Form C-7 - Wage List Adjustment Schedule
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1
2
3A Separate Form Must Be Filed For Each Quarter Being Corrected.
List Only The Data For Which Corrections Are Required
Examples To Correct Data Previously Reported or Omitted
(1)
(2)
(3)
(4)
Employee's
Employee's Name
Total Wages
Social Security
1st
2nd
Account Number
Init.
Init.
Last
As Reported
Corrected
The following example illustrates the proper method to report either omitted Social
Security Account Number(s) or Wage Amount(s).
The Total Wages, As Reported,
Column (3) will be -0- as no wages were credited to employee's earning records due to
the omitted Social Security Account Number or wage amount.
123
45
6789
J. A. DOE
-0-
1,000.00
The following example illustrates the proper method to correct the amount of wages
previously reported for J. A. Doe.
123
45
6789
J. A. DOE
1,000.00
1,200.00
The following example illustrates the proper method to correct wages erroneously
reported for J. B. Doe instead of J. A. Doe.
123
45
6789
J. B. DOE
1,000.00
-0-
123
45
6789
J. A. DOE
-0-
1,000.00
The following example illustrates the proper method to correct the reporting of an
erroneous Social Security Account Number.
123
54
6789
J. A. DOE
1,000.00
-0-
123
45
6789
J. A. DOE
-0-
1,000.00
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