magnetic media reporting specifications manual磁性媒体报道规范手册

'TexasWorkforceCommissionMagneticMediaReportingvSpecificationsManualOCTOBER2011DataProcessingDepartmentMagneticMediaProcessingTexasWorkforceCommission101East15thStreet,Room0142Austin,Texas787783 1SUMMARYOFREVISIONS12DEFINITIONS23REQUIREMENTSANDPROCEDURES33.1ReportTypes33.2MailingAddressforQuarterlyMagneticMedia43.3PackagingMagneticMediaforMailing53.4DueDates53.5Inquiries54TECHNICALSPECIFICATIONS64.1TechnicalSpecificationsforDiskette&CD65ICESAFORMAT75.1ICESAFormatRecordLayouts76CORRECTIONS197FORSERVICEAGENTS198VERIFICATIONOFACCOUNTNUMBERS198.1Diskette/CDSpecifications208.2RecordLayoutforVerificationFile209ALLOCATIONLIST*219.1Diskette/CDSpecifications2110RECORDLAYOUTFORALLOCATIONLIST*2211APPENDIX2311.1AppendixA-ExampleOfProperRecordSequenceForMagneticMedia2311.2AppendixC–StateandCountyCodes2511.3Forms27MAGNETICMEDIAINSTRUCTIONS291 1SummaryofRevisionsThissectioncontainsasummaryofrevisionsmadetoTexasWorkforceCommission’s“MagneticMediaReportingSpecificationsforTapeorDiskette”beginningdatedJune2003throughAugust2012.1.AnotehasbeenaddedforQuickFileUsersinthesectionsthatreferenceallocationinformation.2.MagneticMediaTransmittalForm,T1WhasbeenrevisedtoincludetheTaxableWageAmountinformation.3.AllreferencestoCD-RshavebeenmodifiedtoCD.BothCD-RsandCD-RWsareacceptable.4.AllreferencestoIBMcompatible3480havebeenremoved.5.TheSection3.2Employer’sWageReportingbyDisketteSoftware(EWRDS)Version3.3hasbeenremoved.6.CorrectController’saddresstoreflecttheroomnumber0154.(rev.0511)7.FieldName*Note:(156-275)amendedwordingtoremove“PriorapprovalfromTWCisrequiredforthismethodofreporting”.(rev.0511)8.“T”recordinstructionsamendedtoremovewording“ifthisinformationisbeingreportedonthistape.Ifnodata,leaveblank.”(rev.0511)9.“S”recordinstructionsamendedtoremovewording“PriorTWCapprovalisrequired”.(rev.0511)10.InquiriessectionamendedtoincludenewQuickFilecontacttelephonenumbers.(rev.0511)11.FieldName*Note:(156-275)amendedwordingtochangeSection2toSection3.(rev.0511)12.AllreferencestoControllerchangedtoRevenueandTrustManagement.(rev.1011)13.ContactinformationupdatedforRT&M:phonenumber,addeftemailaddressandreferencequarterlypaymentoptionspage.(rev.1011)14.InformationupdatedtocorrectUnemploymentTaxpageURL.(rev.1011)15.RemoveallreferencetoTapeCartridge.(rev.1011)16.ChangeMagneticMediacontactphonenumberfrom512-463-2505to512-475-1914(rev.0612)17.UpdatedTWCTaxcontacttelephonenumbersforQuickFilesupport(rev.0812)18.Removeorchangereferencesfromtapetomediainthefollowingsections:3.3PackagingMagneticMediaforMailing,ATypeRecord–ICESATransmitterRecord(AllocationListIndicatorDescriptionandRemarks,BTypeRecord–ICESABasicInformationRecord(OrganizationName,StreetAddress,City,DescriptionandRemarks),STypeRecord–EmployeeWageRecord,TTypeRecord–ICESATotalRecord.(0812)19.InquiriessectionamendedtoremoveQuickFilecontacttelephonenumber(512)305-9698.(rev.1212) 1Definitions·MagneticMedia-TWCacceptsthefollowingtypesofmagneticmedia:§3.5”Diskettes–HighDensity,1.44mb§CompactDiscs(CD),CD-RsandCD-RWs·ElectronicMedia–TWCacceptsdatareportedviaUnemploymentTaxServicesorusingtheTWCQuickFileprogramwhichtransmitsthedataovertheInternetusingHTTPS(HypertextTransferProtocolSecure).·ServiceAgent–ReferstoServiceAgents,PayrollAgents,Accountants,oranyotherEmployerRepresentativesubmittingreportstoTWConbehalfofanemployer.·C-3-Formthatcontainsasummaryoftotalgrosswagespaid,andtaxablewages.·C-4-Formthatlistsindividualwagedetailsforallemployees.·CRLF–CarriageReturnandLineFeedcodes.Bothcodes,CarriageReturn(hexrepresentation,0D),andLineFeed(hexrepresentation,0A)arerequiredattheendofeachrecordwhensubmittingdataonadisketteorCD.TheCarriageReturnshouldbeplacedinposition276(277forwordorientedsystems)andthelinefeedcodeshouldbeplacedinposition277(278forwordorientedsystems).·BLS3020–MultipleWorksiteReportform.Theinformationreportedonthisformmaybesubmittedinthesamemagnetic/electronicmediafileEmployer’sQuarterlyReportisbeingreported.27 1RequirementsandProceduresThispublicationcontainsthespecificationsandinstructionsforreportingdataonmagneticmediatotheTexasWorkforceCommission(TWC).EachpieceofmediamusthaveanexternallabelidentifyingthecontentsofthedataandaccompaniedbyTWC’smagneticmediatransmittalform,T1W.Diskettesandcompactdiscs(CDs)arenotreturned.Allrecordformatsmustbefixedlength.IMPORTANT:Donotduplicateonpaperformsanyinformationfiledviamagneticmedia,InternetorFTP.1.1ReportTypes1.“Employer’sQuarterlyReport”FormC-3&“ContinuationSheet”FormC-4RequiredMagneticMediaTransmittalForm(s):-Ifreportingsingleentities:*UseFormT1Wwithbox5achecked.-Ifreportingmultipleentities:*UseFormsT1Wwithbox5acheckedandformT3Wlistingallaccountsonmedia.AcomputergeneratedaccountlistingmaybesubstitutedforformTXW03.NOTE:·Clientsofserviceagentswhorequestarateverificationandalsosubmittaxandwageinformationonmagneticmedia,willnotreceiveapreprinted“Employer’sQuarterlyReport,”formC-3.·Employeraccountswhoreportcontributiondata(C-3)onmagneticmediawillnotreceivetheformC-3.2.MultipleWorksiteReportFormBLS3020·Purpose:Toreportemploymentandwagetotalsbyworksite.Ifyouhave10ormoreemployeesoutsideyourprimarylocation(locationwiththelargestemployment)youshouldfileFormBLS3020,MultipleWorksiteReport.