Form Pkt001 - Quarterly Wage Report
Download a blank fillable Form Pkt001 - Quarterly Wage Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Pkt001 - Quarterly Wage Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
16.00
2.00
This is a fillable form. Please click on the appropriate area to enter information. Tab between fields and PRINT when completed.
02
Wisconsin Department of Workforce Development
QUARTERLY WAGE REPORT
Division of Unemployment Insurance
Required Under Chapter 108, Wis. Stats.
(608) 266-6877
To be filed with Quarterly Contribution Report
2. QUARTER
1. U.I. ACCOUNT NUMBER
3. YEAR
4. REPORT DUE DATE
5. FEIN
6. EMPLOYER NAME
7. ACCOUNT NUMBER
PLEASE TYPE ALL ENTRIES
PLEASE TYPE ALL ENTRIES
PLEASE TYPE ALL ENTRIES
8. LINE
9.
10. EMPLOYEE'S
11. EMPLOYEE'S
12. EMPLOYEE'S
13. EMPLOYEE'S
NUMBER
CHANGE
SOCIAL SECURITY NUMBER
LAST NAME
FIRST NAME
QUARTERLY WAGES
DOLLARS
CENTS
1 .
2 .
3 .
4 .
5 .
6 .
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
14. TOTAL WAGES ALL PAGES
15. TOTAL WAGES THIS PAGE
02
(Must agree with item 9 on
Contribution Rpt. (UCT-101)
16. PAGE ______ OF ______
PKT001 (R. 10/15/2004 )
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial