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PENNSYLVANIA UNEMPLOYMENT COMPENSATION WAGE RECORDS
REPLACEMENT UC-2A FOR PARTIAL TRANSFER
PLEASE READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM
A partial transfer of experience occurs when a portion of an existing business (predecessor) is transferred to another business having or applying for a separate UC account number (successor). If the successor applies for the
transfer of experience or the transfer is mandated under the provisions of the Pennsylvania Unemployment Compensation Law, this form (UC-252) will be used to amend the form(s) UC-2A (Employer’s Quarterly Report) previously
submitted by the predecessor, and to transfer appropriate wage information to the successor’s account. After the effective date of the partial transfer, any benefit payments based on the transferred wages will be charged to the
successor account (and, when necessary, credited to the predecessor account). If all employees of the predecessor account were transferred to the successor, this would constitute a full transfer; this form (UC-252) would not
be used.
1. Provide the successor’s and predecessor’s Pennsylvania UC account number and business name.
2. Provide the date of transfer, predecessor’s signature and title.
3. List the names and social security numbers of the employees who worked in the transferred portion of the predecessor’s business. Include any employee who worked in the transferred portion at any times during
the preceding eight (8) complete calendar quarters through the date of transfer.
4. List of the names and social security numbers, as required for employees, may be supplied on attachments in lieu of listing information on this form. Please indicate if provided:
on attachment on this form
5. If assistance is required to complete this form, please contact Employer Tax Services at 1-866-403-6163 on weekdays from 7:30 a.m. to 4:00 p.m. Eastern Time.
PREDECESSOR’S ACCOUNT NO. BUSINESS NAME
SUCCESSOR’S ACCOUNT NO. BUSINESS NAME
Date of Transfer (Same as Item #7 under Section 14 of PA-100, PA Enterprise Registration Form)
Predecessor’s Signature Title
BENEFITS PAID AFTER DATE OF TRANSFER BASED ON WAGES PAID PRIOR TO DATE OF TRANSFER IN CONNECTION WITH THE PART OF BUSINESS TRANSFERRED WILL BE CHARGED TO THE
SUCCESSORS’ EXPERIENCE RECORD AND RESERVE ACCOUNT AS PROVIDED IN SECTION 63.2(c) OF TITLE 34, PENNSYLVANIA CODE, UC REGULATIONS.
EMPLOYEE(S) TRANSFERRED TO SUCCESSOR
SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER
NAME NAME
SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER
NAME NAME
SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER
NAME NAME
SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER
NAME NAME
UC-252 REV 09-23 (Page 1) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY OFFICE OF UC TAX SERVICES
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