·Format:ThismultipleworksitedatamaybereportedwithwagedetailsontheICESAFormatdescribedinSection5.TherequiredfieldsarenotedintheDescription&Remarkscolumnoftherecordlayouts.27 ·RequiredTransmittalForm(s):sameasitem1above.NOTE:AnestablishmentIDismandatoryoneachrecord.ForfurtherinformationyoumaycalltheLMCIDepartmentat(512)491-4865.1.AccountNumberVerificationforServiceAgents·Purpose:ToverifyTWCemployeraccountnumbers.·Format:TWCVerificationFileformat,describedinSection8·RequiredTransmittalForm:None.However,awrittenrequestshouldaccompanymedia.2.AllocationListforServiceAgents**ImportantnotetoQuickFileUsers:QuickFiledoesnotsupporttheallocationofasingleremittancetomultipleaccounts.·Purpose:Toallocatemoniestopaymultipleemployeraccountsfromasingleremittance.·Format:TWCAllocationListformat,describedinSection9.Or,optionally,thisdatamaybeincludedinthesamefileasthecontributionandwagedataisreported(item1above).TherequiredfieldsarenotedintheDescription&Remarkscolumnoftherecordlayouts.·RequiredTransmittalForm:FormTXW014-AllocationListTransmittalForm.Or,ifcombinedonC3andwagefile,magneticmediatransmittalform,TXW01isappropriateforthatreport.1.1MailingAddressforQuarterlyMagneticMediaAllquarterlymagneticmediashouldbesentwiththemagneticmediatransmittalform(s)withtheappropriatebox(es)checkedto:REVENUEANDTRUSTMANAGEMENT–ROOM0154TEXASWORKFORCECOMMISSIONPOBOX149037AUSTINTX78714-9037IfastreetaddressisrequiredforUPSorFedExdelivery,use:REVENUEANDTRUSTMANAGEMENT27 TEXASWORKFORCECOMMISSIONTWCBUILDINGROOM0154101E15THSTAUSTINTX78778-0001SeethefollowingSectionforpackaginginstructions.1.1PackagingMagneticMediaforMailingAffixanexternallabeltoyourmagneticmedia,3.5”disketteorCD.SeeExternalLabelinformationinSection4,TechnicalSpecifications.Includethemagneticmediatransmittalform(s),togetherinaboxwithproperpaddingtopreventdamageintransit.Itisnotnecessarytouseanoversizedboxforyourmedia.Specially-sizedboxesareavailablecommercially.DisposabledisketteorCDcontainersshouldbeused.DoNOTusepaperclips,rubberbandsorstaplesondiskettes.NOTE:Topreventfilecorruption,itiscriticalthatthepackagebemarked“MagneticMedia-DoNotXray.”1.2DueDatesThe“Employer’sQuarterlyReport”,whichincludestheC-3(totalandtaxablewagesummary&taxcontributiondata)andC-4(individualwagedetail),isdueonthefirstdayofthemonthimmediatelyfollowingtheendofthequarter.Ifthereportispostmarkedafterthelastdayofsuchmonth,itwillbeconsideredfiledlateandsubjecttotheassessmentofstatutorypenaltyandinterest.QUARTERDATEDUE(Postmarkedonorbefore)1st(January/February/MarchApril30*2nd(April/May/June)July31*3rd(July/August/September)October31*4th(October/November/December)January31**IfthelastdayfallsonaSaturday,Sunday,orlegalholiday,thereportisprocessedwithanontimereceiptdateifitispostmarkedonthenextregularbusinessday.1.3Inquiries27 ContacttheTWCTaxDepartmentatanyofthefollowingnumbers:(512)463-8230,(512)463-2061,(512)475-1189orbye-mailattax.quickfilesupport@twc.state.tx.usforinquiriesconcerning:·quarterlyfilingviatheInternet,·quarterlyfilingviaQuickFileHTTPS(availableonlytothoseusingtheICESAdataformat,MMREF-1withstateUIrecords,CommaDelimitedorFixedLength)·paymentviatheInternet,·taxationandtaxrates,·penaltiesandinterest,·waiversandextensions,·reportingandrecordkeepingrequirements,·accessingaccountinformationviatheInternet.ContactTWCMagneticMediaProcessing,(512)475-1914ore-mailmagnetic.media@twc.state.tx.usforinquiriesconcerning:·magneticmediarequirements·equipmentcompatibilities·dataformats,etc.ContacttheTWCRevenueandTrustManagementDepartmentat(512)936-0300ore-maileft.taxpmt@twc.state.tx.usforinquiriesconcerningpaymentsusingTEXNETforelectronicfundstransfer.1TechnicalSpecifications1.1TechnicalSpecificationsforDiskette&CDDisketteSize:3½”disketteorCDFilename:TWCWAGES.ICEFilemustbeintherootdirectoryonly.NosubdirectoriesRecordingCode:ASCIIRecordLength:Fixed275followedbycarriagereturnandlinefeedcodesatendofeachrecordDensity:Double-sided,high-densityExternalLabel:Attachanexternallabelwiththefollowing:·Filecontents,e.g.C4dataonly,C3&C4data,etc.·TWCEmployeraccountnumber,·Reportingquarter(e.g.Q/YY),·Employername,·DisketteorCDnumberandtotal27 (e.g.“1of5.”)NOTE:·TWCdoesnotsupportMacIntosh,SuperDisk,orZipDrivediskettes1ICESAFormatThissectiondescribesthemagneticmediaformatpublishedbytheNationalAssociationofStateWorkForceAgencies(formerlyICESA-InterstateConferenceofEmploymentSecurityAgencies)withfieldsdefinedforreportingtoTWC.PleaserefertoSection4fortechnicalspecificationsforthedisketteandCD.Whenusingthisformat,TWCrequiresthatyoureportC-3ContributionData,C-4WageDetailDataandalso,ifapplicable,BLS3020WorksiteData.AllocationListdataisrequiredwhenasingleremittancemustbeallocatedtomultipleemployeraccounts.ImportantnotetoQuickFileusers:QuickFiledoesnotsupporttheallocationofasingleremittancetomutipleaccounts.ThisformatmaybesubmittedonadisketteorCDusingfilenameTWCWAGES.ICE.Recordsshouldbefixedlengthof275bytesfollowedbybothcarriagereturnandlinefeedcodesrespectively.SeeAppendixA,ExampleofProperRecordSequenceforMagneticMediaonpage23foranexampleofaproperlysequencedmagneticmediareport.Multipleaccountinformation:Multipleaccountsmaybereportedonthesamemagneticmediaaslongastheseguidelinesarefollowed.Multiplemediamaybesubmittedtoreportmultipleaccounts.However,reportingC-3contributiondataforthesameaccount,samequarter,inmultiplefileswillresultinanerrorcondition,andtheemployermaybecontactedbytheTWCTaxDepartment.OnlythefirstC-3(reportedon“T”record)processedforanaccountandquarterisposted;allsubsequentC-3’swiththesameaccountnumber,samequarterareplacedonanerrorlistandmanuallyhandledbyataxexaminer.1.1ICESAFormatRecordLayoutsDataTypes:A/N=Alphanumeric;left-justifiedandblank-filledN=Numeric;rightjustified,zero-filled,unsigned,Donotincludedecimalinfieldscontainingdollarsandcents.Recordlengthis275forallrecordtypes.27 