TAXABLE WAGES Form

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					                         TAXABLE WAGES FORM
                             QUARTER, 20
                                              SCHOOL DISTRICT



                         Taxable Wages               Employee Count
Month 1             $                     -

Month 2             $                     -

Month 3             $                     -

Quarterly Total     $                     -



Please complete the above information using the information appearing on the last
page of your 1015 Monthly Unemployment Report or the
Quarterly Wage Detail report from WESPaC

The completed Taxable Wages Form should be sent along with a copy of your
WISE or WESPaC quarterly report and a copy of your UI Fast Tax report
quarterly as soon as possible after the last day of the 3rd month.