Get Ui5a 2005-2024

MONTANA UNEMPLOYMENT INSURANCE EMPLOYEE WAGE LISTING - Form UI-5A Use this form or a facsimile as a continuation sheet for the UI employee wage listing on the Montana Employer s Unemployment Insurance Quarterly Wage Report - Form UI-5 Step 2. Employer s Name and Address UI Account No FEIN Quarter End Employee s Social Security Number Name of Employee Last Name Page No* of First Name Total Wages Paid this Quarter Excess Wages Totals For additional UI Employee Wage Listing Forms UI5A please photocopy a blank form or call 1-800-550-1513. Attach the completed UI5A to the UI Quarterly Wage Report and mail to the Unemployment Insurance Contributions Bureau PO Box 6339 Helena MT 59604-6339 FORM UI5A Rev* 6/05. Employer s Name and Address UI Account No FEIN Quarter End Employee s Social Security Number Name of Employee Last Name Page No* of First Name Total Wages Paid this Quarter Excess Wages Totals For additional UI Employee Wage Listing Forms UI5A please photocopy a blank form or call 1-800-550-1513. Attach the completed UI5A to the UI Quarterly Wage Report and mail to the Unemployment Insurance Contributions Bureau PO Box 6339 Helena MT 59604-6339 FORM UI5A Rev* 6/05. .