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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: 
 c on attachment       c on this form
5.  If assistance is required to complete this form, please contact the UC Employer Contact Center at 1-866-403-6163 on weekdays from 8:00 a.m. until 4:30 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
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 NAME                                                               NAME
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 NAME                                                               NAME
 SOCIAL SECURITY NUMBER                                             SOCIAL SECURITY NUMBER
 NAME                                                               NAME
 SOCIAL SECURITY NUMBER                                             SOCIAL SECURITY NUMBER
 NAME                                                               NAME

UC-252 REV 08-19 (Page 1)                                     COMMONWEALTH OF PENNSYLVANIA                                     DEPARTMENT OF LABOR AND INDUSTRY                                     OFFICE OF UC TAX SERVICES

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UC-252 REV 08-19 (Page 2)                                     COMMONWEALTH OF PENNSYLVANIA                                     DEPARTMENT OF LABOR AND INDUSTRY                                     OFFICE OF UC TAX SERVICES