Employer Service and Compensation Reports

OMB 3220-0070

OMB 3220-0070

The reports obtain the employee's service and compensation for a period subsequent to those already on file and the employee's base year compensation. The information is used to determine the entitlement to and the amount of benefits payable.

The latest form for Employer Service and Compensation Reports expires 2023-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Approved without change
Extension without change of a currently approved collection 2023-01-27
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Revision of a currently approved collection 2019-12-23
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Extension without change of a currently approved collection 2016-10-26
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Extension without change of a currently approved collection 2013-09-27
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Extension without change of a currently approved collection 2010-08-25
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Extension without change of a currently approved collection 2007-06-25
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Extension without change of a currently approved collection 2004-06-25
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Revision of a currently approved collection 2001-08-03
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Revision of a currently approved collection 1998-07-13
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Extension without change of a currently approved collection 1995-06-30
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Revision of a currently approved collection 1992-09-02
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Revision of a currently approved collection 1989-05-26
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Extension without change of a currently approved collection 1986-02-03
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Revision of a currently approved collection 1983-02-16
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-05-29
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Extension without change of a currently approved collection 1980-05-28
Approved without change
Extension without change of a currently approved collection 1979-04-27
Approved without change
Extension without change of a currently approved collection 1979-03-14
Approved without change
Extension without change of a currently approved collection 1978-03-31
Approved without change
Extension without change of a currently approved collection 1978-03-06

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