R2S2 C1 JOLTS Test Form

JOLTS Form
Part 1

Part 2

This form requests information about employment, job openings, and employee turnover at:
County:
UI:
Please check all that apply: Employees are paid

□ Each week

□ Every two weeks

□ Twice a month

in

□ Once a month

□ Other

Please provide data for the time periods indicated for each row. Enter "0" if none. Enter "NA" if data are not available.
Part 3
PAY PERIOD

A: TOTAL EMPLOYMENT

Enter the FIRST and LAST days of the Pay Period that includes the
12th for the specified month.

B: JOB OPENINGS

Enter the NUMBER of full- or part-time employees who worked
or received pay during the Pay Period.

Enter the NUMBER of Job Openings on the LAST DAY of the Pay Period.
A job is open if it meets all three conditions:
· A specific position exists
· Work could start within 30 days
· You are actively seeking workers from outside this location to fill the position

Pay Period that includes May 12th 2015

/

/

to

First Day

/

GO TO
Part 4

/
Last Day

Part 4
Reference Period

Hires
C

The Reference Period is an approximate 4 week
period. To calculate your reference period, identify
the Start Date and End Date:
Step 1: Identify the last day of the Pay Period that
th
included April 12 2015.
Step 2: On what date did the FOLLOWING Pay Period
start? This date may fall in April.

/

/

START DATE

Step 3: What is the last day of the Pay Period that
includes May 12th?

/

/

END DATE

(Same as the Last Day in Part 3)
These are the START AND END DATES for your
Reference Period for reporting Hires and Separations.
C1_JOLTS Test Form_R2/S2_Version 5/29/2015

Enter the NUMBER of Hires and Recalls
for the Reference Period:
START DATE through END DATE
A hire is any addition to your payroll, and:
· May be a new hire or a previously
separated rehire
· May be permanent, short-term, or seasonal
· May be a recall from layoff

Separations
D

E

F

G

Quits

Layoffs and Discharges

Other

Total Separations

Enter the NUMBER
of Quits for the
Reference Period.
(Except retirements)

Enter the NUMBER of Layoffs &
Discharges for the Reference Period.
· Layoffs
· Discharges
· Terminations of permanent, shortterm, or seasonal employees

Enter the NUMBER of Other
Separations for the Reference
Period.
· Retirements
· Transfers from this location
· Employee disability
· Deaths

Enter the TOTAL
NUMBER of
separations for the
Reference Period. If
Columns D, E and F are
reported, enter their
sum. If not, enter the
total number of
separations.

IMPORTANT
This form requests information about employees on your payroll at the location shown in Part 1 on the front of
this page. Please follow these instructions as you prepare your information.

Pay Period

Reference Period

Enter the FIRST and LAST days of the Pay Period that
th
includes the 12 of the month specified in Part 3.

Use the following steps to identify the Reference Period to
report Hires and Separations.

Column A

Step 1: Identify the Pay Period that includes the 12 of the
month specified in this step in Part 4 of the form.

th

Total Employment
during the Pay Period.
Report all persons on your payroll who worked or received
pay during the Pay Period.
INCLUDE:
· Full-time and part-time employees
· Permanent, short-term, and seasonal employees
· Salaried and hourly workers
· Employees on paid vacation or other paid leave
DO NOT INCLUDE:
· Proprietors and partners of unincorporated
businesses
· Unpaid family workers
· Employees on strike for the entire pay period
· Employees on leave without pay for the entire pay
period
· Employees of temporary help agencies, employee
leasing companies, outside contractors, or
consultants. (These employees will be counted by
their employer of record.)
Column B

Job Openings
on the LAST DAY of the Pay Period.
Report all positions that are open (not filled) on the last day
of the Pay Period. A job is open only if it meets
all three of these conditions:
· A specific position exists and there is work available
for that position. The position can be full-time or parttime, and it can be permanent, short-term, or
seasonal, and
· The job could start within 30 days, whether or not you
find a suitable candidate during that time, and
· You are actively recruiting workers from outside the
location shown in Part 1 on the front of this page
What is active recruiting? Active recruiting means your
establishment is taking steps to fill a position. It may
include advertising in newspapers, on television, or on
radio; posting Internet notices; posting "help wanted"
signs; networking or making "word of mouth"
announcements; accepting applications; interviewing
candidates; contacting employment agencies; or
soliciting employees at job fairs, state or local
employment offices, or similar sources.
DO NOT INCLUDE:
· Positions open only to internal transfers, promotions
or demotions, or recall from layoffs
· Openings for positions with start dates more than
30 days in the future
· Positions for which employees have been hired, but
the employees have not yet reported for work
· Positions to be filled by employees of temporary help
agencies, employee leasing companies, outside
contractors, or consultants

Step 2: Find the date the next Pay Period started. This is
your Start Date.
Step 3: Use the date you entered as the Last Day in Part 3
as the End Date in Part 4.
Column C

Hires and Recalls
for the Reference Period.
Report all additions to your payroll between the Start Date
and End Date of the Reference Period.
INCLUDE:
· Newly hired and rehired employees
· Full-time and part-time employees
· Permanent, short-term, and seasonal employees
· Employees who were recalled to a job at this location
following a layoff (formal suspension from pay status)
lasting more than 7 days
· On-call or intermittent employees who returned to
work after having been formally separated
· Workers who were hired and separated during the
month
· Transfers from other locations
DO NOT INCLUDE:
· Transfers or promotions within this location
· Employees returning from strike
· Employees of temporary help agencies, employee
leasing companies, outside contractors, or consultants
Columns D, E, F, and G

Separations
for the Reference Period.
Report all separations from your payroll between the Start
Date and End Date of the Reference Period. Report by
type of separation.
· Column D, Quits: Employees who left voluntarily.
Exception: Report retirements or transfers to other
locations with Other Separations in Column F.
· Column E, Layoffs and Discharges: Involuntary
separations initiated by the employer, including:
- Layoffs with no intent to rehire
- Layoffs (formal suspensions from pay status)
lasting or expected to last more than 7 days. (If the
employee was later recalled, also include in the
Hires column.)
- Discharges resulting from mergers, downsizing,
or closings
- Firings or other discharges for cause
- Terminations of permanent or short-term
employees
- Terminations of seasonal employees (whether or
not they are expected to return next season)
· Column F, Other Separations: Retirements;
transfers to other locations; separations due to
employee disability; deaths.
· Column G, Total Separations: If Columns D, E and
F are reported, enter their sum. If not, enter the total
number of separations.
DO NOT INCLUDE:
· Transfers within this location
· Employees on strike
· Employees of temporary help agencies, employee
leasing companies, outside contractors, or consultants

We estimate it will take an average of 10 minutes to complete this form each month, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing this information. If you have any comments regarding these estimates or any other aspect of this survey, send them to the Bureau of Labor Statistics,
2 Massachusetts Avenue, NE, Room 4840, Washington, DC 20212. You are not required to respond to the collection of informatio n unless it displays a currently valid OMB control number.

C1 JOLTS Test Form Instructions _ Version 03.27.15