SD EForm - 2413 V1 Complete and use the button at the end to print for mailing. To print a blank form, use print options provided by your browser
Form - WDE
Domestic Employer Application to Withdraw from Annual Wage and Contribution Reporting
South Dakota Department of Labor and Regulation Reemployment Assistance PO Box 4730 Aberdeen, SD 57402-4730 Phone 605.626.2312 • Fax 605.626.3347
Invalid Account Number, Please format account number as: 12345.6-7
Employer name must be filled out
Address (PO Box/Street) is required
City is required
State is required
Invalid Zip Code: Make sure the zip code is in the standard US or Canadian format
The above domestic employer applies to withdraw their Domestic Employer Election to Report Quarterly Wages and Pay Contributions Annually. The employer understands a timely application must be submitted before the method of reporting wages and payment of contributions may again be changed.
The employer understands quarterly wage and contribution reports will become due and are required to be filed and paid by the employer no later than the end of the month following the end of the calendar quarter for which the contributions become due. Penalty and interest may apply if quarterly reports are not filed and contributions paid timely. If the employer is no longer liable, the employer is responsible to timely notify the RA Division.
The effective date of this election is the first day of January, Invalid year, please type correct year format. example: 2019. It is understood and agreed that this election must be received no later than December 31 to be effective at the beginning of the next calendar year.
You must provide your Title.
You must provide your Name.
Invalid Phone Number, format number as: 605-555-1234
Invalid Email, please format your email as: johndoe@example.com
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