| skip to Main Navigation skip to Main Content skip to Footer Contact Us Upcoming Events News Publications Join Our Team Marcia Hultman Cabinet Secretary Font Size: A A A Find a Form Please note: Internet Explorer is the recommended browser for state e-forms. Learn more, including special instructions for Microsoft Edge users. A Abstracter Licensing Accountancy Licensing Application ( general) template for businesses ( Microsoft Word format) Appraiser Certification Appraisal Management Company Registration Architect Registration Athletic Competition B Banking Barbers and Barber Shops C Chartered Bank Claim of Unpaid Wages Consumer Complaints Cosmetology Licensing D Discrimination Complaints E Electrical Licensing Employment Application Engineer Registration G General | skip to Main Navigation skip to Main Content skip to Footer Contact Us Upcoming Events News Publications Join Our Team Marcia Hultman Cabinet Secretary Font Size: A A A Find a Form Please note: Internet Explorer is the recommended browser for state e-forms. Learn more, including special instructions for Microsoft Edge users. A Abstracter Licensing Accountancy Licensing Application ( general) template for businesses ( Microsoft Word format) Appraiser Certification Appraisal Management Company Registration Architect Registration Athletic Competition B Banking Barbers and Barber Shops C Chartered Bank Claim of Unpaid Wages Consumer Complaints Cosmetology Licensing D Discrimination Complaints E Electrical Licensing Employment Application Engineer Registration G General |
| Application Insurance Company Filings and Forms Insurance Producer J Job Orders ( for employer seeking applicants) L Labor Market Information Center publications Landscape Architect Registration Land Surveyor Registration M Money Lender Money Transmitter Mortgage Broker Mortgage Lender Mortgage Transmitter N Nail Salon Licensing New Hire Reporting P Petition for Decertification ( for public employees) Petition for Election ( for public employees) Petition for Hearing on Grievance ( for public employees) Petition for Hearing on Unfair Labor Practice ( for public employees) Petition for Unit Determination ( for public employees) Petroleum Release Service Registration Plumbing Licensing Public Employee Labor Issues R Real Estate ( forms used in the business) Real Estate Licensing Reemployment Assistance Benefits ( formerly Unemployment Insurance Benefits) Reemployment Assistance Tax ( formerly Unemployment Insurance Tax) Request for Conciliation ( for public employees) Request for Fact Finding ( for public employees) S Securities T Trust Company U Unemployment Insurance Benefits-See Reemployment Assistance Benefits Unemployment Insurance Tax - See Reemployment Assistance Tax W Wage and Hour Issues Workers' Compensation Workforce Development Council Online Services A Appraiser Certification Program Online Renewal B Broker ( Financial) Check F First Report of Injury I Investment Advisor Search Insurance License Inquiry Services J Job Search on SDWORKS N New Hire Reporting P Post a Job Opening on SDWORKS R Real Estate Online License Renewal Reemployment Assistance Benefits Portal Reemployment Assistance - File a Claim Reemployment Assistance - Make a Payment ( Overpayments) Reemployment Assistance - Request Weekly Payment Reemployment Assistance Tax Business Registration Reemployment Assistance Quarterly Report for Businesses U W Workforce Services Online Workers’ Compensation Coverage Verification Learn About Programs A Abstracters’ Board of Examiners Adult Education and Literacy Affordable Connectivity Program ( ACP) Appraiser Certification Appraisal Management Companies Apprenticeship Athletic Commission B Banking Commission Banking Regulation Board of Accountancy Board of Barber Examiners Board of Technical Professions Boards and Commissions Bring Your A Game Training Broker-Dealer Licensing Build Dakota Scholarships Business Opportunity Registration C Career Exploration and Planning Cosmetology Commission D Dakota Roots Digital Opportunity Division of Banking Division of Insurance Division of Labor and Management Division of Securities Division of Reemployment Assistance ( formerly Division of Unemployment Insurance) E Electrical Commission Employer Connection newsletter Employer Services English as a Second Language Equal Opportunity to Services F Federal Bonding Program Federal Health Insurance Marketplace Financial Institution License Verification Foreign Labor Certification Franchise Registration G General Educational Development ( GED®) H Healthcare Reform Health Insurance Companies Marketing in South Dakota HIRE Vets Medallion Program Hot Careers Human Rights I Insurance Consumer Information Insurance License Lookup Insurance, Workers’ Compensation Investment Advisor Licensing Investor Education J Job Fairs Job Search Workshops Job Seeker Services L Labor Bulletin, South Dakota e- Labor Disputes Labor Laws Labor Market Statistics Layoff Assistance for Employers Labor Assistance for Individuals Long-term Care Insurance M Minimum Wage Money Lender Regulation Money Transmitter Regulation Mortgage Regulation Mutual Funds Regulation N National Career Readiness Certificates New Hire Reporting O Older Workers P Plumbing Commission Plumbing Licensing Posting Requirements for Employers Postsecondary Graduate Outcomes System R Real Estate Commission Real Wage Calculator Reemployment Assistance ( formerly Unemployment Insurance) Reemployment Assistance Advisory Council ( formerly Unemployment Insurance Advisory Council) Registered Apprenticeship S SDMyLife SD UpSkill SDWORKS Securities Regulation Senior Community Service Employment Program ( SCSEP) Sircon Licensing ( Insurance) South Dakota Workforce Initiatives ( SDWINS) Publications StartTodaySD Apprenticeship Program Stocks Regulation Supplemental Nutrition Assistance Program ( SNAP) T Task Force on Trust Administration Review and Reform Technical Profession Registration Temporary Assistance for Needy Families ( TANF) Termination from Employment Trade Adjustment Assistance ( TAA) Training Opportunities U Unemployment Insurance - See Reemployment Assistance Unemployment Insurance Advisory Council - See Reemployment Assistance Advisory Council Unions UpSkill V Veterans’ Services W Wage and Hour Inquiries Work-Based Learning ( WBL) Toolkit Wage estimates for specific occupations Work Opportunity Tax Credit ( WOTC) Worker Adjustment and Retraining Notification Act ( WARN) Workers’ Compensation Workers’ Compensation Advisory Council Workers’ Compensation Insurance Workforce Development Council Workforce Innovation and Opportunity Act ( WIOA) Workforce Training and Education Workkeys Y Youth Employment Home to DLR Home to Reemployment Assistance Advisory Council Council Members Council Meetings Subscribe to e-lert Forms Services for Individuals File a Claim for Benefits File a Weekly Request for Payment File an Appeal Frequently Asked Questions Find a Job Make a Payment Overpayments 1099-G Information Services for Businesses Employer Menu Register Your Business File a Quarterly Report Report New Hires Filing Instructions for Bulk Claims State Information Data Exchange System ( SIDES) e-Response Forms Wage Reporting Preparing for an Audit Employer Handbook ( Adobe PDF format) Frequently Asked Questions Field Locations Posting Requirement Employer Appeals Report New Hires Report Possible Fraud Equal Opportunity to Services South Dakota Laws & Rules Reemployment Assistance ( RA) Forms RA Benefits Forms The RA Benefits forms available below are in Adobe PDF format. Employee/Claimant Benefit Forms Job Search Tracking Sheet ( Employer Contacts Form) Medical Statement of Ability to Work Overpayments and Appeals forms Weekly Request for Payment The preferred and faster methods for submitting weekly requests are online at RAClaims. sd. gov or through the automated phone system at 605. 626. 3212. however you may contact the Customer Service Center at 605. 626. 2452 if you need a printed form. You may use this form for backdate and late payment requests as well. Complete one form for each week you are requesting back pay. The RA Division will review to determine eligibility. Back date and late payment requests cannot be done online or through the automated phone system. Employer Forms Employee Recall Date Form Employers who have furloughed employees and will be recalling them, please provide recall dates if you have not already done so. You may also call 605. 626. 2452 with this information. Employer Reporting Refusal of Work When Recalled Report employees who have been placed on temporary layoff but refuse to return to work or quit without good cause. See Refusal to Work page for more information. ( Open this form in an Adobe reader program to complete. Changes made in your internet browser will not save.) Employer Reporting No Shows or Refusal of Work/Interviews Report individuals who refuse to interview or to accept a suitable job offer, do not show up for work, etc. See Refusal to Work page for more information. ( Open this form in an Adobe reader program to complete. Changes made in your internet browser will not save.) RA Tax Forms You can complete most RA Tax forms online, then print and mail or