Form C-7 - Wage List Adjustment Schedule (Page 2 of 3) in pdf

Form C-7 - Wage List Adjustment Schedule Page 2

Instructions for Wage List Adjustment Schedule (Form C-7)

Purpose of Report: The information in this report will be used to correct employee wage information

previously filed with the Texas Workforce Commission.

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Systems Incorporated.

A SEPARATE FORM MUST BE FILED FOR EACH QUARTER BEING CORRECTED.

LIST ONLY THE DATA FOR WHICH CORRECTIONS ARE REQUIRED.

Account Number: 00-000000-0

Qtr./Yr.: Enter the quarter and year this adjustment is submitted to correct. (i.e., 195 for 1st quarter

1995).

Employer's Name and Address is the same information as entered on Employer's Quarterly Report.

Reason For Adjustment: Employer's explanation why these wage adjustment reports are being

submitted.

Column (1) is the Employee's Social Security Number (000-00-0000).

Column (2) is the Employee's Name - 1st Initial, 2nd Initial, Last Name.

Column (3) is the Total Wages (0.00) AS REPORTED to the TWC on previously submitted

employee wage list.

Column (4) is the CORRECTED Total Wages.

Examples to correct data previously reported or omitted

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 earnings records due to omitted Social Security Account number or wage

amount.

(1)

(2)

(3)

(4)

123-45-6789 J.A. DOE -0- 1000.00

The following example illustrates the proper method to correct the amount of wages previously

reported for J.A. Doe.

(1)

(2)

(3)

(4)

123-45-6789 J.A. DOE 1000.00 1200.00

Form C-7 - Wage List Adjustment Schedule Page 2