Form Uc-2 - Employer'S Report For Unemployment Compensation

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P
U
C
(PA UC) Q
T
F
ENNSYLVANIA
NEMPLOYMENT
OMPENSATION
UARTERLY
AX
ORMS
• Form UC-2, Employer’s Report for Unemployment Compensation (below)
• Form UC-2A, Employer’s Quarterly Report of Wages Paid to Each Employee
• Form UC-2B, Employer’s Report of Employment and Business Changes
INTEREST RATE : Contributions paid after the due date are subject to an inter est charge as provided under Section 308 of the Law
(43P.S. §788). For the current rate of interest, refer to the depar tment’s website at
REIMBURSABLE ACCOUNTS : Even when the employee contribution rate is zero, reimbursable employers are still required to file a
tax report each quarter to report wages paid. Reimbursable empl oyers are not required to complete items 4 and 5 on Form UC-2R.
FOR ASSISTANCE: Call the UC Employer Contact Center at 866-403-6163, which is staffed Monday through Friday from 8:00 a.m. to 4:30 p.m. Eastern Time.
INSTRUCTIONS: This is an Adobe Acrobat fill-in form. To use this form you must have Adobe Acrobat Reader XI. Start by keying in your Employer’s
Contribution Rate (the first red box at the far left of this form). Tab through the form to go to the next required field. For more information, refer to the
UC-2INS (UC-2/2A/2B Instructions).
PRINTING INSTRUCTIONS: When the Print dialog box appears, set Page Sizing & Handling to ACTUAL SIZE, uncheck CHOOSE PAPER SOURCE
BY PDF PAGE SIZE.
Sign and date your report and mail it with payment to:
Office of Unemployment Compensation Tax Services
Labor & Industry Building
P.O. Box 68568
Harrisburg, PA 17106-8568
PA Form UC-2, Employer’s Report for Unemployment Compensation. This form is machine-readable. Information MUST be
typewritten or printed in BLACK ink. Do not use dashes or slashes in place of zeros or blanks.
If typed, disregard the vertical bars in the shaded areas, type a consecutive
string of characters, left justified, with decimal only. Do not use commas (,) or
dollar signs ($). Font size MUST be a minimum of 10 pt.
If hand printed, print legible numbers within the data entry boxes provided. DO
0
NOT close the 4 or cross the
and 7. DO NOT fill in commas or decimal points.
Do not staple anything to this form. Photocopy this report for your records. Do not photocopy this form for use.
Detach below and return with your payment.
To report any changes to your account, complete the reverse side.
QTR./YEAR
PA Form UC-2 REV 06-16, Employer’s Report for Unemployment Compensation
Read Instructions - Answer Each Item
DUE DATE
1ST MONTH
2ND MONTH
3RD MONTH
EXAMINED BY:
1. TOTAL COVERED EMPLOYEES
IN PAY PERIOD INCL. 12TH OF
MONTH
Signature certifies that the information contained
FOR DEPT. USE
herein is true and correct to the best of the signer’s
2. GROSS WAGES
knowledge.
3. EMPLOYEE
CONTRIBUTIONS
10.
SIGN HERE-DO NOT PRINT
TITLE
DATE
PHONE#
4. TAXABLE WAGES
FOR EMPLOYER
11. FILED
PAPER UC-2A
INTERNET UC-2A
CONTRIBUTIONS
5. EMPLOYER
12. FEDERAL IDENTIFICATION NUMBER
CONTRIBUTIONS DUE
CHECK
EMPLOYER’S ACCT. NO.
(RATE X ITME 4)
DIGIT
EMPLOYER’S
6. TOTAL
0.00
CONTRIBUTIONS DUE
CONTRIBUTION RATE
(ITEMS 3 + 5)
7. INTEREST DUE
SEE INSTRUCTIONS
8. PENALTY DUE
SEE INSTRUCTIONS
9. TOTAL
$
0.00
REMITTANCE
(ITEMS 6 + 7 +8)
MAKE CHECKS PAYABLE TO:
PA UC FUND
SUBJECTIVITY DATE
REPORT DELINQUENT DATE
PRINT
RESET

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