ATypeRecord-ICESATransmitterRecordLocationFieldNameFieldLengthTypeDescription&Remarks1RecordIdentifier1A/NConstant“A”.2-5Year4A/NYearforwhichthisreportisbeingpreparedasYYYY.6-14TransmitterFederalEIN9A/NTransmitter’sFederalEmployerIdentificationNumber.Onlynumericcharacters.Omithyphens,prefixes&suffixes.15-18TaxingEntityCode4A/NConstant“UTAX”.19-23Blank5A/NBlanks.24-73TransmitterName50A/NNameoftheorganizationsubmittingthefile.74-113TransmitterStreetAddress40A/NStreetaddressoftheorganizationsubmittingthefile.114-138TransmitterCity25A/NCityoftheorganizationsubmittingthefile.139-140TransmitterState2A/NStandardtwo-characterFIPSpostalabbreviation,seeAppendixB.141-153Blank13A/NBlanks.154-158TransmitterZipCode5A/NValidzipcode.159-163TransmitterZipCodeExtension5A/NOptional.Four-digitzipcodeextension.Includehypheninposition159.Ifunknown,fillwithblanks.164-193TransmitterContact30A/NTitleofindividualfromtransmitterorganization,whoisresponsiblefortheaccuracyandcompletenessofthewagereport.194-203TransmitterContactTelephoneNumber10A/NTelephonenumberatwhichthetransmittercontactcanbetelephoned.204-207TelephoneExtension/Box4A/NTransmittertelephoneextensionormessagebox.208-213MediaTransmitter/AuthorizationNumber6A/NBlanks.214C-3DataIndicator1A/NConstant“Y”215-219Blank5A/NBlanks.27 220AllocationListIndicator1A/NIfanAllocationListisreportedonthismedia,enter“Y”.Ifyes,complete“ServiceAgentID”and“TotalRemittanceAmount”fieldsinthis“A”record,aswellasallocationamountsinappropriate“T”records.IfnotreportingAllocationList,leaveblank.QuickFileusersshouldleavethisblank.221-229ServiceAgentID9A/NIfreportinganAllocationList,enter9-digitServiceAgentIDnumberassignedbyTWC.Omithyphens.Otherwise,leaveblank.QuickFileusersshouldleavethisblank.230-242TotalRemittanceAmount13NIfreportinganAllocationList,entertotalamountofElectronicFundsTransfer(EFT)orcheck.Enterdollarsandcentswithnodecimalpoint.ThisamountmustmatchexactlywiththemoneyreceivedbyTWC.IfnotreportingAllocationList,leaveblank.QuickFileusersshouldleavethisblank.243-250MediaCreationDate8A/NDate:MMDDYYYY.251-275Blank25A/NBlanks.BTypeRecord-ICESABasicInformationRecordLocationFieldNameFieldLengthTypeDescription&Remarks1RecordIdentifier1A/NConstant“B”.2-5Year4A/NYearforwhichthisreportisbeingpreparedasYYYY.6-14TransmitterFederalEIN9A/NTransmitter’sFederalEmployerIdentificationNumber.Enteronlynumericcharacters.Omithyphens,prefixesandsuffixes.15-22Computer8A/NManufacturer’sname.23-24InternalLabel2A/NBlanksfordisketteorCD25Blank1A/NBlanks.26-27Density2A/NBlanksfordisketteorCD27 28-30RecordingCode(EBCDICorASCIICharacterSet)3A/N“ASC”fordisketteorCD.31-32NumberofTracks2A/NBlanksfordisketteorCD33-34BlockingFactor2A/NBlanksfordisketteorCD35-38TaxingEntityCode4A/NConstant“UTAX”.39-146Blank108A/NBlanks.147-190OrganizationName44A/NNameoftheorganizationtowhichthemediashouldbereturned.191-225StreetAddress35A/NAddresswherethemediashouldbereturned.226-245City20A/NCitywherethemediashouldbereturned.246-247State2A/NStandardtwo-characterFIPSpostalabbreviation,seeAppendixB.248-252Blank5A/NBlanks.253-257ZipCode5A/NValidzipcode.258-262ZipCodeExtension5A/NFour-digitextensionofzipcodewithhypheninposition258.Ifunknown,enterblanks.263-275Blank13A/NBlanks.ETypeRecord-ICESAEmployerRecordLocationFieldNameFieldLengthTypeDescription&Remarks1RecordIdentifier1A/NConstant“E”.Onlyonecode“E”recordisallowedperaccount.Codean“E”recordforeachdifferentaccount,iffilingformultipleaccounts.Allemployeesforthisaccountmustbereportedinthe“S”recordsthatfollowwithacode“T”recordforthisaccountfollowingall“S”records.2-5PaymentYear4A/NYearforwhichthereportisbeingpreparedasYYYY.6-14FederalEIN9A/NNumericcharactersonly.Omithyphens,prefixesandsuffixes.27 15-23Blank9A/NBlanks.24-73EmployerName50A/NThefirst50charactersoftheemployernameexactlyasregisteredwithTWC.74-113EmployerStreetAddress40A/NStreetaddressoftheemployer.114-138EmployerCity25A/NEmployer’scity.139-140EmployerState2A/NStandardtwo-characterFIPSpostalabbreviationoftheemployer’saddressseeAppendixB.141-148Blank8A/NBlanks.149-153ZipCodeExtension5A/NFour-digitextensionofzipcodewithhypheninposition149.Ifunknown,enterblanks.154-158ZipCode5A/NValidzipcode.159Blank1A/NBlank.160TypeofEmployment1A/NBlank.161-162BlockingFactor2A/NBlanks.163-166EstablishmentNumberorCoverageGroup/PRU4A/NBlanks.167-170TaxingEntityCode4A/NConstant“UTAX”.171-172StateCode2A/NConstant“48”FIPSpostalcodetoindicatethatwagesarebeingreportedtoTexas.Recordswithstatecodenot=48(Texas)willnotbeprocessed.173-181StateUnemploymentInsuranceAccountNumber9A/NTWCemployeraccountnumber.AllTWCaccountnumbersarenumericwith9digitsincludinganyleadingzerosandanendingcheckdigit.Donotenterdashes.AvalidTWCaccountnumberismandatory.182-187NAICSCode6A/NEnterthe6-digitNorthAmericanIndustryClassificationSystemcodethatbestclassifiestheemployer.188-189ReportingPeriod2A/NThelastmonthofthecalendarquartertowhichthereportapplies.