Form 5208d 2026

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The Amended Tax & Wage Report (Form 5208D) is a form used to report corrections for one quarter of tax and wage information, requiring details such as federal ID number, business name, and preparer's information. It includes sections for reporting corrected amounts of hours and wages, total gross wages, taxable wages, and any taxes due. The form must be submitted via email or fax to the Employment Security Department in Washington.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Federal ID Number (9-digit) in the designated field. This is crucial for identification purposes.
Next, input your UBI Number (12-digit) to ensure accurate processing of your report.
Fill in the Effective Quarter Ending Date using the format MM/DD/YYYY to specify the reporting period.
Enter your Business Name clearly in the provided section to identify your entity.
Complete the ESD Number (12-digit) field for tax identification related to employment security.
In the Preparer’s Information section, provide details such as First Name, Last Name, Phone Number, and Email Address for contact purposes.
For each reported item, enter both 'As Reported' and 'Correct Amount' for Hours and Wages across all relevant fields.
Finally, review all entries for accuracy before submitting via email or fax as indicated at the bottom of the form.

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