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REQUIREMENTS FOR MAGNETIC MEDIA REPORTING
of
QUARTERLY PAYROLL REPORT

1. Conform to all technical specifications (see Appendix A). Also refer to specifications outlined
in the U.S. Department of Health and Human Services publication Magnetic Media Reporting.

2. If this is your first magnetic filing, submit a hard copy of your wage data with your media (CD-R,
cartridge ). If the media is correct, it will be processed. If it is rejected, the hard copy will be
processed and we will notify you of the problems. After you receive notification that you are an
approved magnetic media reporter, it is no longer necessary to provide a hard copy.

3. Include a copy of a completed Transmitter Report with each media . (see Appendix B).

4. If you are using a CD-R -use a felt tip permanent marker to label the CD-R, place the CD-R in a
protective case and place an external label on the outside of the protective case that includes all
necessary information. (see Appendix C).

For cartridges place an external label on each cartridge that includes all necessary information. (see
Appendix C).

5. Please give each CD-R /cartridge an external catalogue number or some other identification number

(any length).

6. Send the magnetic media to the following address: Delaware Department of Labor
Div. of Unemployment Insurance
P. O. Box 9953
Wilmington, DE 19809

7. Send the Quarterly Tax Report (DE form UC-8) and Quarterly Payroll Report (DE form UC-8A) with
the notation filed by magnetic media to: Delaware Department of Labor
Div. of Unemployment Insurance
P. O. Box 41785
Philadelphia, PA 19101-1785

8. Direct questions to Accounts Management at (302) 761-8482 or at the Delaware address above.

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                               Appendix A 
                                       
                        Technical Specifications 
                                       
1. Media forms Accepted: CD-R (File must be a .txt file)  
     3490 or 3490E, non-compressed Cartridges. 
                        ½” 9-Track Tape Reels and 3.5" diskettes will not be accepted 
 
2. Sequence of Records: First: 'E' record which details Employer information (see 
                               Appendix D) 
                        Second:  'S' record which details Employee information (see 
                               Appendix E) 
 
3. General Format:      Use the booklet, TIB-4, October 1988 Social Security 
                        Administration Publication No. 42-007 for general format 
                        instructions when reporting Employee wage information.  
                        However, Delaware requires formatting of the employee name 
                        field as specified on the attached record layout type 'S'. 
 
4. Record Length:       275 
   Blocking Factor:     25     (6875) 
 
5. Internal Label :     Standard IBM OS/VS Label.

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                                             Appendix B 
                                                 
                 TRANSMITTER REPORT FOR 
                 MAGNETIC MEDIA FILING 
                 Quarterly Summary Assessment Report 
1.  Name and Address of Transmitter             2.  DE Employer Account No(s). 
(Include Street, City, State & Zip):              ____   _______   ____  ___  ___ -___ 
                 
                                                  ____   _______   ____  ___  ___ -___ 
                 
                                                  ____   _______   ____  ___  ___ -___ 
                                                 
                                                (list any additional accounts below or a separate sheet) 
                                                3.  Tax Yr                 ____  ___  ___ -___ 
                                                 
                                                     Quarter               ____ 
                                                 
5.  Name and Address of Person to Contact About 4.  Number & Type of Reporting 
Magnetic Media Filing (Include Street, City,    Medium in File 
State and Zip):                                  __________________________ Magnetic 
                                                Cartridge 
                                                6.  Telephone Number 
 
                                                7.  Date Sent 
 
8.  Name and Address of Person to Whom          9.  Transmitters Magnetic Media Inventory 
Magnetic Media File is to be Returned:          Numbers 
 
Comments:
 ___________________________________________________________________________________ 
_________________________________________________________________________________________ 
_________________________________________________________________________________________ 
_________________________________________________________________________________________ 
_________________________________________________________________________________________ 
                Please send a completed copy of this form with every magnetic media 
                                                  
                 Send Completed Magnetic Media to: 
                                     Delaware Department of Labor 
                 Division of Unemployment Insurance, QPR-1 
                                             P.O. Box 9953 
                                     Wilmington, DE  19809-0953

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                                        Appendix C 
                                       MAGNETIC MEDIA 
                                       EXTERNAL LABEL 
                                                       
