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ABC IC Registration Number: Over 6 Lag Date Under 6 666 For Office Use Only 148 151 UC1A (Rev 11/18/03) EMPLOYER STATUS REPORT For UNEMPLOYMENT COMPENSATION 713 Status Rate(s) Quarter(s) Date Recd

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2. Locate the section or field where your number is required. This is usually labeled as 'Number' or 'Identification Number.'
3. Take out your number card or document, such as your social security card or passport, which contains your number.
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6. Once you have filled out the form completely, review it one last time to ensure accuracy and completeness.
7. If applicable, sign the form and submit it according to the instructions provided.

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