Form Tq01c - Alaska Quarterly Contribution Report - 2015 Page 2
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1
2Alaska Quarterly Contribution Report Wage Schedule Continuation Sheet
THE
TAXABLE WAGE BASE FOR EACH EMPLOYEE IS $
.
10. Employee's
11. Employee's Name - Type or Print
12.
13. Full
14.
Social Security
(Do not list employees more than once.)
Occupational
Geographic
Last, First MI
Number
Title or Code
Code
Make checks payable to the
15. Total number of pages
16.
Alaska Department of Labor and Workforce Development.
(Same total as in Block 2 on page 1.)
If you have any questions,
call toll free 888.448.3527.
TQ01C Continuation
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Parent category: Financial