“03”=Firstquarter“06”=Secondquarter“09”=Thirdquarter27 “12”=Fourthquarter190NoWorkers/NoWages1NOptional.0=IndicatesthatthisErecordwillnotbefollowedbyStypeemployeerecords.1=IndicatesthattheErecordwillbefollowedbyStypeemployeerecords.191TaxTypeCode1A/NBlank.192-196TaxingEntityCode5A/NBlanks.197-203StateControlNumber7A/NBlanks.204-208UnitNumber5NBlanks.209-255Blank47A/NBlanks.256ForeignIndicator1A/NBlank.257Blank1A/NBlank.258-266OtherEIN9A/NBlanks.267-275Blank9A/NBlanks.STypeRecord-ICESAEmployeeWageRecordLocationFieldNameFieldLengthTypeDescription&Remarks1RecordIdentifier1A/NConstant“S”.2-10SocialSecurityNumber9A/NEmployee’sSocialSecuritynumber.Ifnotknownenter“I”inposition2andblanksinpositions3-10.11-30EmployeeLastName20A/NEmployeelastname.31-42EmployeeFirstName12A/NEmployeefirstname.43EmployeeMiddleInitial1A/NEmployeemiddleinitial.Ifnone,enterblank.44-45StateCode2A/NConstant“48”FIPSpostalcodetoindicatethatwagesarebeingreportedtoTexas.Recordswithstatecodenot=48(Texas)willnotbeprocessed.46-49Blank4A/NBlanks.50-63StateQTRTotalGrossWages14NBlanks.64-77StateQTRUnemployment14NEmployee’stotalgrosswagesforthequarter.Includealltipincome.27 InsuranceTotalWagesEnterdollarsandcentswithnodecimalpoint.Donotreportnegativewagesastheywillnotbeprocessed.Negativewagesshouldbereportedasanadjustmenttoapriorquarter(submitFormC-7).78-91StateQTRUnemploymentInsuranceExcessWages14NBlanks.92-105StateQTRUnemploymentInsuranceTaxableWages14NEmployee’stotaltaxablewagesforthequarteruptotheannualmaximumamount.Enterdollarsandcentswithnodecimalpoint.106-120QuarterlyStateDisabilityInsuranceTaxableWages15NBlanks.121-129QuarterlyTipWages9NBlanks.130-131NumberofWeeksWorked2A/NBlanks.132-134NumberofHoursWorked3A/NBlanks.135-142Blank8A/NBlanks.143-146TaxingEntityCode4A/NConstant“UTAX”.147-155StateUnemploymentInsuranceAccountNumber9A/NTWCemployeraccountnumber.AllTWCaccountnumbersarenumericwith9digitsincludinganyleadingzerosandanendingcheckdigit.Donotenterdashes.AvalidTWCaccountnumberismandatory.*NOTE:(156-275)Thefieldsbelowmarkedwithan*shouldbefilledinifBLS3020MultipleWorksiteDataisbeingreportedonthismedia.SeeSection3Subsectionnumber2.Otherwise,enterblanksandskiptofieldlocation172.*156-161NAICSCode6A/NEnterthe6-digitNorthAmericanIndustryClassificationSystemcodethatbestdescribestheworksitewhereemployeeisassigned.27 *162-171>>Unit/DivisionLocation/PlantCode(EstablishmentID)10A/NMandatoryifreportingMultipleWorksiteFormBLS3020,enterblanksifnotreportingmultipleworksites.EntertheEstablishmentIDassignedbyTWCLMCIdepartmenttoidentifywagesbyworksite,leftjustifyandfillwithspaces.172-176>>Unit/DivisionLocation/PlantCode(UnitNumber)5NOptional,enterzerosifnotreportingabusinessunitnumberforthisemployee.Businessunitnumber,willbeshownonemployerchargebacknotice.Mustbenumeric,rightjustifiedandzerofilled.177-190StateTaxableWages14NBlanks.191-204StateIncomeTaxWithheld14NBlanks.205-206SeasonalIndicator2A/NBlanks.207EmployerHealthInsuranceCode1A/NBlank.208EmployeeHealthInsuranceCode1A/NBlank.209ProbationaryCode1A/NBlank.210OfficerCode1A/NBlank.211WagePlanCode1A/NBlank.*212Month1Employment1A/NEnter“1”ifemployeecoveredbyUnemploymentInsurance(U.I.)workedduring,orreceivedpayfor,thepayperiodincludingthe12thdayofthe1stmonthofthereportingperiod.Otherwise,enter“0”.*213Month2Employment1A/NEnter“1”ifemployeecoveredbyU.I.workedduring,orreceivedpayfor,thepayperiodincludingthe12thdayofthe2ndmonthofthereportingperiod.Otherwise,enter“0”.*214Month3Employment1A/NEnter“1”ifemployeecoveredbyU.I.workedduring,orreceivedpayfor,27 thepayperiodincludingthe12thdayofthe3rdmonthofthereportingperiod.Otherwise,enter“0”.215-220ReportingQuarterandYear6A/NThelastmonthandyearofthecalendarquarterforwhichthisreportapplies,e.g.,“032000”forJan-Marof2000.221-226DateFirstEmployed6A/NOptional227-232DateofSeparation6A/NOptional233-275Blank43A/NBlanks.TTypeRecord-ICESATotalRecordLocationFieldNameFieldLengthTypeDescription&Remarks1RecordIdentifier1A/NConstant“T”.Codea“T”recordgivingtotalsfortheaccountshowninthepreceding“E”record.2-8TotalNumberofEmployees7NTotalnumberof“S”recordsforthepreceding“E”recordemployeraccount.9-12TaxingEntityCode4A/NConstant“UTAX”.13-26StateQTRTotalGrossWagesforEmployer14NBlanks.27-40StateQTRUnemploymentInsuranceTotalWagesforEmployer14NQuarterlytotalgrosswagesforthisaccount.Includealltipincome.Totalofthisfieldonall“S”recordsfortheaccountshowninthepreceding“E”record.Enterdollarsandcentswithnodecimalpoint.41-54StateQTRUnemploymentInsuranceExcessWagesforEmployer14NBlanks.55-68StateQTRUnemploymentInsurance14NQuarterlytotaltaxablewagesforthisaccount.Enterdollarsandcentswithnodecimalpoint.27 