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Amended Tax & Wage Report(Form 5208D) - Employment Security ... 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Federal ID Number (9-digit) and UBI Number (12-digit) in the designated fields.
- Input the Effective Quarter Ending Date using the format MM/DD.
- Fill in your Business Name, First Name, Last Name, and contact information including phone number and email address.
- Provide the ES Reference Number (9-digit) and Preparer’s Information as required.
- For each employee listed, enter their name, correct hours worked, and wages. Ensure you also report the amounts as previously reported for comparison.
- Complete sections for Total Gross Wages, Excess Wages, Taxable Wages, UI Tax Due for this quarter, and any penalties or interest applicable.
- Finally, indicate the Reason for Adjustment in the mandatory field before submitting your form.
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