MWR Breakout Letter - Mandatory

MWR_Breakout_Letter_Template_Mandatory_2022.docx

Multiple Worksite Report and the Report of Federal Employment and Wages

MWR Breakout Letter - Mandatory

OMB: 1220-0134

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[STATE] DEPT OF LABOR

BUREAU OF LABOR STATISTICS

P.O. BOX 303030

Small Town, ST 00001­0001 Phone: (555) 888­1200 ext 203

Email: [email protected]


UNITED STATES DEPARTMENT OF LABOR

Bureau of Labor Statistics Washington, D.C.


Shape2 BLS 3020 - Multiple Worksite Report

















NAME

COMPANY NAME

ADDRESS LINE 1

ADDRESS LINE 2

CITY, ST ZIP-ZIP4



MANDATORY




December 2021 Dear Employer,




U.I. NUMBER QUARTER ENDING DUE DATE

##


0123456789

DECEMBER 31, 2021

JANUARY 31, 2022

The U.S. Bureau of Labor Statistics (BLS) and the [STATE] Dept of Labor request that you provide your company’s employment and wages each quarter using the BLS 3020 ­ Multiple Worksite Report (MWR) for businesses with more than one location in [STATE].


Your primary location is the location with the most employees in [STATE]. If your business has 10 or more employees working at secondary locations in [STATE], you should complete an MWR. Individual teleworkers should not be considered locations.


If your business has only one location in [STATE], you can disregard this notice.


Please use the User ID and password below to log into our secure website: https://idcf.bls.gov/


USER ID: 106123456789 PASSWORD: Aa123456


When you log into the system and select your account, you will only see one location. Select “add an additional worksite” to add all additional locations in the [STATE].


This survey is mandatory in accordance with Sections 123, 345, Chapter 10, Title 20 of the [STATE] Code and is authorized by 29 U.S. Code, Section 2. It is approved by O.M.B. No. 1220­0134.


Information collected in this report by BLS and State agencies cooperating in its statistical programs will be used for statistical and Unemployment Insurance program purposes, and other purposes in accordance with law. Additional information can be found online: https://www.bls.gov/respondents/mwr.


The due date for your response is January 31, 2022. Thank you in advance for your cooperation. Sincerely,



Emily Thomas

U.S. Bureau of Labor Statistics




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorRowan, Carol - BLS
File Modified0000-00-00
File Created2022-09-08

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