Form DC-1 Employer's Quarterly Report of Contributions Under the R

FORM APPROVED

O.M.B. NO. 3220-0012

UNITED STATES OF AMERICA
RAILROAD RETIREMENT BOARD
EMPLOYER NUMBER

EMPLOYER’S QUARTERLY REPORT OF CONTRIBUTIONS
UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT
This Report is Required By Law - 20 C.F.R. 345.116

CALENDAR QUARTER AND YEAR

NAME AND ADDRESS OF EMPLOYER

Check appropriate box for report status / method of payment

Final Report

Check/Money Order

Electronic

All employers must return original Form DC-1 to:
CHIEF FINANCIAL OFFICER
U.S. RAILROAD RETIREMENT BOARD
844 N Rush Street, Chicago, Illinois 60611-2092
READ THE INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM BEFORE PREPARING THIS REPORT
MONTH
BA-4
PREPARED

YEAR
ADJUSTED

AMOUNT OF COMPENSATION
SUBJECT TO CONTRIBUTION

CONTRIBUTION
RATE

AMOUNT OF CONTRIBUTION
DUE (COL. (c) x COL. (d))

(a)

( b)

(c)

(d)

(e)

1. CURRENT REPORTING
PERIOD

0.00%

$0.00

2.

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

0.00%

$0.00

Compensation Adjustments
reported on Form BA-4.
ATTENTION: Attach a
statement of explanation to
your fourth quarter Form
DC-1 if the item 3 total
compensation reported on
Forms DC-1 for the four
quarters of this calendar
year does not agree with
compensation reported on
and any
Form Ba-3
adjustments of Form BA-4.

$0.00

$0.00

3. Total
4.
Corrections to prior
Form DC-1 (indicate
quarter and year)

1.

0.00%

$0.00

2.

0.00%

$0.00

$0.00

3.

$0.00

5. Total
6a.

Interest/Penalties (I/P) (Indicate Quarter/Year)

$0.00
6b.

7.

I/P Total

Report Total

$0.00

8.

AMOUNT OF REMITTANCE Check or money order should be made payable to the U.S. Railroad Retirement Board
For Railroad Retirement Board (RRB) Use Only:

9.
PREPARER’S NAME (Print)
TELEPHONE NO.

I CERTIFY THAT I HAVE EXAMINED THIS REPORT, THAT IT IS MADE IN GOOD FAITH AND THAT TO THE BEST OF MY KNOWLEDGE AND
BELIEF ALL ENTRIES MADE HEREIN ARE TRUE AND CORRECT, AND IN ACCORDANCE WITH THE LAW AND REGULATIONS APPLICABLE
HERETO. I UNDERSTAND THAT PROVIDING FALSE OR FRAUDULENT INFORMATION OR FAILING TO PROVIDE REQUIRED
INFORMATION IS A VIOLATION OF FEDERAL LAW PUNISHABLE BY FINE, IMPRISONMENT OR BOTH.

SIGNATURE

TITLE
(OFFICER AS PER INSTRUCTION ON REVERSE)
DATE

FORM DC-1 (12-11) DESTROY PRIOR EDITIONS

(OVER)

INSTRUCTIONS
PAPERWORK REDUCTION ACT NOTICE
We ask for this information to carry out the provisions of the Railroad
Unemployment Insurance Act. We need it to ensure that railroad employers
are complying with the Act and to allow us to compute and collect the correct
amount of contributions. You are required to give us this information.
We estimate this form takes an average of 25 minutes per response to
complete, including the time for reviewing the instructions, getting the
needed data, and reviewing the completed form. Federal agencies may not
conduct or sponsor, and respondents are not required to respond to, a
collection of information unless it displays a valid OMB number. If you wish,
send comments regarding the accuracy of our estimate or any other aspect
of this form, including suggestions for reducing completion time, to the
Chief of Information Resources Management, Railroad Retirement Board,
844 N. Rush St., Chicago, IL 60611-2092.

EMPLOYER’S CONTRIBUTIONS AND CONTRIBUTION REPORTS
General requirements – Every employer under the Railroad
Unemployment Insurance Act is required to pay a contribution equal to a
percentage of the compensation earned by any employee. All employers
are notified annually of the contribution rate with Form ID-40r, Annual Notice
to Employer - RUI Act, in October. The monthly compensation base is
established every November via a separate notice.
Reporting requirements – Every employer must file a report and pay
contributions for each calendar quarter in which compensation is earned by
one or more employees.
The report for each quarter must be filed and the contributions must be paid
on or before the due date shown below:
QUARTER ENDED
March 31
June 30
September 30
December 31

DUE ON OR BEFORE
April 30
July 31
October 31
January 31

If the due date falls on Saturday, Sunday, or a national legal holiday, the
report must be filed and the payment made on or before the next following
business day. The report must be postmarked on or before the date on
which the report is required to be filed. Payments by electronic medium
must be effective on or before the date on which the DC -1 report is
required to be filed.

