Form Uct-6 - Correction To Employer'S Quarterly Report
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1Division of Unemployment Compensation
See reverse side for
Bureau of Tax
complete instructions
107 E. Madison Street
Tallahassee, Florida 32399-0238
CORRECTION TO EMPLOYER’ S QUARTERLY REPORT (UCT-6)
DO NOT USE THIS AREA
UC ACCOUNT NUMBER
QUARTER ENDING DATE
BATCH NUMBER
EMPLOYER’ S NAME
AUDITED BY
DATE
STREET
CITY
STATE
ZIP CODE
REMARKS
EXPLAIN, IN DETAIL, THE REASON FOR CORRECTION
1.
2.
3.
4.
5.
6.
7.
EMPLOYEE’ S NAME
EMPLOYEE’ S SOCIAL
FIRST
MDL.
PAGE
GROSS WAGES PER
UNIT
CORRECT GROSS
UNIT
SECURITY NUMBER
LAST NAME
INIT.
INIT.
NO.
ORIGINAL REORT
CODE
WAGES
CODE
8.
If this information changes the figures on your original
$
$
TOTALS
report – Please Complete.
ORIGINALLY
TO BE
$
ITEM
DIFFERENCE
DIFFERENCE BETWEEN COLUMN 4 AND 6
REPORTED
CORRECTED TO
GROSS
I certify that the information contained in this report is true and correct.
WAGES
EXCESS
Signature
WAGES
TAXABLE
Title
Date
WAGES
MAKE CHECK PAYABLE TO
$
TAX DUE
FLORIDA UNEMPLOYMENT COMPENSATION FUND
LES Form UCT-8A (Rev. 8/12/98)
Internet Address:
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