123456.00 1 2 3 4 5 6 0 handwritten · example: 123456.00 pa form uc-2a supplement, employer’s...
TRANSCRIPT
PA Form UC-2A Supplement, Employer’s Quarterly Report of Wages Paid to Each Employee Information MUST be typewritten or printed in BLACK ink. Do NOT use commas ( , ) or dollar signs ( $ ). If typed, disregard verticalbars and type a consecutive string of characters. If hand printed, print in CAPS and within the boxes as below:
SAMPLE 123456.00 SAMPLE Typed: Handwritten: 1 2 3 4 5 6 0 0
Employer name Employer Check Quarter and year Quarter Ending Date (make corrections on Form UC-2B) PA UC account no. digit Q / Y Y Y Y MM / DD / YYYY
7. Employee’s social security number
8. Employee’s name FI MI LAST
9. Gross wages paid this quarterExample: 123456.00
10. Credit weeks
11. Total gross wages for this page:
12. Total number of employees for this page:
13. Page of UC-2AS REV 06-16