Item 1 – Current reporting period – No entry required in columns (a)
a n d ( b ) . E n t e r i n c o l u m n ( c ) t h e t o ta l c o m p e n s a t i o n s u b j e c t t o
contribution for the current reporting period, in column (d ) the
contribution rate indicated in the annual notice and in column (e) the
amount of contribution due.
Item 2 – Compensation Adjustments – Enter in column (a) the month
i n d i c a t e d o n F o r m B A - 4 , R e p o r t o f C r e d i ta b l e C o m p e n s a t i o n
Adjustments. Enter in column (b) the calendar year which was adjusted
by the Form BA - 4 (a BA - 4 that adjusts more than 1 calendar year
requires a separate line for each year). Enter in column (c ) on the
appropriate line the amount of the net increase or decrease resulting
from compensation adjustments applicable to prior periods as reported
on the Form BA- 4 filed during the period covered by the report. The entry
is to be made in the space provided for the period affected by the
adjustment. Enter in column (d) the contribution rate applicable (8.0%)
for years from 1/1/1981 through 12 / 31/1990; see section 345 of the
RRB’s regulation for years prior to 1981. Enter in column (e) the amount
of contributions due.
If any amount is a decrease, it should be noted by inserting the letter “D”
after the amount.
Item 3 – Total – Enter the total of the compensation amounts shown for
items 1 and 2 in column (c) and the total of the contribution amounts in
column (e). The total compensation reported on line 3 for the four
quarters of each year should be the same as the total compensation
reported on Forms BA- 3, Annual Report of Creditable Compensation,
and BA- 4 to the Chief of Compensation and Employer Services Center.
If they do not agree, please attach a statement that explains the
reason(s) for the difference in total compensation reported here and
separately reported to the Chief of Compensation and Employer
Services Center. The total compensation to be listed on this contribution
report is to be derived from payrolls or other disbursement documents
for an appropriate quarter.
Item 4 – Correction to prior Forms DC-1 – Enter corrections,
underpayments or overpayments of contribution not involving BA - 4
adjustments applicable to prior compensation reports. On line 1 in column
(a) enter the calendar quarter and year of the Form DC -1 which requires
correction. Enter in column (b) the calendar year adjusted. Entries in
columns (c) through (e) should be the same information as indicated on
Form DC -1 to be corrected. Enter on line 2 in columns (c) through (e), the
correct information. Additional corrections to Forms DC -1 should be
documented on an attachment in the same format as the first correction.
On line 3 of columns (c) and (e) the net correction total is entered.

Penalties – For failure to file a report on or before the date on which it is
due, section 345 of the regulations provides a penalty of five to twenty-five
percent of the contribution, depending upon the duration of the delinquency,
unless the employer establishes to the satisfaction of the Railroad
Retirement Board (RRB) that a reasonable cause exists for the delinquency.

Item 5 – Total – Add columns (c) and (e) of item 3 and line 3 of item 4
and enter the totals.

Interest – If any contribution is not paid when due, interest will accrue
thereon at the rate of one percent per month or fraction of a month from the
date on which it became due until it is paid. A fractional part of the month
will be treated the same as a full month, e.g. a contribution postmarked one
day after the due date will be assessed a full month’s interest.

Item 7 – Report Total – Enter the total amount of the remittance required
by this report. Add the amounts shown in items 5e and 6b.

Records – Every employer under the Railroad Unemployment Insurance Act
must keep accurate records containing sufficient information to enable the
RRB to determine whether the contributions have been correctly computed
and paid. Such records shall be maintained for a period of at least five years
after the date the contribution to which they relate becomes due or the date
the contribution is paid, whichever is later, and shall be open at all times to
the inspection of the RRB or any of its officers or employees.

Item 9 – Enter the name and telephone number of the individual preparing
the form.

COMPLETING FORM DC-1
Identifying Information – Enter the employer number used in reporting
compensation to the RRB’s Chief of Compensation and Employer Services
Center, the calendar quarter and year covered, and the full name and
address of the employer. If future reports are not required please check
“FINAL REPORT.” Also check the box to indicate method of payment.

Items 6a & b – Interest/penalties – Indicate the quarter and year
applicable in item 6a. Enter the amount of interest/penalties in item 6b.

Item 8 – Amount of Remittance – Enter, in column (e), the total amount
remitted for this report. It should be the amount shown in item 7.

Signature – Each report must be signed by (1) the individual if the
employer is an individual, (2) the president, vice president, or other duly
authorized officer if the employer is a corporation, or (3) a responsible or
duly authorized member or officer having knowledge of its affairs, if the
employer is a partnership or other incorporated organization. The title of
the officer must be indicated as well as the date signed.

DC -1 (12-11)