Form Woes-3a - Employers Quarterly Contribution Report
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WOES - 3A (REV 03/10)
OKLAHOMA EMPLOYMENT SECURITY COMMISSION
EMPLOYERS QUARTERLY CONTRIBUTION REPORT Cashier: PO Box 52004 Oklahoma City, OK 73152-2004
To File by Diskette or Obtain Form Instructions Visit:
1. Employee Social Security Number
2. Last Name
First Name
3. Total Wages Paid
4. Taxable Wages Paid
0.00
0.00
PAGE TOTAL
6. Oklahoma Account Num1ber
5. Name / Address
RESET THIS PAGE ONLY
7. Qtr / Yr
W03A
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