Section 260-RICR-40-05-1.20 - Wage and Employment Reports - U.IA. Whenever an individual files a claim for waiting period or benefits, the Director shall forward a notice of claim filed and termination report to the last separating employer and any base period employers.B. The employer shall return the form with the following information:1. The last date the worker actually performed services.2. Whether or not the claimant had four weeks of work preceding the separation in which the claimant earned at least twenty times the minimum hourly wage in each of the four weeks.3. Wage information, whether it be quarterly or weekly, if requested.4. The reason for unemployment.5. The expected return to work date, if any.6. Pension information if the claimant is receiving a company pension or payments under any other type of company retirement plan.7. Vacation information if the separation is due to a personal vacation and/or an official vacation shutdown.8. Severance and/or dismissal pay amount and the number of weeks that the severance and/or dismissal pay represent.C. Whenever an individual refiles a claim, the Director shall forward a form requesting the separating employer to provide the reason for the individual's separation and last date of employment. The failure of any employer to complete and return such report within the time limit set forth in accordance with R.I. Gen. Laws § 28-44-38(c) of the Act shall be considered a representation on the part of the employing unit that the individual was not separated from employment for any reason or any circumstances on the basis of which such individual could be disqualified under the provisions of the Act, and a further representation that the individual did not work for the employer beyond the date indicated on the report.D. Any employer who fails to complete and return wage and termination reports within the time limit set forth in accordance with R.I. Gen. Laws § 28-44-38(c) of the Act shall be deemed to have violated the reporting requirements of this Section. Any employer who fails to return the notice within that time shall pay a penalty of twenty-five dollars ($25) for each failure.260 R.I. Code R. § 260-RICR-40-05-1.20