Request To Amend Unemployment Compensation Quarterly Tax Return Form

ADVERTISEMENT

OHIO DEPARTMENT OF JOB AND FAMILY SERVICES
P.O. Box 182404
Columbus, Ohio 43218-2404
(614) 466-2319
FOR 0064
REQUEST TO AMEND UNEMPLOYMENT COMPENSATION QUARTERLY TAX RETURN
1. Employer Account Number
2. Quarter
3. Year
-
-
4. Employer Name
First
Middle
5. Employee's Last Name
6. Total Wages Paid this Quarter
7. Weeks
Initial
Initial
Enter the Social Security Number of the employee as originally filed.
If amending Social Security Number, enter the correct number.
Enter only the item to be amended (see items 5 - 7). If amending multiple items, you must complete a separate record for each item being amended.
.
Amendment
Comments:
Reason #
Enter the Social Security Number of the employee as originally filed.
If amending Social Security Number, enter the correct number.
Enter only the item to be amended (see items 5 - 7). If amending multiple items, you must complete a separate record for each item being amended.
.
Amendment
Comments:
Reason #
Enter the Social Security Number of the employee as originally filed.
If amending Social Security Number, enter the correct number.
Enter only the item to be amended (see items 5 - 7). If amending multiple items, you must complete a separate record for each item being amended.
.
Amendment
Comments:
Reason #
Page 2 of 3
T
T
JFS 20129 (9/2010)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2