Electronic Media Transmittal Form - Georgia Department Of Labor Page 3

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ELECTRONIC MEDIA WAGE RECORD FORMAT
NASWA Y2K UNEMPLOYMENT INSURANCE FORMAT
CODE S - SUPPLEMENTAL RECORD - This is the Year 2000 NASWA Unemployment Insurance code “S”
supplemental record format as defined by the Georgia Department of Labor for direct wage reporting by
magnetic media. Total Record Length = 275 (276 if necessary). If using PC media, a soft carriage return/line
feed must be at the end of each record.
POSITION
FIELD NAME
TYPE/SIZE
DESCRIPTION AND REMARKS
1
Record Identifier
N-1
Constant “S”
2-10
Social Security Number
N-9
Enter the employee’s SSN.
11-30
Employee Last Name
A-20
Enter the employee’s last name, left justified.
All CAPS, no lower case characters.
31-42
Employee First Name
A-12
Enter the employee’s first name, left justified.
All CAPS, no lower case characters.
43
Employee Middle Initial
A-1
Enter the employee’s middle initial.
All CAPS, no lower case characters.
44-45
State Code
N-2
Enter the appropriate FIPS postal numeric
code. The Georgia code is “13”.
46-63
GDOL Wage Filler
N-18
Enter blanks or zeros.
64-68
GDOL Wage Filler
5
Enter blanks or zeros.
69-77
Total Gross Wages
N-9
Enter the total gross wages minus 125
Cafeteria plan, paid during the period.
Include tip wages. Right justify and zero fill.
Enter $7,536.20 as 000753620.
78-153
76
Not required by GDOL.
154-161
GDOL Employer
N-8
Enter the 8 digit GDOL employer account
Account Number
number. DO NOT enter the dash.
162-214
53
Not required by GDOL.
215-220
Reporting Period
N-6
Enter the last month and four digit year for
Month/Year
the calendar quarter for which this report
applies; e.g., “032007” for the quarter of
January - March of 2007.
221-275
55
Not required by GDOL.
276
1
If necessary, enter a blank.

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