Application Forms
To expedite the application process, all forms should be completed and signed. Completed forms should be submitted by fax to 304-558-1324 or emailed to uctaxunit@wv.gov.
Downloadable Resources
- Voluntary Coverage Form (Download)
- Non-Profit Organization (Download)
- Benefits Reimbursement Agreement (Download)
- Employers Initial Statement (Download)
- Transfer of Business (Download)
- Employer’s Report of Change (Download)
- Refund Application (Download)
- Joint Account Application (Download)
- Report Work Refusal (Download)
- Federal Bonding Form (Download)