TaxableWagesforEmployer69-81QuarterlyTipWagesforEmployer13NBlanks.82-87U.I.TaxRateThisQuarter6A/NTheemployer’staxrateforthisreportingperiod.Decimalpointfollowedby5digits,e.g.,2.8%=.0280088-100StateQTRU.I.TaxesDue13NTaxesdue=QuarterlystateU.I.taxablewagestimesU.I.taxrate.Enterdollarsandcentswithnodecimalpoint.101-111PreviousQuarter(s)Underpayment11NBlanks.112-122Interest11NBlanks.123-133Penalty11NBlanks.134-144Credit/Overpayment11NBlanks.145-148EmployerAssessmentRate4A/NBlanks.149-159EmployerAssessmentAmount11NBlanks.160-163EmployeeAssessmentRate4A/NBlanks.164-174EmployeeAssessmentAmount11NBlanks.175-185TotalPaymentDue11NBlanks.186-198AllocationAmount13NOptional.IfreportinganAllocationListonthismedia,enteramounttobeallocatedtothisemployeraccount.Enterdollarsandcentswithnodecimalpoint,rightjustifyandzerofill.QuickFileusersshouldleavethisblank.199-212WagesSubjecttoStateIncomeTax14NBlanks.213-226StateIncome14NBlanks.27 TaxWithheld227-233Month1EmploymentforEmployer7NTotalnumberofemployeescoveredbyU.I.whoworkedduring,orreceivedpayfor,thepayperiodincludingthe12thdayofthe1stmonthofthereportingperiod.234-240Month2EmploymentforEmployer7NTotalnumberofemployeescoveredbyU.I.whoworkedduring,orreceivedpayfor,thepayperiodincludingthe12thdayofthe2ndmonthofthereportingperiod.241-247Month3EmploymentforEmployer7NTotalnumberofemployeescoveredbyU.I.whoworkedduring,orreceivedpayfor,thepayperiodincludingthe12thdayofthe3rdmonthofthereportingperiod.248-250CountyCode3A/NCountycodeofthecountyinwhichyouhadthegreatestnumberofemployees.SeeAppendixC,StateCountyCodes.251-257OutsideCountyEmployees7NEnterthenumberofemployeesoutsidethecountyshowninthe“CountyCode”fieldatlocation248-250,enterzerosifnone.258-267DocumentControlNumber10A/NBlanks.268-275Blank8A/NBlanks.FTypeRecord-ICESAFinalRecordLocationFieldNameFieldLengthTypeDescription&Remarks1RecordIdentifier1A/NConstant“F”.2-11TotalNumberofEmployeesinFile10NTotalnumberof“S”recordsintheentirefile.12-21TotalNumberofEmployersinFile10NOptional.Totalnumberof“E”recordsintheentirefile.22-25TaxingEntityCode4A/NConstant“UTAX”.27 26-40QuarterlyTotalGrossWagesinFile15NBlanks.41-55QuarterlyStateU.I.Gross/TotalWagesinFile15NQuarterlytotalgrosswages.Includealltipincome.Enterdollarsandcentswithnodecimalpoint.Totalofthisfieldonall“S”recordsinthefile.56-70QuarterlyStateU.I.ExcessWagesinFile15NBlanks.71-85QuarterlyStateU.I.TaxableWagesinFile15NQuarterlytotaltaxablewages.Enterdollarsandcentswithnodecimalpoint.Totalofthisfieldonall“S”recordsinthefile.86-100QuarterlyStateDisabilityInsuranceTaxableWagesinFile15NBlanks.101-115QuarterlyTipWagesinFile15NBlanks.116-123Month1EmploymentforEmployersinFile8NBlanks.124-131Month2EmploymentforEmployersinFile8NBlanks.132-139Month3EmploymentforEmployersinFile8NBlanks.140-275Blank136A/NBlanks.27 CorrectionsIfassistanceisneededtodeterminehowtohandlecorrections,contactTWCMagneticMediaProcessingat(512)475-1914;oremail:magnetic.media@twc.state.tx.us.Ifitisnecessarytomakecorrections,amagneticmediaintheregularwageformatmaybesubmittedtoreplacetheentirepreviousreport.Usethemagneticmediatransmittalform,T1W,checkbox5d.Includequarterandreasonforcorrection.Mailthecorrectionmagneticmediafiletothefollowingaddress:MAGNETICMEDIAPROCESSINGTEXASWORKFORCECOMMISSIONPOBOX149177AUSTINTX78714-91771ForServiceAgentsThefollowingsectionshavebeenaddedtoefficientlyprocessquarterlyreportssubmittedbyserviceagentsandemployerrepresentativesonbehalfoftheirclients:·VerificationofAccountNumbers–AfilecontainingemployeraccountnumbersmaybesubmittedtoTWCforverificationpurposesonly.Alistingofinvalidaccountnumbersissentbacktothereportingentity.ThisprocessbenefitsboththereportingentityandTWCbyreducingthenumberofstaffhourstakenformanualcorrections.·AllocationList*–ReportingentitiessubmittingasinglepaymentviaEFTorbankinstrumentformultipleaccountsshould:·IncludeallocationinformationalongwiththeICESAdataformatonmagneticmediaor,·SubmitaseparatefilecontaininganallocationlistofTWCemployeraccountnumbersandtheirtaxpaymentamounts,showingallottedamountforeachemployeraccount.*ImportantnotetoQuickFileUsers:QuickFiledoesnotsupporttheallocationofasingleremittancetomultipleaccounts.2VerificationofAccountNumbersServiceAgentsoremployerrepresentativeswhoarerequiredtousemagneticmediaforanAllocationListmaysubmitafileeachquarterofaccountnumbersforverificationonmagneticmedia.27 Theverificationfilemustbereceivednolaterthanthe15thofFebruary,May,August,andNovember.1.1Diskette/CDSpecificationsTechnicalSpecificationsforVerificationFileSPECIFICATIONDISKETTE/CDType:3½”disketteorCDFilename:TWCVERRecordingCode:ASCIILogicalRecordLength:80followedbybothcarriagereturnandlinefeedcodesrespectively.PhysicalRecordLength:BlockingFactor:InternalLabel:ExternalLabel:“VerificationofAccounts”EmployerorAgentNameSuffixCodeReportingquarter1.2RecordLayoutforVerificationFileDataTypes:A/N=Alphanumeric;left-justifiedandblank-filledN=Numeric;rightjustified,zero-filled,unsigned,Donotincludedecimalinfieldscontainingdollarsandcents.AccountNumberVerificationRecordLength=80LocationFieldNameFieldLengthTypeDescription&Remarks1-9StateUnemploymentInsuranceAccountNumber9A/NTWCEmployeraccountnumber.AllTWCEmployeraccountnumbersarenumericwith9digitsincludinganyleadingzerosandanendingcheckdigit.Donotenterdashes.AvalidTWCaccountnumberismandatory.10-39EmployerName30A/NNameofemployerforeachaccountnumber.40-48FederalEIN9A/NOnlynumericcharacters.Omithyphens,prefixesandsuffixes.49-80Blank32A/NEnterblanks.27 