FTP Registration Request Form

 Last Updated: June 02, 2008

You are here:  DOL Web Site bullet Unemployment Insurance Tax Information bullet FTP Registration Request Form

 

YOU INDICATED THAT YOU ARE NOT A REGISTERED FTP FILER WITH THE STATE OF CONNECTICUT.
IN ORDER TO BECOME REGISTERED PLEASE COMPLETE THE FOLLOWING INFORMATION.

FTP TAX & WAGE REGISTRATION FORM
 

Connecticut Registration Number:  --
Federal Identification Number: -
Employer Name: 
Employer Address: 
City, State, Zip: 
FTP Contact Name: 
Title: 
Phone Number:  --
E-mail Address: 


Published by the Connecticut Department of Labor, Project Management Office