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

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

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: March 27, 2015