1AllocationList**ImportantnotetoQuickFileUsers:QuickFiledoesnotsupporttheallocationofasingleremittancetomultipleaccounts.Allocation–ContainslistofTWCEmployeraccountnumbersandtheirtaxpaymentamounts,sothatTWCcandeterminehowtocrediteachemployeraccountbeingreported.AnallocationlistfileshouldcontainonerecordforeachTWCemployeraccountnumberwiththatemployer’sallocationamount.Allfieldsexcept“EmployerTWCAccountNumber”and“AllocationAmount”willbethesameineveryrecord.TWChasdevelopedthefollowingformatformagneticmediareportingofanAllocationList.ThisistobeusedinconjunctionwiththeStateofTexasElectronicPaymentNetwork(TEXNET)whenremittingasingleelectronicfundstransferformultipleaccounts,orwhenremittingasinglecheckformultipleaccounts.ToviewinformationontherequirementsforEFT,visithttp://www.twc.state.tx.us/ui/tax/qtrpayoptions.html,orcontacttheRevenueandTrustManagementDepartmentat(512)936-0300orbye-mailatmailto:eft.taxpmt@twc.state.tx.us.Atestfileisrequiredandshouldbesubmitted,accompaniedbyanAllocationListTransmittalForm,TXW014.Afterasuccessfultest,magneticmediawillbereturnedwithablank“AllocationListTransmittalForm”andapinklabeltobeusedforthenextreport.Thereafter,TWCwillfurnishsubmitterwiththepropertransmittalandalabeleachquarter.Thequarterlyallocationmediawithpinklabelaffixedandthecompletedtransmittalshouldbemailedtotheaddresslocatedinthetopleftcornerofthetransmittalform.Amountswillbeprocessedinrecordnumberorder.1.1Diskette/CDSpecificationsTechnicalSpecificationsforAllocationListSPECIFICATIONDISKETTE/CDType:3½”disketteorCDFilename:TWCALLOCRecordingCode:ASCIILogicalRecordLength:95followedbybothcarriagereturnandlinefeedcodesrespectively27 PhysicalRecordLength:BlockingFactor:InternalLabel:ExternalLabel:UsepreprintedlabelprovidedbyTWC.Firsttimefilers,pleaseattachexternallabelwiththefollowing:·TWCEmployeraccountnumber,·Reportingquarter(e.g.Q/YY)·Employername·Diskette/CDnumberandtotal(e.g.“1of5”)1RecordLayoutForAllocationList**ImportantnotetoQuickFileUsers:QuickFiledoesnotsupporttheallocationofasingleremittancetomultipleaccounts.DataTypes:A/N=Alphanumeric;left-justifiedandblank-filledN=Numeric;rightjustified,zero-filled,unsigned,Donotincludedecimalinfieldscontainingdollarsandcents.“750”AllocationListRecord-Length=95LocationFieldNameFieldLengthTypeDescription&Remarks1-20Blank20A/NBlanks.21-24Constant4A/NZeros“0000”.25-32Blank8A/NBlanks.33-35RecordIdentifier3A/N“750”.36-46Blank11A/NBlanks.47-55ServiceAgentID9A/NYour9-digitServiceAgentIDnumberassignedbyTWC.Omithyphens.56-59Blank4A/NBlanks.60-70TotalRemittanceAmount11NTotalamountofEFTorcheck.Enterdollarsandcentswithnodecimalpoint.ThisamountmustmatchexactlywiththemoneyreceivedbyTWC.71-79StateUnemploymentInsurance9A/NStateemployeraccountnumber.AllTWCaccountnumbersarenumericwith9digitsincludinganyleading27 AccountNumberzerosandanendingcheckdigit.Donotenterdashes.AvalidTWCaccountnumberismandatory.80-84ReportQuarter5A/NQuarterreportingasYYYYQ.85-95AllocationAmount11NAllocationamountforthisemployeraccount.Enterdollarsandcentswithnodecimalpoint.1Appendix1.1AppendixA-ExampleOfProperRecordSequenceForMagneticMediaAfileshouldcontainonerecordtype“A”followedbyonerecordtype“B”whichcontainsinformationaboutthetransmitterandthetypeofmedia.Eachemployeraccountreportedshouldhaveonerecordtype“E”foremployerinformation,arecordtype“S”foreachemployeeandarecordtype“T”withtotalsforthatemployeraccount.Thefinalrecordinthefileshouldberecordtype“F”withtotalsfortheentirefile.The“S”recordsforemployeeswithinoneaccount(all“S”recordsbetweenrecordtype“E”andrecordtype“T”)maybeinanyorder.Ifyoureportunitnumberstobeusedonchargebacknoticesthesewillchangewithinanaccountbutnoorderisrequired.TheexamplebelowshowsABCTruckers,aliableTexasemployer,asthetransmitterofdataforitselfandoneotheremployer,JustFreight.ABCTruckershas6employeesandJustFreighthas6employees.FEINforABCTruckersis“749999999”,TWCaccountnumberis“017777777”.FEINforJustFreightis“740000001”andTWCaccountnumberis“018888882”.Thisreportisforthefirstquarterof2002.Total“S”recordsforbothaccountsare12asshownonthe“F”record.A2002749999999UTAXABCTRUCKERS…è275bytesB2002749999999IBMSL38EBC1825UTAX…è275bytesE2002749999999ABCTRUCKERS…è275bytesS111111111SMITHJOHNI48…è275bytesS222222222DOEJANED48…è275bytesS333333333ADAMSJOSEPHL48…è275bytesT0000003UTAX00000029627703…è275bytesE2002740000001UTAXJUSTFREIGHT…è275bytesS444444444JOHNSONERICAM48…è275bytes27 S555555555GARCIAMARTINAR48…è275bytesS666666666JACKSONMARCOSE48…è275bytesS777777777TURNERWALKERQ48…è275bytesT0000004UTAX00000035748941…è275bytesF0000000007UTAX…è275bytesEXAMPLEofFILELAYOUT.27 1.1AppendixC–StateandCountyCodesSTATENAME:TEXASSTATEABBREVIATION:TXSTATECODE:48CODECOUNTYNAMECODECOUNTYNAMECODECOUNTYNAME001Anderson071Chambers141ElPaso003Andrews073Cherokee143Erath005Angelina075Childress145Falls007Aransas077Clay147Fannin009Archer079Cochran149Fayette011Armstrong081Coke151Fisher013Atascosa083Coleman153Floyd015Austin085Collin155Foard017Bailey087Collingsworth157FortBend019Bandera089Colorado159Franklin021Bastrop091Comal161Freestone023Baylor093Comanche163Frio025Bee095Concho165Gaines027Bell097Cooke167Galveston029Bexar099Coryell169Garza031Blanco101Cottle171Gillespie033Borden103Crane173Glasscock035Bosque105Crockett175Goliad037Bowie107Crosby177Gonzales039Brazoria109Culberson179Gray041Brazos111Dallam181Grayson043Brewster113Dallas183Gregg045Briscoe115Dawson185Grimes047Brooks117DeafSmith187Guadalupe049Brown119Delta189Hale051Burleson121Denton191Hall053Burnet123DeWitt193Hamilton055Caldwell125Dickens195Hansford057Calhoun127Dimmit197Hardeman059Callahan129Donley199Hardin061Cameron131Duval201Harris063Camp133Eastland203Harrison065Carson135Ector205Hartley067Cass137Edwards207Haskell069Castro139Ellis209Hays27 