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Get Colorado Uitr 1a 2010-2024

You must provide the SSN to report new wages or for correcting previously reported wages. UITR-6a Page 2 R 11/2010 NAME OF EMPLOYEE the correct SSN has been listed for the worker listed. TOTAL WAGES PAID Report the total wages paid in the calendar quarter. Comments 7. Preparer s Signature 8. Date 9. Title 10. Telephone Number Office Use Only UITR-6 original report made UITR-6a R 11/2010 UITR-3 adjustment report made Instructions on Reverse Side No quarterly report needed 4th Quarter INSTRUCTIONS This form should be used to report worker wages never reported before to correct previously reported wages or to transfer earnings from one employer unemployment insurance account to another. Colorado Department of Labor and Employment Unemployment Insurance Employer Services P. O. Box 8789 Denver CO 80201-8789 303-318-9100 Denver-metro area or 1-800-480-8299 outside Denver-metro area www. colorado. gov/cdle/ui MULTIPLE QUARTER ADJUSTMENT OF WORKERS WAGES This report is being used as check one of the following Indicate the Year Being Corrected Original report Complete Item 1 and Items 3 through 5. Correction to original report Complete Item 1 and Items 3 through 5. Use total wages paid in the quarter not the difference. List only employees whose wages require correction* Transfer from one employer account to another. Complete Items 1through 5. A wage list may be substituted for Items 3 through 5. Owners Partners or Corporation Name Year 1. To Employer Account Number Doing Business As DBA 2 From DBA Employee Social Security Number Name of Employee Please type or print 1st Quarter Total Wages Paid 2nd Quarter 3rd Quarter 6. Please use an additional form for each additional year to be adjusted* ALL EMPLOYERS MUST COMPLETE THIS SECTION List the name s of the owner partners or corporation* Report the DBA or the trade name of the business if applicable. THIS SHOULD ONLY BE COMPLETED IF WAGES WERE INCORRECTLY REPORTED UNDER ANOTHER ACCOUNT NUMBER unemployment insurance account number under which wages are to be reported* from which wages should be deleted* EMPLOYEE SOCIAL SECURITY NUMBER List the social security number SSN of the worker. If correcting wages do not report the difference. List only those employees whose wages require COMMENTS Note any additional information that might be needed to clarify the reason for submitting this wageadjustment report. 7 through 10. PREPARER S INFORMATION This section is to be completed by the person actually completing and submitting this document. Colorado Department of Labor and Employment Unemployment Insurance Employer Services P. O. Box 8789 Denver CO 80201-8789 303-318-9100 Denver-metro area or 1-800-480-8299 outside Denver-metro area www. colorado. gov/cdle/ui MULTIPLE QUARTER ADJUSTMENT OF WORKERS WAGES This report is being used as check one of the following Indicate the Year Being Corrected Original report Complete Item 1 and Items 3 through 5. colorado. gov/cdle/ui MULTIPLE QUARTER ADJUSTMENT OF WORKERS WAGES This report is being used as check one of the following Indicate the Year Being Corrected Original report Complete Item 1 and Items 3 through 5. Correction to original report Complete Item 1 and Items 3 through 5. Use total wages paid in the quarter not the difference. .

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