1.  NAME OF COMPANY              2.  ACCOUNT NUMBER                 3.  TYPE OF DOCUMENT 
                                                                     
4.  TAX PERIOD          5.  CREATE DATE               6.  MACHINE     7.  BLOCKING FACTOR 
                                                                      
8.  NO. OF RECORDS               9.  CONTACT                          10. PHONE NO. 
                                                                     
    1.  Name of Company 
    2.  Account Number 
    3.  Type of Document (QPR-1) 
    4.  Tax Period – Enter Year-Quarter of the records on Cartridge 
    5.  Create Date – Date this cartridge was created 
    6.  Machine – Name of Manufacturer 
    7.  Blocking Factor 
    8.  Number of Records on Cartridge 
    9.  Contact –0  
    10. Phone Number 
     
    PLEASE BE SURE TO INCLUDE A SIMILAR LABEL

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                                          Appendix D 
                                                
                                CARTRIDGE RECORD FORMAT 
                                          RECORD ‘E’ 
                                                
FIELD CHARACTERISTICS: 
 
 A   - ALPHABETIC               RECORD NAME: WAGE TYPE ‘E’         RECORD SOURCE: EMPLOYER 
 I   - ALPHANUMERIC             SIZE: 275                          MEDIUM: CARTRIDGE 
 N  -  NUMERIC (UNSIGNED) 
 NX -  NUMERIC (UNSIGNED)       FILE SEQUENCE:                     DATE SUBMITTED: 
 NX -  NUMERIC (MINUS SIGNED)   BEGIN LABEL: OS/VS STANDARD        END LABEL: OS/VS STANDARD 
 Z  -  ZONE                     BLOCKING FACTOR:  25  PREPARED BY:            DATE: 
 F   - FILLER/SPACES 
                                REVIEWED BY:            DATE:       SUPERSEDES: 

ITEM   FIELD    FIELD     FIELD FIELD        NO OF    P    I  FIELD           FIELD 
 NO    POSITION   SIZE     SIZE CHAR           DEC   OR    U LABEL   DESCRIPTION 
                BYTES     CHAR                 POS    Z    S 
                                                           T 
 1     1             1          A                                   Type ‘E’ constant 
 2     2-5           4          N                                   Reporting Period(MMYY) 
 *     2-3           2          N                                    Reporting Month 
 *     4-5           2          N                                    Reporting Year 
 3     6-14          9          N                                   Federal Employer Identification 
                                                                    Number (F.E.I.N.) 
 4     15-16         2          F                                   Blank 
 5     17-22         6          N                                   6 Digit State Account Number 
 6     23            1          F                                   Blank 
 7     24-73      50            X                                   Employer Name
 8     74-160     87            F                                   Blank 
 9     161-162       2          N                                   Blocking Factor 25 constant 
 10  163-275  113               F                                   Blank 
 
               REFER TO PAGES 19-20 IN THE MAGNETIC MEDIA REPORTING MANUAL 
                           SSA PUB NO.42-007 TIB(4) OCTOBER 1988

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                                          Appendix E 
                                                
                                CARTRIDGE RECORD FORMAT 
                                          RECORD ‘S’ 
                                                
FIELD CHARACTERISTICS: 
 
 A   - ALPHABETIC               RECORD NAME: WAGE TYPE ‘S’          RECORD SOURCE: EMPLOYEE 
 I   - ALPHANUMERIC             SIZE: 275                           MEDIUM: CARTRIDGE 
 N   - NUMERIC (UNSIGNED) 
 NX  - NUMERIC (UNSIGNED)       FILE SEQUENCE:                      DATE SUBMITTED: 
 NX  - NUMERIC (MINUS SIGNED)   BEGIN LABEL: OS/VS STANDARD         END LABEL: OS/VS STANDARD 
 Z   - ZONE                     BLOCKING FACTOR:  25   PREPARED BY:           DATE: 
 F   - FILLER/SPACES 
                                REVIEWED BY:             DATE:      SUPERSEDES: 

