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Uitr-6c 1/02 - Social Security Number (Ssn) Corrections - Colorado Department Of Labor And Employment

COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT

Division of Employment and Training

Unemployment Insurance Tax Wage Correction Unit

P.O. Box 8789, Denver, CO 80201-8789

Phone (303) 318-9100 or 1-800-480-TAXX (8299) outside metro Denver area

SOCIAL SECURITY NUMBER (SSN) CORRECTIONS

This form should be used to correct worker wages misreported under an incorrect social security number.

Use an additional form for each year to be adjusted. Please complete all items.

1. Employer Account Number

2. Indicate the year being corrected.

YEAR ______

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3. Owner, Partners, or Corporation Name

4. DBA (Doing Business As)

EXPLANATION OF ITEMS

Item 5. List the incorrect social security number that was used in previous reports of worker's wages.

Item 6. List the correct social security number.

Item 7. List the employee's name.

Item 8. Report the TOTAL GROSS wages paid in the calendar quarter. If correcting wages, do not report the difference.

Item 9. This section must be completed by the individual completing and submitting this document. Please include the telephone number.

8. Total Gross Wages Paid in Quarter

5. Incorrect

6. Correct Employee

7. Employee Name

Employee SSN

SSN

1st Qtr.

2nd Qtr.

3rd Qtr.

4th Qtr.

9. Preparer's Signature

Telephone Number

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UITR-6c (R-01/02)

Uitr-6c 1/02 - Social Security Number (Ssn) Corrections - Colorado Department Of Labor And Employment