Form Uct-6 - Florida Department Of Revenue Employer'S Quarterly Report Page 3
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3UCT-6A
Unemployment Tax Employer’s Quarterly Report
R. 10/02
Continuation Sheet
All information must be typed or printed clearly in black ink.
Return original with Employer’s Quarterly Report.
Read instructions on reverse side before completing this form.
1. Page Number
________ of ________
(Example: 2 of 4)
2. Date Quarter Ended
3. Employer’s Name
4. UT Account Number
6. Employee’s Name
First Middle
7. Employee’s Gross Wages Paid This Quarter
5. Employee’s Social Security Number
Last Name
Initial
Initial
8.
Total Gross Wages This Page
Internet Address:
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