fax. Register Your Business REGISTER Register your business online and receive your account number and assigned rates immediately . Log in to Register Your Business OR Complete, print and mail Employer's Registration Application ( Form 1) Employer's Quarterly Report/Annual Contribution and Wage Report Forms Online Employer’s Reemployment Assistance Quarterly Report Log in to File a Quarterly Report OR Print, complete and mail ( Adobe PDF) : Employer's Reemployment Assistance Quarterly Report ( Form 21) Correct Information Previously Submitted ( Form 21C) Excel format | PDF format ( print, then complete) Employer’s Annual Contribution, Investment Fee and Wage Report ( Form 21D and Form 21E) : Excel format | PDF Format ( print, then complete) Additional RA Tax Forms Application For Designation as Seasonal Employer ( Form 26) Application for Exemption or Transfer of Liability ( Form 55) Common Paymaster Application Affidavit of Concurrent Employment Domestic Employer Application to Withdraw from Annual Wage and Contribution Reporting ( Form WDE) Domestic Employer Election to Report Quarterly Wages and Pay Contributions Annually ( Form DE) Employer's Report on Acquiring a Business ( Form 49) Payment Agreement ( Form 10) Power of Attorney/Authorization of Agent ( Form POA) Registration for State Information Data Exchange System ( SIDES) E-Response ( SIDES E-Response Registration Form) Worker Relationship Questionnaire ( Form 23) Overpayments Forms See Appeals and Waiver section to request an appeal of an overpayment determination or if you've been determined not at fault and wish to request a financial waiver. Credit Card Authorization Form ( Adobe PDF — Print and mail or fax) Appeals and Waiver Forms Open forms in an Adobe reader program to complete. Changes made in your internet browser may not save. Then print, sign, and mail, fax or drop off at your Job Service office. We cannot accept appeals or waiver requests over the phone or by email. Appeal Request ( Adobe PDF — Print and mail or fax) Complete this form if you disagree with a determination made by the Division and are requesting a hearing or have an overpayment determination that puts you at fault, and you would like to request a review of that determination. You may also request a financial waiver. Request for Financial Waiver of Overpayment ( Adobe PDF — Print and mail or fax) Complete this form if you have an overpayment and it has been determined you are not at fault, and you would like to request a financial waiver. View Family Income Table for Overpayment Waiver Provision back to top Mailing Address: P. O. Box 4730 - Aberdeen, SD 57402-4730 | Physical Address: 420 S. Roosevelt St., Aberdeen, SD Find the appropriate phone number to call on our Staff Directory page. If you do not know which number to use, call Reemployment Assistance Customer Service at 605. 626. 2452 - For TTY services, call 711 - Fax: 605. 626. 3172 DLR Home State Home Equal Opportunity Accessibility Policy Contact Us Disclaimer Privacy Policy Copyright ©2016 South Dakota Department of Labor & Regulation | Application Insurance Company Filings and Forms Insurance Producer J Job Orders ( for employer seeking applicants) L Labor Market Information Center publications Landscape Architect Registration Land Surveyor Registration M Money Lender Money Transmitter Mortgage Broker Mortgage Lender Mortgage Transmitter N Nail Salon Licensing New Hire Reporting P Petition for Decertification ( for public employees) Petition for Election ( for public employees) Petition for Hearing on Grievance ( for public employees) Petition for Hearing on Unfair Labor Practice ( for public employees) Petition for Unit Determination ( for public employees) Petroleum Release Service Registration Plumbing Licensing Public Employee Labor Issues R Real Estate ( forms used in the business) Real Estate Licensing Reemployment Assistance Benefits ( formerly Unemployment Insurance Benefits) Reemployment Assistance Tax ( formerly Unemployment Insurance Tax) Request for Conciliation ( for public employees) Request for Fact Finding ( for public employees) S Securities T Trust Company U Unemployment Insurance Benefits-See Reemployment Assistance Benefits Unemployment Insurance Tax - See Reemployment Assistance Tax W Wage and Hour Issues Workers' Compensation Workforce Development Council Online Services A Appraiser Certification Program Online Renewal B Broker ( Financial) Check F First Report of Injury I Investment Advisor Search Insurance License Inquiry Services J Job Search on SDWORKS N New Hire Reporting P Post a Job Opening on SDWORKS R Real