Form W-2 - Magnetic Media Transmitter Report printable pdf download

Form W-2 - Magnetic Media Transmitter Report

Form W-2

(Rev. 11/08)

Massachusetts

Magnetic Media Transmitter Report

Department of

Revenue

Please print or type. For each type of media submitted, complete a separate Magnetic Media Transmitter Report. Mail all completed W-2 reports

and media to: Massachusetts Department of Revenue, W-2 Magnetic Media Filing, P.O. Box 7084, Boston, MA 02204

Submitter/Transmitter Federal Identification Number:

YOUR TAPE CANNOT BE PROCESSED WITHOUT THE SUBMITTER FID NUMBER

Submitter name

Contact Person

Street Address

Contact Telephone Number

City/Town

State

Zip Code

Check if your organization’s address or name has changed since filing its last report.

Only the Massachusetts W-2 EFW2 format will be accepted.

1. Tax Year Filing:

2. Media Filed: ! IBM 3480 Cartridge

3. Tape/Cartridge Magnetic Media Information. No zipped or compressed files.

Blocking Factor

__________ (Do not exceed 45)

!"ASCII

!"EBCDIC

!"VMS Backup

Format

!"1600 BPI

!"6250 BPI

!"37,871 (36 Track not accepted)

Density

!"IBM Standard

!"Unlabeled

Internal Label

Record Length is 512 bytes as required by the EFW2 format. THE TIB-4 based format is no longer acceptable.

! YES

! NO

4. Is the file tape submitted multiple reels or disks?

If you checked “Yes,” enter tape numbers of multiple reel files:

5. What is the total number of employers reported?

6. What is the total number of employees reported?

7. Does your company currently file, or plan to file, Form W-2 Reports to the Social Security Administration via Electronic

Data Transfer (EDT) or the Online Wage Reporting Service (OWRS)? ! Yes

! No

I declare I have examined this report and to the best of my knowledge and belief it is true, correct, and complete.

Signature

Title

Date

This form is the only tape documentation needed. Tape dumps and other reports are not required.

Form W-2 - Magnetic Media Transmitter Report

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