quarterly Wage Withholding and Workers' Compensation Fee Report Attach all pages of the supplemental schedule to Form TRD 31109 and mail it to the address on the front page of the form A quality photocopy of the supplemental schedule may be submitted to the Department Wage and Contribution Report and pay state unemployment insurance must file this form WC 1 This report is filed for informational purposes only WC 1 Workers' Compensation Fee Return When filing using a paper return you must use a quality printed form obtained from your local district office or downloaded Who Must File: Beginning January 1 2006 Employers who are not required to submit Form ES903 Employer's Quarterly Wage and Contribution Report and pay state unemployment insurance tax must file Form TRD 31109 Employer's Quarterly Wage Withholding and Workers' Compensation Fee Report The Taxation and Revenue Department collects the following information for each employee: the gross wages paid the state tax withheld and the workers' compensation fees collected and remitted to the Department The information is gathered from Form ES903 Employer's Quarterly Wage and Contribu tion Report or from Form TRD 31109 Employer's Quarterly Wage Withholding and Worker's Compensation Fee Report Who Must File: Employers who are not required to submit Form ES903 Employer's Quarterly