180-26 - Exhibit A. CDBG 2025 SPECS_compressed.pdf

Every insurance carrier providing workers’ compensation insurance and every workers’ compensation self-insured employer shall designate a contact person who is responsible for responding to. issues concerning medical and temporary disability benefits where no claim petition has been filed or where a claim petition has not been answered. The full name, telephone number, mailing address, email address and fax number of the contact person must be submitted to the Division of Workers’ Compensation utilizing the Division’s contact person form in the manner instructed on the form. Each employer, when directed to do so by the Division of Workers’ Compensation, must submit to the Division of Workers’ Compensation copies of such medical certificates and reports as it may have on file. Gross Income Tax Act (N.J.S.A. 54A:1-1 et seq.) Employer’s Quarterly Report: The Employer's Quarterly Report, NJ-927, reports New Jersey Gross Income Tax withheld, unemployment insurance, supplemental workforce fund, workforce development partnership fund, family leave insurance and temporary disability insurance wage and withholding information. Each employer is required to electronically file an Employer's Quarterly Report, NJ-927, for each calendar quarter, regardless of the amount of tax actually due for a particular quarter. Quarterly reports are due on the 30th day of the month following the end of each quarter. Employers of “domestic service workers” may report and pay New Jersey Gross Income Tax withheld on an annual, rather than quarterly, basis on an NJ-927H. Records to be kept: Every employer is required to keep all pertinent records available for inspection by authorized representatives of the New Jersey Division of Taxation. Such records must include the following: 1. The amounts and dates of 2!l wage payments subject to New Jersey Gross Income Tax; 2. The names, addresses and occupations of employees receiving such payments; 3. The periods of their employment; 4, Their social security numbers; 5. Their withholding exemption certificates; 6, The employer's New Jersey Taxpayer Identification Number; 7. Record of weekly, monthly, quarterly remittances and/or returns and annual returns filed; 8. The dates and amounts of payments made; and 9. Days worked inside and outside of New Jersey for all nonresident employees. MW-400 (11-14) Page 6 of 6