Transcription of INDIANA DEPARTMENT OF WORKFORCE DEVELOPMENT …
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INDIANA DEPT OF WORKFORCE BOX 7054 INDIANAPOLIS IN 46207-7054 AMOUNT DUETOTAL GROSS WAGES PAID THIS QTR (SEE INSTRUCTIONS) (LINE 2 MINUS LINE 3)LINE 4 X APPLIED RATE INTEREST (SEE INSTRUCTIONS)PENALTY (SEE INSTRUCTIONS) ((N1 STMO1 STState Form 250 (R9 / 3-11) / Form UC1I CERTIFY, UNDER PENALTY OF PERJURY, THAT THIS REPORT IS TRUE AND COMPLETEELTITSIGNATURE OF EMPLOYER2 NDMO2ND3 RDMO3 RDCONFIDENTIAL RECORD PURSUANT TO IC-22-4-19-6,IC 4-1-6 ICTELEPHONE NUMBER DATEFAX NUMBEREMPLOYEE COUNT (SEE INSTRUCTIONS)EMPLOYEECOUNTTOTAL EXCESS WAGES NET TAXABLE WAGES TOTAL PREMIUMS DUE (L((S(NPERIOD COVERED FROM TOACCOUNT NO.))))))
Frequently Asked Questions Regarding the UC-1 Unemployment Compensation Insurance Payment Voucher Indiana Department of Workforce Development
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