of 

        PENNSYLVANIA UNEMPLOYEMENT COMPENSATION CORRECTION REPORT
                                                                   (To Amend Quarterly UC-2/2A Tax Reports) (A separate form must be submitted for each quarter) 
     1. EMPLOYER ACCOUNT NUMBER                                                                                3.   QUARTER/YEAR (A separate form must be submitted for each quarter) 

                   -                                                                         -
                                                                                      R or M  CHECK DIGIT                                                                  1, 2, 
                                                                                                                                                                           3 or 4
                                                                                                      4.      Reason For Correction  (Check all that apply): 
      2.  Employer Name and Address:                                                                          Incorrect Gross Wages. *Please explain:                                              Exempt Wages Reported in Error. *Please explain: 
                                                                                                              Incorrect Employee Withholding Rate Used                                             Calculation Error. Please explain:  
           
                                                                                                              List Rate Used 
                                                                                                              Incorrect Taxable Wages. Please explain:                                             Other Error. Please explain: 
                                                                                                              Incorrect Employer Contribution Rate Used 
                                                                                                                                                                                                   *PROVIDE INDIVIDUAL EMPLOYEE CORRECTION 
                                                                                                              List Rate Used                                                                       FORM (UC-2AX). IF NECESSARY. 
                                                                                                              Wages Reported to wrong State*                                                       PLEASE                                      CHECK IF EMPLOYEE WAE DETAIL WAS 
                                                                                                                                                                                                   CORRECTED ON ELECTRONIC MEDIA 
 5.     Was the employee withholding correctly withheld?                      Yes                             No                                                           Not applicable  (Please see instructions on reverse side.) 

            TAX RATE                                                                                          AMOUNT PREVIOUSLY                                                   CORRECT AMOUNT                            DIFFERENCE (OVER) UNDER 
                                                                                                              REPORTED 
 6.                                  GROSS WAGES 
 7.                                  EMPLOYEE WITHHOLDING 
 8.                                  TAXABLE WAGES 
 9.                                  EMPLOYER CONTRIBUTION 
 10.  TOTAL (REFUND/CREDIT) OR TAX DUE (ADD LINES 7 AND 9) IN THE DIFFERENCE COLUMN                                                                                             REFUNDS/CREDITS SHOULD BE IN PARENTHESE ( ) 

 11.    Please check one:                      Refund                                        Credit  Not applicable  (Please see instructions on reverse side.) 
 11.    Employer Certification: I certify that the information on this form is true and correct to the best of my knowledge and belief. No part of the amount of employer contributions     
             reported on taxable wages was deducted or is to be deducted from the employees’ wages. 

        SIGNATURE OF OWNER, PARTNER, RESPONSIBLE OFFICER OR AUTHORIZED AGENT                                                                                                TITLE             DATE       PHONE NUMBER                  PLANT NUMBER
 
  ...........................................................  DEPARTMENT USE ONLY (DO NOT WRITE BELOW THIS LINE)  ......................................................                                                                                                    
     CORRECTION REPORT         JOURNAL VOUCHER 
                                BASIC                                                                         CONTRIBUTION                                                        INTEREST                                  PENALTY                                         A
 SY  MO  YR  QTR  YR                   (K)                                                   WAGES 
                                RATE                                                                          DEBIT CREDIT                                                        DEBIT CREDIT           DEBIT                         CREDIT                               4

                                     TOTALS 
 COMMENTS:                                                                                                                                                                        TOTAL REMITTANCE 

Rate Verificaion                                               Certification: Date Contribution Received                                                                                            Date Report Received 
B.I. Audit Needed          Yes  No     N/A                                                   Benefit Charges  Yes   No                                                      N/A         FSD CERTIFICATION/DATE                         

 TAX AGENT                           DATE                                                    TAX TECHNICIAN                                         DATE                          OTHER REQUIRED SIGNATURE                                                            DATE 
Year                 No Charge        Rate Revised From                                              to             Year                                                          No Charge        Rate Revised From                   to                            
UC-2AX REV 09-23 (Page 1)   COMMONWEALTH OF PENNSYLVANIA               DEPARTMENT OF LABOR & INDUSTRY                                                                                           OFFICE OF UNEMPLOYMENT COMPENSATION TAX SERVICES                              

