Form Uct-50t - Magnetic Media Reporting Transmittal

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UCT-50T
Magnetic Media Reporting Transmittal
R. 01/01
Always submit a copy of this form each quarter with the quarterly wage tape/diskette.
Reporting Employer Information
Reporting employer name
Account #
Street address
City/State/ZIP
Contact person
Title
Phone number
Account number
Reporting period
Date submitted
Check here if you wish the tape/diskette to be returned to the reporting employer name listed above.
Reported Florida Employer Account Number
Employee Record Count
Diskette and Magnetic Tape Specifications
Computer
Operating System (MSDOS, CPM, IBMDAT, etc.)
Diskette Size
Tape Type (check one)
3.5”
Reel
Cartridge
Recording Density Disk (check one)
Tape Density (check one)
SD
DD
HD
1600 BPI
6250 BPI
Recording Code (check one)
Internal Labels (check one)
ASCII
EBCDIC
IBM Standard
Yes
No
Software Specifications
Wage reporting software written by (check one)
Software company name
In House
Software Company
Software company contact person
Phone number
REMINDER
CHECKLIST
Have you enclosed the following?
Do you have the correct file name on your
UCT-6
diskette?: FLREPORT
Check made payable to:
Applied for accounts must not be submitted on the
Florida U.C. Fund
tape/diskette
Diskette
Please indicate the return address on tape/diskette
Magnetic Tape
Send transmittal along with tapes or diskettes:
Magnetic Media Reporting Transmittal (UCT-50T)
FLORIDA DEPARTMENT OF REVENUE
MAGNETIC MEDIA SECTION
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0100
Internet address:

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