211Hemphill301Loving391Refugio213Henderson303Lubbock393Roberts215Hidalgo305Lynn395Robertson217Hill307McCulloch397Rockwall219Hockley309McLennan399Runnels221Hood311McMullen401Rusk223Hopkins313Madison403Sabine225Houston315Marion405SanAugustine227Howard317Martin407SanJacinto229Hudspeth319Mason409SanPatricio231Hunt321Matagorda411SanSaba233Hutchinson323Maverick413Schleicher235Irion325Medina415Scurry237Jack327Menard417Shackelford239Jackson329Midland419Shelby241Jasper331Milam421Sherman243JeffDavis333Mills423Smith245Jefferson335Mitchell425Somervell247JimHogg337Montague427Starr249JimWells339Montgomery429Stephens251Johnson341Moore431Sterling253Jones343Morris433Stonewall255Karnes345Motley435Sutton257Kaufman347Nacogdoches437Swisher259Kendall349Navarro439Tarrant261Kenedy351Newton441Taylor263Kent353Nolan443Terrell265Kerr355Nueces445Terry267Kimble357Ochiltree447Throckmorton269King359Oldham449Titus271Kinney361Orange451TomGreen273Kleberg363PaloPinto453Travis275Knox365Panola455Trinity277Lamar367Parker457Tyler279Lamb369Parmer459Upshur281Lampasas371Pecos461Upton283LaSalle373Polk463Uvalde285Lavaca375Potter465ValVerde287Lee377Presidio467VanZandt289Leon379Rains469Victoria291Liberty381Randall471Walker293Limestone383Reagan473Waller295Lipscomb385Real475Ward297LiveOak387RedRiver477Washington299Llano389Reeves479Webb27 CODECOUNTYNAME481Wharton483Wheeler485Wichita487Wilbarger489Willacy491Williamson493Wilson495Winkler497Wise499Wood501Yoakum503Young505Zapata507Zavala1.1Forms1.MagneticMediaTransmittal–T1W2.MagneticMediaInstructions–T2W3.MagneticMediaTransmittalContinuation–T3W4.AllocationListTransmittalForm-TXW0145.ICESADataFormatRecordLayout–MMP004(0301)27 RevenueandTrustManagementRm.0154TexasWorkforceCommissionP.O.Box149037AustinTX78714-9037MAGNETICMEDIATRANSMITTAL(SeeInstructionsandLabelExampleonBack)ForTWCUseOnlyDateReceived:__________________ProcessingCode:__________________Initials:__________________PostmarkDate:3.QuarterReporting(Q/YYYY):2.Name,mailingaddressandtelephoneofpersontocontactifTWChasproblemswiththismagneticmediafile:4.TypeofReportingMedia:(Diskette/CDFilename)3-1/2”DisketteCD-R5.TypeofData:(a)C-3SummaryandC-4WageDetailData(b)C-4WageDetailDataOnly(c)C-4WageDetailCorrections:Q/YYReasonforcorrection:6.EntityReporting:Onlyliableactiveaccountsshouldbesubmitted.Pendingaccountsandreportswithnoaccountnumbershouldbereportedonpaper.ForSingleentityreporting:AccountNumber:TotalQtrlyWagesPaid:RemittanceAmount:TotalEmployeesReported:ForMultipleentityreporting:UseMagneticMediaTransmittalContinuationForm,T3W,orattachalistofaccountswithaccountnumber,employername,totalwagespaid,totaltaxablewagesandtotalemployeesreportedforeach.Acomputer-generatedlistisacceptable.7.FORSERVICEAGENTSONLYMethodofPayment:EFTBankInstrumentTotalRemittanceAmount:ServiceAgentID:TotalNumberofAccounts:8.DataFormat:Checkoneofthefollowing:ICESA(275-byte)TWCTape(275-byte)TWCDiskette(80-byte)9.Icertifythattheinformationcontainedinthereport(s)beingsubmittedviatheattachedmagneticmediaistrueandcorrect.ThewagesreportedforeachemployerrepresentsallremunerationpaidduringthespecifiedquarterasrequiredbytheTexasUnemploymentCompensationAct.SignatureTitleDate27 MAGNETICMEDIAINSTRUCTIONSIfyouarefilingforthefirsttimeonmagneticmediaandneedassistancecompletingthistransmittalform,contactTexasWorkforceCommissionMagneticMediaProcessingUnitat(512)475-1914orsende-mailmessagetomagnetic.media@twc.state.tx.us.Completethefollowingnumberedsectionsunlesstheinformationhasbeenpreprinted.1.Enterthenameandaddressoftransmitter.Ifthisinformationispreprinted,pleaseverifyandmakeanynecessarycorrections.2.Enterthename,mailingaddressandtelephonenumberofthepersontocontactifTWChasproblemsprocessingthismagneticmediafile.3.Enterthequarterand4-digityear(1stQuarter2002=1/2002)ofreportbeingsubmittedonmagneticmedia.4.Enteracheckmarktotheleftofthetypeofmediayourquarterlyreportisbeingsubmittedon.IfsubmittingondisketteorCD,enterthefilenameonthespaceprovided.5.Enteracheckmarkindicatingthetypeofdatabeingreportedonthismagneticmedia.Atleastoneboxmustbechecked.TWCwillonlyprocessthedatathathasbeenchecked.6.Forsingleentityreportingenterthe9-digitUnemploymentInsurance(UI)accountnumber,totalquarterlywagespaidandtotalnumberofemployeesbeingreportedonthismedia.Formultipleentityreporting,listallaccountswithUIaccountnumber,employername,totalwagespaid,andtotalemployeesreportedforeachonformT3W,MagneticMediaTransmittalContinuationForm.Acomputer-generatedlistwiththerequestedinformationisacceptable.7.PAYROLLSERVICEPROVIDERUSEONLY:ThismustbecompletedbyPayrollServiceprovidersgivingTWCinformationregardingmethodofpayment,totalremittanceamount,ServiceAgentID,andTotalNumberofAccountsincludedontheAllocationList