ITEM   FIELD     FIELD    FIELD FIELD        NO OF     P   I  FIELD           FIELD 
 NO    POSITION   SIZE     SIZE CHAR           DEC    OR   U LABEL      DESCRIPTION 
                 BYTES    CHAR                 POS     Z   S 
                                                           T 
 1           1       1          A                                   Type ‘S’ constant 
 2          2-10     9          N                                   Social Security Number 
 3     11-37      27            X                                   Employee Name
 *           11      1          X                                       First Initial 
 *           12      1          X                                       Middle Initial 
 *           13      1          F                                       Blank 
 *     14-37      24            X                                       Last Name
 4     38-123     86            F                                   Blank 
 5     124-125       2          N                                   State Code ‘10’ Constant 
 6  126-127          2          F                                   Blank 
 7  128-131          4          N                                   Reporting Period(MMYY) 
 *  128-129          2          N                                       Reporting Month 
 *  130-131          2          N                                       Reporting Year 
 8  132-140          9          N               2                   Employee Wages 
 9  141-149          9          F                                   Blank 
 10  150-151         2          N                                   Number weeksworked/quarter 
 11  152-275  124               F                                   Blank 
 
                REFER TO PAGE 23 IN THE MAGNETIC MEDIA REPORTING MANUAL 
                           SSA PUB NO.42-007 TIB(4) OCTOBER 1988

