Form Uce-120a - Employer Quarterly Wage Continuation Sheet 2011 Page 2
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2FORM UCE-120A
(REV. 3/11)
SOUTH CAROLINA DEPARTMENT OF EMPLOYMENT AND WORKFORCE
EMPLOYER QUARTERLY WAGE CONTINUATION SHEET
FORM ALIGNMENT BOXES
FORM ALIGNMENT BOXES
This is a machine readable form. For proper processing align typewriter or
X
X
line printer to allignment boxes at top and carriage return down the form.
1. EMPLOYER NAME
2. Account Number
3. Quarter Ending Date
Page Number
6. Employee's Social Security Number
7. Name: First, Middle Initial, Last
8. Total Wages
000
00
0000
9. TOTAL WAGES THIS PAGE
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