Electronic Media Transmittal Form - Georgia Department Of Labor Page 4

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ELECTRONIC MEDIA GDOL WAGE RECORD FORMAT
FIELD NAME
TYPE/SIZE
DESCRIPTION
POSITION
1
Record Identifier
A-1
Enter the letter “Y”.
2-9
Account Number
N-8
Enter the 8 digit GDOL employer
account number. Numeric only; omit
hyphens, spaces and check digit.
10-13
Year
N-4
Enter the 4 digit year for which this
report applies. Numeric only.
14
Quarter
N-1
Enter the quarter for which this report
applies. Numeric only. 1, 2, 3, or 4 are
the only valid entries.
15-23
Social Security Number
N-9
Enter the employee’s SSN. Numeric
only; omit hyphens, dashes and
spaces.
24-35
Name
A-12
Enter the first 12 characters of the
employee’s last name. Omit punctuation.
36
Initial
A-1
Enter the first initial of employee’s first
name.
37
Initial
A-1
Enter the first initial of employee’s
middle name.
38-46
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 $5,432.10 as 000543210)
47
Minor Indicator
A-1
Enter Y or N to indicate if employee is
under 18 years old.
48-77
Reserved
30
Reserved for GDOL use. Enter spaces.
78-80
Code
Enter numeric “006”.
N-3

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