Unemployment Insurance Tax Bureau 
                                                                                                                   1000 E Grand Avenue 
                                                                                                    Des Moines, Iowa 50319 

Section 1                                                                                         Section 2
UI Account #:                  FEIN:                                                              Reason Codes For Adjustments 
                                                                                                   1:  Correct Reported Wages 
Legal Business Name :                                                                              2:  Add Employee 
                                                                                                   3:  Correct Social Security Number
Quarter/Year:           Reporting Unit :                                                          4:

Section 3: Adjustment to Reported Wage Detail
                                         Employee Name                             Total Wages                     Taxable Wages
Reason Social Security Corrected Social                                          Amount                            Amount 
Code   Number Reported  Security Number 
             As         Only                                                     Previously       Corrected        Previously Corrected 
                                                 Last, First, MI                 Reported         Amount           Reported   Amount

Section 4: Adjustment to Wages & Contribution
                                                                                                                   Amount     Corrected 
Totals As Reported on Original Report & Corrected Totals
                                                                                                                   Reported   Amount
Total Wages
Taxable Wages
State Experience Rate @                 %
Contribution Overpaid/Underpaid
Interest Due [Additional due x .0003333 (Rounded to two decimals) then take Daily Rate x # days late              ]
Total Additional Due (Additional Penalty could apply if original report was late)
                Make electronic payment at myIowaUI.org or schedule an ACH Credit Transfer.
Section 5
Authorized Signature:                                                                             Date Submitted:

Print Preparer's Name:                                           Preparer's Title:                                 Phone:

Fax Completed Form to:  515-242-6301     OR     Mail Completed Form to:  Iowa Workforce Development 
                                                                                     Unemployment Insurance Tax Bureau 
                                                                                     1000 E Grand Ave 
                                                                                     Des Moines, IA 50319-0209
                                         Employer's Wage Adjustment Report 68-0061 (01-2024)
                                         Phone:  (888) 848-7442     Email:  iwduitax@iwd.iowa.gov 
                                                       www.workforce.iowa.gov  
                                                 Equal Opportunity Employer/Program 
                        Auxiliary aids and services are available upon request to individuals with disabilities. 
                                         For deaf and hard of hearing, use Relay 711.

                                                               Unemployment Insurance Tax Bureau 
                                                                                        1000 E Grand Avenue 
                                                                                     Des Moines, Iowa 50319 

Section 1 Instructions: 
 · Enter 8 digit myIowaUI account number 
 · Enter 9 digit Federal Employer Identification Number  
 · Enter Legal Business Name as it appears in myIowaUI 
 · Enter Quarter/Year of adjustment 
 · Enter Reporting Unit number 

Section 2 Instructions: 
 · Determine which code best describes the adjustment: 
 1.  Correct Reported Wages: code used to correct wages originally submitted to myIowaUI incorrectly  
 2.  Add Employee: code used to add wages for employee not previously reported in Quarter/Year  
 3.  Correct Social Security Number: code used to correct Social Security Number previously reported incorrectly 
 4.  Other: code used if reason not listed above, describe on line provided 

Section 3 Instructions: 
 · Reason Code - enter numeric code from Section 2 
 · Social Security Number Reported As - enter social security number as reported on original report for Quarter/Year
 · Corrected Social Security Number (SSN Corrections Only) - enter correct social security number if previously 
 reported incorrectly for the Quarter/Year 
 · Employee Name - enter name of employee in the following format: Last Name, First Name, Middle Initial 
 · Total Wages - enter amount of total wages as reported on original Quarter/Year in the Amount Previously 
 Reported column, then enter corrected total wages in the Corrected Amount column 
 · Taxable Wages - enter amount of taxable wages as reported on original Quarter/Year in the Amount Previously 
 Reported column, then enter corrected taxable wages in the Corrected Amount column  

Section 4 Instructions: 
 · Total Wages - enter amount of total wages as reported on original Quarter/Year in the Amount Previously 
 Reported column, then enter corrected total wages in the Corrected Amount column (this should include the total 
 wages for all employees) 
 · Taxable Wages - enter amount of taxable wages as reported on original Quarter/Year in the Amount Previously 
 Reported column, then enter corrected taxable wages in the Corrected Amount column (this should include the 
 taxable wages for all employees) 
 · State Experience Rate @ - multiply the corrected taxable wages by the state experience rate assigned for 
 Quarter/Year of adjustment 
 · Contribution Overpaid/Underpaid - enter amount of contribution overpaid/underpaid based on original report 
 submitted 
 · Interest Due - use calculation provided on form to determine additional interest that may be due  
 · Total Additional Due - enter amount of additional contribution and interest due if applicable  

Section 5 Instructions: 
 · Authorized Signature - signature of the individual authorized to make changes to employer's myIowaUI account 
 · Preparer's Signature - signature of the individual that is preparing wage adjustment 
 · Preparer's Title - enter title of individual that is preparing wage adjustment 
 · Phone - enter phone number of individual to be contacted if Iowa Workforce Development has questions 
 · Date Submitted - enter date wage adjustment was submitted to Iowa Workforce Development 

                               Employer's Wage Adjustment Report 68-0061 (01-2024)
                            Phone:  (888) 848-7442     Email:  iwduitax@iwd.iowa.gov 
                                           www.workforce.iowa.gov  
                                    Equal Opportunity Employer/Program 
           Auxiliary aids and services are available upon request to individuals with disabilities. 
                                    For deaf and hard of hearing, use Relay 711.

