Application For Quarterly Wage Reporting On Magnetic Tape - Vermont Department Of Employment And Training

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Vermont Department of Employment & Training
Application for Quarterly Wage Reporting on Magnetic Tape
Name and Address of Organization where tapes are to be mailed:
Business Name
Attention To
Mailing Address
City
State
ZIP Code
Contact Person
Telephone/Ext.
Employer Name (if different than above)
Employer Acct. Number
1
2
3
Record Format
(Select One)
Federal ID Number
Estimated volume of employee wage items per quarter:
Quarter ending date that data will be submitted on tape:
Tape supplied by Department of Employment & Training:
YES
NO
Name and Title of Person Completing Request
Telephone/Ext.
Signature
Date
Return Application to:
Vermont Department of Employment & Training
Attention: Lucille Keene - QC/Tape Librarian
Post Office Box 488
Montpelier, Vermont 05602-0488

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