               INSTRUCTIONS FOR COMPLETION OF FORMS UC-2X AND UC-2AX 
Purpose of Forms                                                      Questions 
Use Form UC-2X to make changes to Gross and/or Taxable wages          Questions regarding the processing of your correction              form(s)   
(increase or decrease) from those wages reported on the  original     should  be     referred   to    the   Employer      Tax   Services,  
PA FoRMUC-2.                                                          Monday through Friday  :30 a.m. to 4: 0 p.m. Eastern Time at 7 0
                                                                      866-403-6163. 
Use Form UC-2AX to correct wage records or credit weeks 
from  that  reported  on  the  original  PA  Form  UC-2A.  This       Photocopying 
includes correcting Social Security Numbers (SSN) or credit           The Forms UC-2X and UC-2AX may be photocopied. 
weeks  previously  reported;  adding  SSN’s  or  credit  weeks 
not previously reported to our agency; adding or increasing           Quarters 
wages  or  credit  weeks  previously  reported    in correctly;  or   Quarter One-January, February, March (due  April 30)   
deleting  or  decreasing  wages  or  credit  weeks  previ   ously     Quarter Two-April, May, June (due July 31) 
reported incorrectly.                                                 Quarter Three-July, August, September (due October 31)  
                                                                      Quarter Four-October, November, December (due        January 31) 
If you are changing Gross and/or Taxable wages and individual   
employee   wages or credit weeks, you will be required to submit      Adjusting Wage Information Electronically 
both Forms UC-2X and UC-2AX.                                          For information on adjusting wage information online or by file  
                                                                      upload, call the Employer Tax Services at 866-403-6163. 
Where to File 
Send  completed  forms  to  the  PA  Department  of  Labor  &                       SPECIFIC INSTRUCTIONS FOR UC-2X 
Industry, Office of Unemployment Compensation Tax Services,              1. Enter your PA Unemployment Compensation account number.                 
PO Box 68568, Harrisburg, PA 17106-8568.                                    (Only complete the shaded box if you are     “R”- reimbursable           
                                                                            or “M”- municipality.) 
Overpayment Corrections                                                 2.  Complete your business name and address. 
Refund requests may not always result in the refund of the              3.  Complete the quarter and year using four digits. A separate              
exact  amount  of  your  calculation.  Offsets  of  the  refund             form must be submitted for each quarter being corrected  
request will be processed and the net check will be sent to             4.  Check  the  appropriate  box  to  indicate  the  reason  for  the        
you with an explanation for the reduction or increase in the                adjustment. 
refund amount requested. Examples where       this offset may           5.  Check the appropriate   box to indicate the  correct employee            
happen are:                                                                 contribution amount was calculated and withheld from your 
                                                                            employees  on  the  original  report  (employee withholding              
    1. Taxable  wage reductions  along  with  reduction  in  the            rate times gross wages). This applies only on a request for              
       contributions paid cause an increase in rates subsequent             refund  or  credit  of  employee  withholding.  IF  ANY 
       to year of adjustment.                                               PORTION  OF  THE  OVERPAYMENT  IS  DUE  TO  EXCESSIVE                    
    2. Correction  of  exempt  employment  previously  reported             EMPLOYEE  WITH   HOLDING, IT  IS  YOUR  RESPONSIBILITY                  
       where  these indivictuals were paid UC benefits because    of        TO  DISTRIBUTE  TO  THE  EMPLOYEES  THE  APPLICABLE 
       this reported employment.                                            AMOUNT ERRONEOUSLY WITHHELD.  
    3. A  calculation  error  was  made   in  the  requested  refund    6.  Enter the amount of gross wages previously reported,          the       
       amount.                                                              corr ected amount and the net difference between the two                
    4. You owe contribution,  interest,  penalty and/or court costs         columns. 
       on your account or have past due unfiled quarterly reports     7.    In the tax rate column,  enter the employee     withholding             
       in another quarter.                                                  rate applicable for the year of adjustment. Enter the                   
                                                                            amount of employee withholding previously reported,                     
Underpayment Corrections                                                    the  correct  amount  and  the  net  difference  between                
For any corrections made by you that result in additional tax due,          the two columns.    
our agency must have a check attached for the  additional               8.  Enter  the  amount  of  taxable  wages  previously  reported, 
contribution due  (unless an overpayment was also made).                    the    corrected  amount  and  the net  difference  between             
Do not include any penalty or interest that may be due. We                  the two columns.  
will bill you for these amounts due,  if any. Make  all checks          9.  In the tax rate column, enter your contribution rate for the 
payable to the PA UC Fund.                                                  year of adjustment. Enter the amount previously reported, 
                                                                            the corrected amount and the    net difference  between the             
Statute of Limitations on Refunds                                           two columns. 
The  PA UC Tax Law specifies certain limitations on refunds.          10.  Enter  in  the difference column, the  total  (refund)  or  tax          
In  general,   your  request  for  refund  must  be submitted               due by adding lines 7 and 9. 
within four (4) years from the  date  the original tax report         11.  Check appropriate box. Refunds will be      sent to the       address    
was due.                                                                    of record when approved. Credits will be applied to your                
                                                                            next quart erly report. 
Documentation Requirements                                            12.  Complete employer certification by signing, and entering                 
You  may  be  contacted  for  documentation  depending  on  the             title, date and phone number. 
reason for the adjustments. For this reason, we ask that your     
form be complete and accurate and that you include a phone            NOTE: Billing errors may occur due to credits not being posted 
number in the event we must contact you.                              at the time the report is filed. 

                           Auxiliary aids and services are available upon request to individuals with disabilities. 
                                               Equal Opportunity Employer/Program 
 UC-2AX REV 09-23 (Page 2)