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Get AL UC-10-C 2000-2024

Form UC-10-C REV. 12-00 Account STATEMENT TO CORRECT INFORMATION PREVIOUSLY REPORTED UNDER THE ALABAMA UNEMPLOYMENT COMPENSATION LAW Type or print the name address and account number in this space as it appears on your wage report. WORKERS SOCIAL SECURITY NUMBER NAME OF WORKER TYPE OR PRINT QTR1. 2. 3 0R4 QTR* STATE OF ALABAMA DEPARTMENT OF LABOR UNEMPLOYMENT COMPENSATION AGENCY MONTGOMERY ALABAMA 36131 Indicate the type wage report being corrected* UC CR-4 UC-10-R If the social security number name or wage of one or more workers was omitted from or erroneously reported on one or more returns each such error should be corrected on this form* Correct Total Wages Yr. Total wages as reported Correct Taxable Wages Taxable wages as Totals Increase /Decrease REMARKS DATE Signature and Title PLEASE DO NOT WRITE BELOW THIS LINE AUDITOR KEYED BY VERIFIED BY TT RCVD DATE REMITTANCE DATE ACCOUNT NUMBER WC Q/YR RATES ER ESA TOTAL WAGES EXCESS WAGES TAXABLE WAGES PAYMENT. WORKERS SOCIAL SECURITY NUMBER NAME OF WORKER TYPE OR PRINT QTR1. 2. 3 0R4 QTR* STATE OF ALABAMA DEPARTMENT OF LABOR UNEMPLOYMENT COMPENSATION AGENCY MONTGOMERY ALABAMA 36131 Indicate the type wage report being corrected* UC CR-4 UC-10-R If the social security number name or wage of one or more workers was omitted from or erroneously reported on one or more returns each such error should be corrected on this form* Correct Total Wages Yr. Total wages as reported Correct Taxable Wages Taxable wages as Totals Increase /Decrease REMARKS DATE Signature and Title PLEASE DO NOT WRITE BELOW THIS LINE AUDITOR KEYED BY VERIFIED BY TT RCVD DATE REMITTANCE DATE ACCOUNT NUMBER WC Q/YR RATES ER ESA TOTAL WAGES EXCESS WAGES TAXABLE WAGES PAYMENT. .

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