Form Uc-B6 - Quarterly Wage, Contribution And Employment And Training Assessment Report Page 2

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FORM UC-B6A (REV. 12/03)
S T A T E O F HAWAII
(ICSD L2BX)
DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
UNEMPLOYMENT INSURANCE DIVISION
E M P L O Y E R ' S Q U A R T E R L Y R E P O R T O F W A G E S
P A G E N O .
O F
FEDERAL I.D. NUMBER
ACCOUNT NUMBER
FOR QUARTERENDING
DELINQUENTAFTER
P
2) EMPLOYEE'S NAME (LAST, FIRST)
3) TOTAL QTR WAGES PAID
1) EMPLOYEE'S SSA #
L
E
A
S
E
O
R
T
Y
P
E
B
L
A
C
K
I
N
K
-i
T O T A L W A G E S T H I S P A G E O N L Y .
4)
A D D T O F O R M U C - B 6 , I T E M 5
RETURN ORIGINAL FORM WITH PAYMENT
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