2023 Scannable Alternative Forms Examples 
 
Alternative RT-6A form changes 
 
Note: Refer to the 2023 Alternative Forms Requirements Guide for barcode and OCR line specifications. 
  
  1.   There were no changes for tax year 2023. 
        

                                                     Florida Department of Revenue                                            Company ID Here
                                                                                                                                                                    RT-6A
                              Employer’s Quarterly Report Continuation Sheet                                                                                        R. 01/15
                            Employers are required to file quarterly tax/wage reports regardless of employment activity or whether any taxes are due. Page ___ of ___

                            EMPLOYER’S NAME          FDOR - Employer Test

12345678490123400001234567890123400003184567890012340 123456789012340

123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234

0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
123456789012340000LAST7NAME                          234000000FIRST5NAME &9MI2 00012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    0
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
0                           0                                 0                    012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
023456784901234000 123456789012340000                10545678901234000             012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234
023456784901234000 123456789012340000                10545678901234000             012345678901234
123456789012340000012last7name234000first5name9&2mi000012345678901234

                            Social security numbers (SSNs) are used by the Florida Department of Revenue as unique identifiers for the administration of Florida’s taxes.  SSNs 
Rule 73B-10.037             obtained for tax administration purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not subject to disclosure as public 
Florida Administrative Code records.  Collection of your SSN is authorized under state and federal law.  Visit our website at www.floridarevenue.com and select “Privacy Notice” for 
                            more information regarding the state and federal law governing the collection, use, or release of SSNs, including authorized exceptions.