                                                                   Unemployment Insurance Tax Bureau 
                                                                                         1000 E Grand Avenue 
                                                                                         Des Moines, Iowa 50319 

Section 1

UI Account #:                         FEIN:

Legal Business Name :

Year:                Reporting Unit #:

Section 2: Adjustment to Reported Wage Detail Due to Out of State Wages

Quarter                                 Employee Name                             Out of State Taxable           State Wages Worked Here 
Wages    Social Security Number                                                   Wages Reported                 Reported To Before Iowa Y/N
Earned                                        Last, First, MI

Section 3
Authorized Signature:                                                                    Date Submitted:

Print Preparer's Name:                                  Preparer's Title:                                        Phone:

Fax Completed Form to:  515-242-6301     OR     Mail Completed Form to:  Iowa Workforce Development 
                                                                           Unemployment Insurance Tax Bureau 
                                                                           1000 E Grand Ave 
                                                                           Des Moines, IA 50319-0209

                                              Print Form

                                Employer's Wage Adjustment Report 68-0061 (01-2024)
                                Phone:  (888) 848-7442     Email:  iwduitax@iwd.iowa.gov 
                                              www.workforce.iowa.gov  
                                        Equal Opportunity Employer/Program 
                        Auxiliary aids and services are available upon request to individuals with disabilities. 
                                      For deaf and hard of hearing, use Relay 711.

                                                                Unemployment Insurance Tax Bureau 
                                                                                        1000 E Grand Avenue 
                                                                                      Des Moines, Iowa 50319 

Section 1 Instructions: 
 · Enter 8 digit myIowaUI account number 
 · Enter 9 digit Federal Employer Identification Number  
 · Enter Legal Business Name as it appears in myIowaUI 
 · Enter Year of adjustment 
 · Enter Reporting Unit number 

Section 2 Instructions: 
 · Quarter Wages Earned - enter the quarter in which the wages were earned in another state 
 ·Social Security Number Reported As - enter social security number as reported on original report for Quarter/
 Year 
 · Employee Name - enter name of employee in the following format: Last Name, First Name, Middle Initial 
 ·Out of State Taxable Wages Reported - enter thetaxable wages reported to the state earned in, other than Iowa. 
 Taxable wages must be reported by the quarter in which they were earned and not as an accumulated amount.  
 Credit is determined by which state the employee first met the taxable wage base.  If employees taxable wages 
 combined with Iowa wages exceed the other states taxable wage base then the credit will be reduced by the 
 amount up to the wage base from which the state credit was requested.  
   o For example: Employee worked in Nebraska and earned $7000.00 taxable wages for 1 st                       quarter. 
         Employee came to work in Iowa 2 ndquarter and earned $7000.00.  In 3 rdquarter the employee worked in 
         Nebraska first and earned $5000.00 then Iowa that same quarter and earned $5000.00.  Credit is given for 
         the $7000.00 earned in Nebraska for the 1 stquarter but no additional credit given since taxable wage base 
         of $9000.00 in Nebraska had been met with Iowa's combined taxable wages. 
   o The following link will direct you to a list of all State Unemployment Insurance Taxable Wage Bases:   
         http://www.americanpayroll.org/members/stateui/state-ui-2 
 · State Wages Reported To - enter the two letter state abbreviation in which taxable wages were earned and 
 reported, other than Iowa 
   o The following link will direct you to a list of all US State Abbreviations:  
   http://state.1keydata.com/state-abbreviations.php 
 · Worked Here Before Iowa Y/N  - enter “Y”  for yes or “N” for no to show if the employee earned wages in the 
 other state before wages were earned in Iowa  

Section 3 Instructions: 
 · Authorized Signature - signature of the individual authorized to make changes to employer's MyIowaUI account 
 · Preparer's Signature - signature of the individual that is preparing wage adjustment 
 · Preparer's Title - enter title of individual that is preparing wage adjustment 
 · Phone - enter phone number of individual to be contacted if Iowa Workforce Development has questions 
 · Date Submitted - enter date wage adjustment was submitted to Iowa Workforce Development 

                               Employer's Wage Adjustment Report 68-0061 (01-2024)
                             Phone:  (888) 848-7442     Email:  iwduitax@iwd.iowa.gov 
                                           www.workforce.iowa.gov  
                                     Equal Opportunity Employer/Program 
                      Auxiliary aids and services are available upon request to individuals with disabilities. 
                                  For deaf and hard of hearing, use Relay 711.