Welcome to the Agency Quarterly Report Application
This Web page offers Employing Agency performance information
for the timely submission of CA-1/CA-2 and CA-7 forms.
First, select either the CA-1/CA-2 or the CA-7 button below. Then identify your preferred chargeback code(s).
Please follow these guidelines:
Single chargeback code: Enter the four digits of the chargeback
code (e.g. 1234).
Multiple non-sequential chargeback codes: Enter the four digit
codes, each separated by a comma but no space (e.g. 1234,2345,3456).
Sequential range of chargeback codes: Enter the lowest and
highest four digit codes, separated by a hyphen (e.g. 4567-4999).
Combination: Enter both as described above (e.g.