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Form 100 - Employer Payroll Report (2016-2017)
Filing Deadline: February 28, 2017
The electronic submission of the Form100 is unavailable. The normal filing period starts in early January of each year.
Any Form 100 received after February 28 will be subject to a minimum penalty of 5% of the total previous year's assessment. The penalty will increase to 10% if the Form 100 is received more than thirty (30) days past the February 28 deadline. The penalty will be limited to $500 for every industry classification assigned to your business.
All inquiries regarding completion of this form should be directed to Assessment Services at 1 800 222-9775 (option 4).
Before you start
You can Fast File your Form 100 by following the instructions below. Or, you can file through WorkSafeNB’s MyServices, a new online application that lets you file your Form 100, view your current employer balances, access your cost of claim statements and more – all in a convenient, easy-to-use and secure online location. To register for MyServices, see the box on the right.
Step 1: You will need your Employer Number and Access PIN located on your Form 100 – Employer Payroll Report or your Access PIN Letter - which was mailed to the employer in January.
Step 2: You must complete the Form 100 in one session. You cannot save your progress and come back later.
Step 3: Be prepared to review and update the following information:
File your annual Form 100
Current Employer Balances
Cost of Claim Statements
Statement of Accounts
Payroll Filing History
The Access PIN printed on the Form 100 – Employer Payroll Report (2016-2017) or your Access PIN letter, which was mailed to the employer in January.
The six-digit classification code (North American Industry Classification System) assigned to your operation(s).
The assessable earnings for an individual worker has a maximum level set each year. When the employer calculates the total payroll for the business or organization, the resulting sum should be no greater than the number of employees multiplied by the maximum amount.
WorkSafeNB groups each employer into an industry classification based on the primary business activity, regardless of the occupation of individual or groups of workers.
Mailing Address - This address will be used by WorkSafeNB to send any correspondence to the business or organization by regular mail.
Location of Payroll Records - This section contains the address where the business or organization maintains its payroll records and may be the same as the mailing address. WorkSafeNB uses this address in the performance of payroll audits.