Multiple Worksite Report State Forms
All forms below are presented in PDF format

Maine Vermont New Hampshire Massachusetts New York Rhode Island Connecticut Pennsylvania New Jersey Delaware Maryland Washington DC West Virginia Virginia North Carolina South Carolina Georgia Florida Alabama Tennessee Kentucky Ohio Indiana Michigan Wisconsin Illinois Mississippi Louisiana Arkansas Missouri Iowa Minnesota North Dakota South Dakota Nebraska Kansas Oklahoma Texas New Mexico Colorado Wyoming Montana Idaho Nevada Utah Arizona Washington Oregon California US Virgin Islands Puerto RicoAlaska Hawaii

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z

A

Alabama (AL)

Alaska (AK)

Arizona (AZ)

Arkansas (AR)

C

California (CA)

Colorado (CO)

Connecticut (CT)

D

Delaware (DE)

District of Columbia (DC)

F

Florida (FL)

G

Georgia (GA)

H

Hawaii (HI)

I

Idaho (ID)

Illinois (IL)

Indiana (IN)

Iowa (IA)

K

Kansas (KS)

Kentucky (KY)

L

Louisiana (LA)

M

Maine (ME)

Maryland (MD)

Massachusetts (MA)

Michigan (MI)

Minnesota (MN)

Mississippi (MS)

Missouri (MO)

Montana (MT)

N

Nebraska (NE)

Nevada (NV)

New Hampshire (NH)

New Jersey (NJ)

New Mexico (NM)

New York (NY)

North Carolina (NC)

North Dakota (ND)

O

Ohio (OH)

Oklahoma (OK)

Oregon (OR)

P

Pennsylvania (PA)

Puerto Rico (PR)

R

Rhode Island (RI)

S

South Carolina (SC)

South Dakota (SD)

T

Tennessee (TN)

Texas (TX)

U

Utah (UT)

V

Vermont (VT)

Virgin Islands (VI)

Virginia (VA)

W

Washington (WA)

Washington DC (DC)

West Virginia (WV)

Wisconsin (WI)

Wyoming (WY)

 

Last Modified Date: January 6, 2004