PA Form UC-2B REV 07-18, Employer’s Report of Employment and Business Changes 
Complete this form to report any new or changed information about your business. Photocopy this form or 
attach additional sheets if more space is needed. If you need assistance, call the UC Employer Contact                               
Center at 866-403-6163, which is staffed Monday through Friday from 8:00 a.m. to 4:30 p.m. Eastern                                   
Time. 
1. Enter the PA UC account number from Form UC-2. 
2. Use the following chart to change any of the indicated items of information. Complete all sections of the chart that apply. 
Form PA-100 must be completed to obtain a new account number if there has been a change in entity or legal structure.                                 

    Change                             From                                   To                                                    Reason for Change 
Legal Name 
Trade Name 
Street Address 
PO Box 
City/State/Zip 
FEIN 
Telephone # 
Other 
3. To add another PA 
business location, provide the new address here: 
4. Date wages last paid in PA.                                If a date is entered in this field, the PA UC account listed above will be closed. 
5. Date business discontinued in PA.       
6. Did this business transfer all, or any part, of its PA business?...............................................................    □Yes           □No
7. Did this business acquire all, or any part, of another PA business?........................................................        □Yes           □No
8. Did this business transfer 51% or more of its PA assets?......................................................................     □Yes          □ No
9. Did this business acquire 51% or more of the assets of another PA business?.......................................                 □Yes           □No
10. Was this business, or any part of it, merged into another PA business?...............................................             □Yes          □ No
11. Has any part of the workforce of this business been transferred to another PA business?.....................                      □Yes           □No
12. If the answer to any question in items 6 through 11 is ‘Yes’, complete the following for the other entity involved in the transaction. 
Legal Name                                                 Trade Name                       Telephone #                                                
Successor’s PA UC account number (If known)            
Successor’s FEIN (If known) 
Street Address                                                                 City                                                Zip Code            
State                If other than PA, provide the primary location in PA.   
13. Authorized signature for the entity listed in item 1 above.                                                                       Date 
Print Name                                                  Title                             Telephone