Instructions For Filing The Employer'S Quarterly Contribution And Wage Report - District Of Columbia Department Of Employment Services Page 2
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1
2A P
R
T 1
E
XA
MP
E L
O N
N-
T
AXA
BL
E
W
A
E G
A C
LCUL
T A
O I
S N
F
R O
A
N
EMP
LOY
ER
Employee
: A
Wages never exceed taxable wage base of $9,000 for this Calendar Year
Reporting Quarter
QTR1
QTR2
QTR3
QTR4
Wages Paid
$2000
$2000
$2300
$2000
Non-Ta
x
able Wages
$0
$0
$0
$0
Ta
x
able Wages
$2000
$2000
$2300
$2000
qu
ar
r te
Employee B:
Wages exceed taxable wage base of $9,000 in 2
n
d
Reporting Quarter
QTR1
QTR2
QTR3
QTR4
Wages Paid
$4,500
$5,500
$6,000
$5,000
Non-Ta
x
able Wages
$0
$1,000
$6,000
$5,000
Ta
x
able Wages
$4,500
$4,500
$0
$0
Employee C:
qu
ar
r te
Wages exceed taxable wage base of $9,000 in 1
s
t
Reporting Quarter
QTR1
QTR2
QTR3
QTR4
Wages Paid
$20,000
$20,000
$20,000
$25,000
Non-Ta
x
able Wages
$11,000
$20,000
$20,000
$25,000
Ta
x
able Wages
$ 9,000
$0
$0
$0
A S
MP
E L
QU
A
T R
ER
LY
REP
R O
TS (UC
0 3 -
F )
R O
T
HI
S
EMP
LOY
ER
QTR1
QTR2
QTR3
QTR4
ITEM
2. Total Wages Paid
$26,500
$27,500
$28,300
$32,000
3. Non-Ta
x
able Wages
$11,000
$21,000
$26,000
$30,000
ITEM
ITEM
4. Ta
x
able Wages(2 minus 3)
$15,500
$6,500
$2300
$2000
A P
T R
2
DI
ST
RI
CT O
F
COLU
M
B
A I
A M
G
NE
T
C I
MEDI
A
O F
RM
A
F T
R O
REP
O
T R
IN
G QU
A
T R
ER
LY W
A
E G
(3
/ 1
2" Te
x
t Format) or CD-ROM.
MEDIUM
Di
k s
ette
1.
-
. 2
A L
BEL
M -
UST
a
pp
y l
an
x e
te
rna
a l l
e b
o l
y n
ou
r
m
ed
a i
t i w
y h
ou
d r
a t a
set
nam
e
an
d f
e il
tt a
ib r
utes
.
Include contact name, telephone number and
f
x a
number on the label.
A
A =
lphabetic
N=Numeric
/ A
N =
A
lpha Numeric
Record Length = 80 characters
LENGTH
DESCRIPTION
POS.
Y T
PE
1
A
Quarter ending code, M=March, J=June, S=September, D=December
1
2-3
N
2
Y
ear of Quarter being Reported (E
x
. 99)
4-9
N
6
Employer
A
ccount Number
10-13
A/
N
First four (4) significant characters of company name (omit "
A
" , "THE", etc.)
4
14-17
N
MUST equal all ZEROS
4
18-26
N
Social Security Number (DO NOT include dashes)
9
5
27-31
A/
N
First five (5) characters of employee's last name
9
32-40
N
Total wages paid this quarter in dollars and cents. (right
j
ustified and zero fill with leading zeros). DO NOT
include decimal point.
41-41
A
1
MUST BE BL
A
NK
42-42
A
1
MUST equal 'X'
43-80
A
MUST BE BL
A
NK (reserved for future use)
38
NOTES:
philip.sadler@dc.gov
1). For electronic reporting questions (including use of ICES
A
format), please contact Philip Sadler at
or (202) 698-5698.
2). Mail, ICESA electronic media with checks and transmittal reports to:
THERESA ROY
GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF EMPLOYMENT SERVICES
OFFICE OF UNEMPLOYMENT COMPENSATION - TAX DIVISION
4058 MINNESOTA AVE NE, 4th FLOOR
WASHINGTON, DC. 20019
Page 4
UC30P4. REV 02/11
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