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REQUIREMENTS FOR MAGNETIC MEDIA REPORTING of QUARTERLY PAYROLL REPORT 1. Conform to all technical specifications (see Appendix A). Also refer to specifications outlined in the U.S. Department of Health and Human Services publication Magnetic Media Reporting. 2. If this is your first magnetic filing, submit a hard copy of your wage data with your media (CD-R, cartridge ). If the media is correct, it will be processed. If it is rejected, the hard copy will be processed and we will notify you of the problems. After you receive notification that you are an approved magnetic media reporter, it is no longer necessary to provide a hard copy. 3. Include a copy of a completed Transmitter Report with each media . (see Appendix B). 4. If you are using a CD-R -use a felt tip permanent marker to label the CD-R, place the CD-R in a protective case and place an external label on the outside of the protective case that includes all necessary information. (see Appendix C). For cartridges place an external label on each cartridge that includes all necessary information. (see Appendix C). 5. Please give each CD-R /cartridge an external catalogue number or some other identification number (any length). 6. Send the magnetic media to the following address: Delaware Department of Labor Div. of Unemployment Insurance P. O. Box 9953 Wilmington, DE 19809 7. Send the Quarterly Tax Report (DE form UC-8) and Quarterly Payroll Report (DE form UC-8A) with the notation filed by magnetic media to: Delaware Department of Labor Div. of Unemployment Insurance P. O. Box 41785 Philadelphia, PA 19101-1785 8. Direct questions to Accounts Management at (302) 761-8482 or at the Delaware address above. Appendix A Technical Specifications 1. Media forms Accepted: CD-R (File must be a .txt file) 3490 or 3490E, non-compressed Cartridges. ½” 9-Track Tape Reels and 3.5" diskettes will not be accepted 2. Sequence of Records: First: 'E' record which details Employer information (see Appendix D) Second: 'S' record which details Employee information (see Appendix E) 3. General Format: Use the booklet, TIB-4, October 1988 Social Security Administration Publication No. 42-007 for general format instructions when reporting Employee wage information. However, Delaware requires formatting of the employee name field as specified on the attached record layout type 'S'. 4. Record Length: 275 Blocking Factor: 25 (6875) 5. Internal Label : Standard IBM OS/VS Label. Appendix B TRANSMITTER REPORT FOR MAGNETIC MEDIA FILING Quarterly Summary Assessment Report 1. Name and Address of Transmitter (Include Street, City, State & Zip): 2. DE Employer Account No(s). ____ _______ ____ ___ ___ -___ ____ _______ ____ ___ ___ -___ ____ _______ ____ ___ ___ -___ (list any additional accounts below or a separate sheet) 3. Tax Yr ____ ___ ___ -___ Quarter ____ 4. Number & Type of Reporting Medium in File __________________________ Magnetic Cartridge 6. Telephone Number 5. Name and Address of Person to Contact About Magnetic Media Filing (Include Street, City, State and Zip): 7. Date Sent 8. Name and Address of Person to Whom Magnetic Media File is to be Returned: 9. Transmitters Magnetic Media Inventory Numbers Comments: ___________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Please send a completed copy of this form with every magnetic media Send Completed Magnetic Media to: Delaware Department of Labor Division of Unemployment Insurance, QPR-1 P.O. Box 9953 Wilmington, DE 19809-0953 Appendix C MAGNETIC MEDIA EXTERNAL LABEL 1. NAME OF COMPANY 2. ACCOUNT NUMBER 3. TYPE OF DOCUMENT 4. TAX PERIOD 5. CREATE DATE 6. MACHINE 7. BLOCKING FACTOR 8. NO. OF RECORDS 9. CONTACT 10. PHONE NO. 1. Name of Company 2. Account Number 3. Type of Document (QPR-1) 4. Tax Period – Enter Year-Quarter of the records on Cartridge 5. Create Date – Date this cartridge was created 6. Machine – Name of Manufacturer 7. Blocking Factor 8. Number of Records on Cartridge 9. Contact –0 10. Phone Number PLEASE BE SURE TO INCLUDE A SIMILAR LABEL Appendix D CARTRIDGE RECORD FORMAT RECORD ‘E’ FIELD CHARACTERISTICS: RECORD NAME: WAGE TYPE ‘E’ RECORD SOURCE: EMPLOYER SIZE: 275 MEDIUM: CARTRIDGE FILE SEQUENCE: DATE SUBMITTED: BEGIN LABEL: OS/VS STANDARD END LABEL: OS/VS STANDARD BLOCKING FACTOR: 25 PREPARED BY: DATE: A I N NX NX Z F -------ALPHABETIC ALPHANUMERIC NUMERIC (UNSIGNED) NUMERIC (UNSIGNED) NUMERIC (MINUS SIGNED) ZONE FILLER/SPACES REVIEWED BY: DATE: SUPERSEDES: ITEM NO FIELD POSITION FIELD SIZE BYTES FIELD SIZE CHAR FIELD CHAR NO OF DEC POS P OR Z I U S T FIELD LABEL FIELD DESCRIPTION 1 1 1 A Type ‘E’ constant 2 2-5 4 N Reporting Period (MMYY) * 2-3 2 N Reporting Month * 4-5 2 N Reporting Year 3 6-14 9 N Federal Employer Identification Number (F.E.I.N.) 4 15-16 2 F Blank 5 17-22 6 N 6 Digit State Account Number 6 23 1 F Blank 7 24-73 50 X Employer Name 8 74-160 87 F Blank 9 161-162 2 N Blocking Factor 25 constant 10 163-275 113 F Blank REFER TO PAGES 19-20 IN THE MAGNETIC MEDIA REPORTING MANUAL SSA PUB NO.42-007 TIB(4) OCTOBER 1988 Appendix E CARTRIDGE RECORD FORMAT RECORD ‘S’ FIELD CHARACTERISTICS: RECORD NAME: WAGE TYPE ‘S’ RECORD SOURCE: EMPLOYEE SIZE: 275 MEDIUM: CARTRIDGE FILE SEQUENCE: DATE SUBMITTED: BEGIN LABEL: OS/VS STANDARD END LABEL: OS/VS STANDARD BLOCKING FACTOR: 25 PREPARED BY: DATE: A I N NX NX Z F -------ALPHABETIC ALPHANUMERIC NUMERIC (UNSIGNED) NUMERIC (UNSIGNED) NUMERIC (MINUS SIGNED) ZONE FILLER/SPACES REVIEWED BY: DATE: SUPERSEDES: ITEM NO FIELD POSITION FIELD SIZE BYTES FIELD SIZE CHAR FIELD CHAR NO OF DEC POS P OR Z I U S T FIELD LABEL FIELD DESCRIPTION 1 1 1 A Type ‘S’ constant 2 2-10 9 N Social Security Number 3 11-37 27 X Employee Name * 11 1 X First Initial * 12 1 X Middle Initial * 13 1 F Blank * 14-37 24 X Last Name 4 38-123 86 F Blank 5 124-125 2 N State Code ‘10’ Constant 6 126-127 2 F Blank 7 128-131 4 N Reporting Period (MMYY) * 128-129 2 N Reporting Month * 130-131 2 N Reporting Year 8 132-140 9 N 2 Employee Wages 9 141-149 9 F Blank 10 150-151 2 N Number weeks worked/quarter 11 152-275 124 F Blank REFER TO PAGE 23 IN THE MAGNETIC MEDIA REPORTING MANUAL SSA PUB NO.42-007 TIB(4) OCTOBER 1988

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