This is one of the official workers' compensation forms for the state of Pennsylvania.
Pennsylvania Employee Report of Wages and Physical Condition for Workers' Compensation
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1Logon to Unemployment Tax Services.2Select the tab for Report Filing from the My Home page.3Choose the wage report to file.4Review the basic report information.5Enter the employee wages (if filing a report with wages).Unemployment Tax Services Online Wage Reporting Texas\ntwc.texas.gov > unemployment-tax-services-online-wage-reporting