Electronic Media Transmittal Form - Georgia Department Of Labor Page 2
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7ELECTRONIC MEDIA TAX RECORD FORMAT
(DOL-4, Part II) HEREIN REFERRED TO AS “N” RECORD
POSITION
FIELD NAME
TYPE/SIZE
DESCRIPTION
1
Designator
A-1
Enter the letter “N”.
2-9
Account
N-8
Enter the 8 digit GDOL employer account
number. Numeric only; omit hyphens,
spaces and check digit.
10
Quarter
N-1
Enter the quarter for which this report
applies. Numeric only; 1, 2, 3, or 4 are the
only valid entries.
11-14
Year
N-4
Enter the 4 digit year for which this report
applies. Numeric only.
15-19
Number Employees
N-5
Enter the number of covered workers during
the pay period that includes the 12th day of
the first month of the quarter. Numeric only.
20-24
Number Employees
N-5
Enter the number of covered workers during the
pay period that includes the 12th day of the
second month of the quarter. Numeric only.
25-29
Number Employees
N-5
Enter the number of covered workers during
the pay period that includes the 12th day of
the third month of the quarter. Numeric only.
30-40
Total Wages
N-11
Enter the reporting quarter total gross wages
from line 2 of Part II of the DOL-4. Right
justify and zero fill.
(Enter $5,512,432.10 as 00551243210)
41-51
Non-Taxable Wages
N-11
Enter the reporting quarter non-taxable wages
from line 3 of Part II of the DOL-4. Right
justify and zero fill.
(Enter $5,432.10 as 000543210)
52-62
Taxable Wages
N-11
Enter the reporting quarter taxable wages
from line 4 of Part II of the DOL-4. Right
justify and zero fill.
(Enter $5,432.10 as 000543210)
63-71
Remittance
N-9
Enter amount of remittance from line 10 of
Part II of the DOL-4. Right justify and zero fill.
(Enter $12,432.10 as 001243210)
72-80
Constant
9
Enter 9 spaces.
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