Estate Online License Renewal Reemployment Assistance Benefits Portal Reemployment Assistance - File a Claim Reemployment Assistance - Make a Payment ( Overpayments) Reemployment Assistance - Request Weekly Payment Reemployment Assistance Tax Business Registration Reemployment Assistance Quarterly Report for Businesses U W Workforce Services Online Workers’ Compensation Coverage Verification Learn About Programs A Abstracters’ Board of Examiners Adult Education and Literacy Affordable Connectivity Program ( ACP) Appraiser Certification Appraisal Management Companies Apprenticeship Athletic Commission B Banking Commission Banking Regulation Board of Accountancy Board of Barber Examiners Board of Technical Professions Boards and Commissions Bring Your A Game Training Broker-Dealer Licensing Build Dakota Scholarships Business Opportunity Registration C Career Exploration and Planning Cosmetology Commission D Dakota Roots Digital Opportunity Division of Banking Division of Insurance Division of Labor and Management Division of Securities Division of Reemployment Assistance ( formerly Division of Unemployment Insurance) E Electrical Commission Employer Connection newsletter Employer Services English as a Second Language Equal Opportunity to Services F Federal Bonding Program Federal Health Insurance Marketplace Financial Institution License Verification Foreign Labor Certification Franchise Registration G General Educational Development ( GED®) H Healthcare Reform Health Insurance Companies Marketing in South Dakota HIRE Vets Medallion Program Hot Careers Human Rights I Insurance Consumer Information Insurance License Lookup Insurance, Workers’ Compensation Investment Advisor Licensing Investor Education J Job Fairs Job Search Workshops Job Seeker Services L Labor Bulletin, South Dakota e- Labor Disputes Labor Laws Labor Market Statistics Layoff Assistance for Employers Labor Assistance for Individuals Long-term Care Insurance M Minimum Wage Money Lender Regulation Money Transmitter Regulation Mortgage Regulation Mutual Funds Regulation N National Career Readiness Certificates New Hire Reporting O Older Workers P Plumbing Commission Plumbing Licensing Posting Requirements for Employers Postsecondary Graduate Outcomes System R Real Estate Commission Real Wage Calculator Reemployment Assistance ( formerly Unemployment Insurance) Reemployment Assistance Advisory Council ( formerly Unemployment Insurance Advisory Council) Registered Apprenticeship S SDMyLife SD UpSkill SDWORKS Securities Regulation Senior Community Service Employment Program ( SCSEP) Sircon Licensing ( Insurance) South Dakota Workforce Initiatives ( SDWINS) Publications StartTodaySD Apprenticeship Program Stocks Regulation Supplemental Nutrition Assistance Program ( SNAP) T Task Force on Trust Administration Review and Reform Technical Profession Registration Temporary Assistance for Needy Families ( TANF) Termination from Employment Trade Adjustment Assistance ( TAA) Training Opportunities U Unemployment Insurance - See Reemployment Assistance Unemployment Insurance Advisory Council - See Reemployment Assistance Advisory Council Unions UpSkill V Veterans’ Services W Wage and Hour Inquiries Work-Based Learning ( WBL) Toolkit Wage estimates for specific occupations Work Opportunity Tax Credit ( WOTC) Worker Adjustment and Retraining Notification Act ( WARN) Workers’ Compensation Workers’ Compensation Advisory Council Workers’ Compensation Insurance Workforce Development Council Workforce Innovation and Opportunity Act ( WIOA) Workforce Training and Education Workkeys Y Youth Employment Home to DLR Home to Reemployment Assistance Advisory Council Council Members Council Meetings Subscribe to e-lert Forms Services for Individuals File a Claim for Benefits File a Weekly Request for Payment File an Appeal Frequently Asked Questions Find a Job Make a Payment Overpayments 1099-G Information Services for Businesses Employer Menu Register Your Business File a Quarterly Report Report New Hires Filing Instructions for Bulk Claims State Information Data Exchange System ( SIDES) e-Response Forms Wage Reporting Preparing for an Audit Employer Handbook ( Adobe PDF format) Frequently Asked Questions Field Locations Posting Requirement Employer Appeals Report New Hires Report Possible Fraud Equal Opportunity to Services South Dakota Laws & Rules Reemployment Assistance ( RA) Forms RA Benefits Forms The RA Benefits forms available below are in Adobe PDF format. Employee/Claimant Benefit Forms Job Search Tracking Sheet ( Employer Contacts Form) Medical Statement of Ability to Work Overpayments and Appeals forms Weekly Request for Payment The preferred and faster methods for submitting weekly requests are online at RAClaims. sd. gov or through the automated phone system at 605. 