.8.TheDataFormatistherecordlayoutusedforreportingtheUIquarterlyreportonmagneticmedia.Forcurrentmagneticmediatransmitters,thedataformatusedforthepreviousquarterlymagneticmediareportwillpre-printedinthissection.Ifblank,checktheboxtotheleftofthedataformatusedforthemagneticmediareportbeingsubmitted.Ifnotknowncontactyourpayroll/accountingsoftwarevendortoobtainthisinformation.9.Pleasesignanddatetransmittalformbeforemailingtotheaddresslocatedonthetopleftcornerofthistransmittalform.IMPORTANT!Toprotectmediaandfilesfromdamage,packageyourmediaproperlyformailingandmarkthepackage***“MagneticMedia–DoNoX-Ray”.ForinquiriesconcerningtaxpaymentsincludingtheuseofTEXNETElectronicFundsTransfer,visithttp://www.twc.state.tx.us/ui/tax/qtrpayoptions.html,orcontacttheRevenueandTrustManagementDepartmentat(512)936-0300orbye-mailatmailto:eft.taxpmt@twc.state.tx.us.VisittheTWCwebsite:http://www.texasworkforce.org/ui/tax/quickfile.htmlforinformationregardingtheTWCQuickFilereportingprogramwhichisavailable,freeofcharge,andisdesignedforbothlargeandsmallemployerstoelectronicallytransmitsummaryandwagedetaildataviatheInternet.Forfilerswith500orfeweremployees,informationforonlinefilingviaUnemploymentTaxServicesisavailableontheTWCwebsite:http://www.twc.state.tx.us/ui/tax/unemployment-tax-services.html.ForquestionsregardingmagneticmediaformatsorcompatibilityissuescontactTWCMagneticMediaProcessingat(512)475-1914oremailmagnetic.media@twc.state.tx.us.***Eachpieceofmagneticmediashouldhaveanexternallabel.Usethisasamodeltocreateyourownlabel.(TypeofData)TransmitterNameorAccountNumberQuarterReporting(Q/YYYY)TypeofDatashouldreflectoneofthe4choiceslistedinSection5.Forexample,ifbox5(a)ischeckeduse“C-3andC-4”,ifbox5(b)ischeckeduse“C-4”.Formultipleaccountsshowtransmittername,singleaccountsuseaccountnumberoremployername.Q/YYYYshouldreflectthequarter1,2,3or4withthe4-digityear.27 RevenueandTrustManagementRm.0154TexasWorkforceCommissionP.O.Box149037AustinTX78714-9037TexasWorkforceCommissionMagneticMediaProcessingMAGNETICMEDIATRANSMITTALCONTINUATIONFORMP.O.Box149177AustinTX78714-9177QuarterReporting(Q/YYYY)PageofListedaccountsmustbeinemployeraccountnumberorder.EmployerAccountNumberEmployerNameTotalWagesPaidTotalEmployment27 ReAcordRecID“A”YEARTrans-mitterFederalEINTaxingEntityCode“Utax”BLANKSTrans-mitterNameTrans-mitterStreetAddressTrans-mitterCityTrans-mitterStateBLANKSTrans-mitterZipCodeTrans-mitterZipCodeExt.Trans-mitterCon-tactTrans-mitterContactPhoneNumberTrans-mitterContactPhoneExt.NotUsedByTWCC-3DataIndi-catorSuffixCode$Allo-cationListIndi-cator$Ser-viceAgt.ID$TotalRemit-tanceAmtMediaCrea-tionDateBLANKS12-56-1415-1819-2324-7374-113114-138139-140141-153154-158159-163164-193194-203204-207208-213214215-219220221-229230-242243-250251-275ReBcordRecID“B”YEARTransmitterFederalEINComputerMFGNameInternalLabelBLANKSDensityRecordingCodeNumberofTracksBlockingFactorTaxingEntityCode“Utax”BLANKSTapeReturnNameTapeReturnAddressTapeReturnCityTapeReturnStateBLANKSTapeReturnZipCodeTapeReturnZipCodeExtensionBLANKS12-56-1415-2223-242526-2728-3031-3233-3435-3839-146147-190191-225226-245246-247248-252253-257258-262263-275ReEcordRecID“E”Pay-mentYearTrans-mitterFederalEINBLANKSEm-ploy-erNameEm-ploy-erAdd-ressEm-ploy-erCityEm-ploy-erStateBLANKSZipCodeExt.ZipCodeBLANKSNotUsedbyTWCTaxingEntityCode“Utax”StateCodeStateUIAcct.No.NAICSCdReport-ingPeriodNoWorkersNoWagesNotUsedbyTWCBLANKSNotUsedbyTWCBLANKSNotUsedbyTWCBLANKS12-56-1415-2324-7374-113114-138139-140141-148149-153154-158159160-166167-170171-172173-181182-187188-189190191-208209-255256257258-266267-275NOTE:“S”record-*indicatesfield(s)shouldbefilledinwithBLS3020MultipleWorksiteDataifthisinformationisbeingreportedonthistape.Ifnodata,leaveblank.Enterdollarsandcentswithnodecimalpoint.ReScordRecID“S”Em-Ploy-EeSSNEm-ploy-eeLastNameEm-ploy-eeFirstNameEm-ploy-eeMIStateCodeBLANKSNotUsedbyTWCStateQTRUITotalWagesNotUsedbyTWCStateQTRUITax-ableWagesNotUsedbyTWCBLANKSTaxingEntityCode“Utax”StateUIAcct.No.NAICSCd.*Estab-lish-mentIDUnitNo.NotUsedbyTWC*Mo1Em-ploy-mentCode*Mo2Em-ploy-mentCode*Mo3Em-ploy-mentCodeReport-ingQTR&YearNotUsedbyTWCBLANKS12-1011-3031-424344-4546-4950-6364-7778-9192-105106-134135-142143-146147-155156-161162-171172-176177-211212213214215-220221-232233-275NOTE:The‘I’RecordsareOPTIONALNOTE:“T”record-*indicatesfield(s)shouldbefilledinwithC-3data.Enterdollarsandcentswithoutdecimalspoints.ReTcordRecID“T”TotalNumberOfEmploy-eesTaxingEntityCode“Utax”NotUsedbyTWCStateQTRUITotalWagesForEmployerNotUsedbyTWC*StateQTRUITaxableWagesforEmployerNotUsedbyTWC*UITaxRateindecimalformat*StateQTRUITaxesDueNotUsedbyTWC$Alloca-tionAmountNotUsedbyTWC*MonthOneEmploy-mentforEmployer*MonthTwoEmploy-mentforEmployer*MonthThreeEmploy-mentforEmployer*CountyCode*OutsideCountyEm-ployeesNotUsedbyTWCBlanks12-89-1213-2627-4041-5455-6869-8182-8788-100101-185186-198199-226227-233234-240241-247248-250251-257258-267268-275NOTE:Enterdollarsandcentswithnodecimalpoint.ReFcordRecID“F”TotalNumberOfEmployeesInFile(Optional)TotalNumberofEmployersinFileTaxingEntityCode“UTAX”NotUsedbyTWCStateQTRUIGross/TotalWagesinFileNotUsedbyTWC(Optional)StateQTRUITaxableWagesinFileNotUsedbyTWCBlanks12-1112-2122-2526-4041-5556-7071-8586-139140-275'