Form Uc-252 - Pennsylvania Unemployment Compensation Wage Records printable pdf download

PENNSYLVANIA UNEMPLOYMENT COMPENSATION WAGE RECORDS

PAGE _______________ of _______________

REPLACEMENT UC-2A FOR PARTIAL TRANSFER

PLEASE READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM

A partial transfer of experience occurs when a portion of an existing business (predecessor) is transferred to another business having or applying for a separate UC account number (successor). If the

successor applies for the transfer of experience or the transfer is mandated under the provisions of the Pennsylvania Unemployment Compensation Law, this form (UC-252) will be used to amend

the form(s) UC-2A (Employer’s Quarterly Report) previously submitted by the predecessor, and to transfer appropriate wage information to the successor’s account. After the effective date of the

partial transfer, any benefit payments based on the transferred wages will be charged to the successor account (and, when necessary, credited to the predecessor account). If all employees of the

predecessor account were transferred to the successor, this would constitute a full transfer; this form (UC-252) would not be used.

1. Provide the successor’s and predecessor’s Pennsylvania UC account number, two-digit plant number (when used on UC-2A quarterly wage reports) and business name. A separate UC-252 must

be used for each individual plant being transferred. Note: Employers utilizing plant number reporting must indicate those numbers.

2. Provide the date of transfer, predecessor’s signature and title.

3. List the names and social security numbers of the employees in the transferred portion of the predecessor’s business.

4. If an employee worked only in the transferred portion of the predecessor’s business in the two-year period prior to the partial transfer, do not list their wages or credit weeks. However, a listing

of names and social security numbers is required.

5. If an employee worked in more than just the transferred portion of the predecessor’s business, list the credit weeks and gross wages paid to them by the predecessor in that part of that business

being transferred, list wages and credit weeks for the two-year period prior to the date of transfer. Be sure to indicate wage and credit week information for the quarter in which the transfer is

effective as well as the eight complete calendar quarters preceding the transfer effective date.

6. List of the names, social security numbers, wages and credit weeks, as required for employees, may be supplied on attachments in lieu of listing information on this form. Please indicate if



provided:

on attachment

on this form

magnetic media

7. If assistance is required to complete this form, please contact your nearest Field Accounting Service office.

PREDECESSOR’S ACCOUNT NO. _____________________________________ PLANT # ______________________ BUSINESS NAME ______________________________________________________________

SUCCESSOR’S ACCOUNT NO. ________________________________________ PLANT # ______________________ BUSINESS NAME ______________________________________________________________

Date of Transfer ________________________________________________

(Same as Item #7 under Section 14 of PA-100, PA Enterprise Registration Form)

Predecessor’s Signature _________________________________________________________________ Title ________________________________________________________________________________________

BENEFITS PAID AFTER DATE OF TRANSFER BASED ON WAGES PAID PRIOR TO DATE OF TRANSFER IN CONNECTION WITH THE PART OF BUSINESS TRANSFERRED WILL BE CHARGED TO THE

SUCCESSORS’S EXPERIENCE RECORD AND RESERVE ACCOUNT AS PROVIDED IN SECTION 63.2(c) OF TITLE 34, PENNSYLVANIA CODE, UC REGULATIONS.

TO TRANSFER

EMPLOYEE

GROSS QUARTERLY WAGES PAID AND CREDIT WEEKS APPLICABLE TO PART TRANSFERRED

DATE

S.S. NO. AND NAME

___QTR ______ ___QTR ______ ___QTR ______ ___QTR ______ ___QTR ______ ___QTR ______ ___QTR ______ ___QTR ______

___QTR ______

S.S. NO.

CREDIT

NAME

WEEKS