UI-41a (06-16) Supplemental Report of Compensation

Employer Service and Compensation Reports

Form UI-41A (06-16)

Employer Service and Compensation Reports

OMB: 3220-0070

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0070 can be found here:

2023-01-27 - Extension without change of a currently approved collection

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File Modified	2016-07-01
File Created	2016-07-01

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