Free UCT-6A - Florida

Employers are required to file quarterly tax/wage reports regardless of employment activity or whether any taxes are due.

Florida Department of Revenue Employer's Quarterly Report Continuation Sheet

UCT-6A R.01/08

QUarTEr ENdiNg

/ -

/ -

EmployEr's NamE

UT accoUNT NUmbEr

Cents

9. EmployEE's social sEcUriTy NUmbEr

10. EmployEE's NamE (please print first twelve characters of last name and first eight
characters of first name in boxes)

11. EmployEE's gross WagEs paid THis QUarTEr U.S.Dollars

last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name last Name First Name middle initial 12. Total gross Wages This page (include in line 2 on page 1) middle initial middle initial middle initial middle initial middle initial middle initial middle initial middle initial middle initial middle initial middle initial middle initial middle initial middle initial

, , , , , , , , , , , , , , , ,

, , , , , , , , , , , , , , , ,