626. 3212. however you may contact the Customer Service Center at 605. 626. 2452 if you need a printed form. You may use this form for backdate and late payment requests as well. Complete one form for each week you are requesting back pay. The RA Division will review to determine eligibility. Back date and late payment requests cannot be done online or through the automated phone system. Employer Forms Employee Recall Date Form Employers who have furloughed employees and will be recalling them, please provide recall dates if you have not already done so. You may also call 605. 626. 2452 with this information. Employer Reporting Refusal of Work When Recalled Report employees who have been placed on temporary layoff but refuse to return to work or quit without good cause. See Refusal to Work page for more information. ( Open this form in an Adobe reader program to complete. Changes made in your internet browser will not save.) Employer Reporting No Shows or Refusal of Work/Interviews Report individuals who refuse to interview or to accept a suitable job offer, do not show up for work, etc. See Refusal to Work page for more information. ( Open this form in an Adobe reader program to complete. Changes made in your internet browser will not save.) RA Tax Forms You can complete most RA Tax forms online, then print and mail or fax. Register Your Business REGISTER Register your business online and receive your account number and assigned rates immediately . Log in to Register Your Business OR Complete, print and mail Employer's Registration Application ( Form 1) Employer's Quarterly Report/Annual Contribution and Wage Report Forms Online Employer’s Reemployment Assistance Quarterly Report Log in to File a Quarterly Report OR Print, complete and mail ( Adobe PDF) : Employer's Reemployment Assistance Quarterly Report ( Form 21) Correct Information Previously Submitted ( Form 21C) Excel format | PDF format ( print, then complete) Employer’s Annual Contribution, Investment Fee and Wage Report ( Form 21D and Form 21E) : Excel format | PDF Format ( print, then complete) Additional RA Tax Forms Application For Designation as Seasonal Employer ( Form 26) Application for Exemption or Transfer of Liability ( Form 55) Common Paymaster Application Affidavit of Concurrent Employment Domestic Employer Application to Withdraw from Annual Wage and Contribution Reporting ( Form WDE) Domestic Employer Election to Report Quarterly Wages and Pay Contributions Annually ( Form DE) Employer's Report on Acquiring a Business ( Form 49) Payment Agreement ( Form 10) Power of Attorney/Authorization of Agent ( Form POA) Registration for State Information Data Exchange System ( SIDES) E-Response ( SIDES E-Response Registration Form) Worker Relationship Questionnaire ( Form 23) Overpayments Forms See Appeals and Waiver section to request an appeal of an overpayment determination or if you've been determined not at fault and wish to request a financial waiver. Credit Card Authorization Form ( Adobe PDF — Print and mail or fax) Appeals and Waiver Forms Open forms in an Adobe reader program to complete. Changes made in your internet browser may not save. Then print, sign, and mail, fax or drop off at your Job Service office. We cannot accept appeals or waiver requests over the phone or by email. Appeal Request ( Adobe PDF — Print and mail or fax) Complete this form if you disagree with a determination made by the Division and are requesting a hearing or have an overpayment determination that puts you at fault, and you would like to request a review of that determination. You may also request a financial waiver. Request for Financial Waiver of Overpayment ( Adobe PDF — Print and mail or fax) Complete this form if you have an overpayment and it has been determined you are not at fault, and you would like to request a financial waiver. View Family Income Table for Overpayment Waiver Provision back to top Mailing Address: P. O. Box 4730 - Aberdeen, SD 57402-4730 | Physical Address: 420 S. Roosevelt St., Aberdeen, SD Find the appropriate phone number to call on our Staff Directory page. If you do not know which number to use, call Reemployment Assistance Customer Service at 605. 626. 2452 - For TTY services, call 711 - Fax: 605. 626. 3172 DLR Home State Home Equal Opportunity Accessibility Policy Contact Us Disclaimer Privacy Policy Copyright ©2016 South Dakota Department of Labor & Regulation |