Form Uc-7823-E - Quarterly Wage Report
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QUARTERLY WAGE REPORT
Wisconsin Department of Workforce Development
Division of Unemployment Insurance
Required Under Chapter 108, Wis. Stats.
(608) 266-6877
To be filed with Quarterly Contribution Report
2. QUARTER
1. U.I. ACCOUNT NUMBER
3. YEAR
4. REPORT DUE DATE
5. FEIN
6. EMPLOYER NAME
7. ACCOUNT NUMBER
8. LINE
9.
10. EMPLOYEE'S
11. EMPLOYEE'S
12. EMPLOYEE'S
13. EMPLOYEE'S
NUMBER
CHANGE
SOCIAL SECURITY NUMBER
LAST NAME
FIRST NAME
QUARTERLY WAGES
DOLLARS
CENTS
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15. TOTAL WAGES THIS PAGE
14. TOTAL WAGES ALL PAGES
(Must agree with item 9 on
Contribution Rpt. (UCT-101)
16. PAGE ______ OF ______
UC-7823-E (R. 02/26/2014)
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