Form Me Uc-1 - Unemployment Contributions Report - 2016 Page 2
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2SCHEDULE 2 (FORM ME UC-1) 2016
99
Name:
*1506402*
UC Employer
Account No.:
-
2016
2016
Federal Employer ID No:
Quarterly Period Covered:
MM
DD
YYYY
MM
DD
YYYY
Unemployment Contributions Wages Listing
All employers designated SEASONAL by
the Maine Department of Labor. See
instructions for column 13 on page 5.
11. Payee Name (Last, First, MI)
12. Social Security Number
13. UC Gross Wages Paid
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14. Total of column 13 on this page
2D Bar Code space
15. Total of columns 13 for ALL pages
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