FloridaFlorida DepartmentDepartment ofof RevenueRevenue EmployerEmployer’s Quarterly Report’s Quarterly Report                                        RT-6
                                                                                                                                                                                          R. 07/23
                                                           Employers are required to file quarterly tax/wage reports regardless                                                     Rule 73B-10.037, F.A.C. 
                                                                                                                                                                                          Effective XX/XX
                                                                           of employment activity or whether any taxes are due.                                                           Page 1 of 2
                                                                           Use Black Ink to Complete This Form                                                                            Provisional
QUARTER ENDING                             DUE DATE                        PENALTY AFTER DATE                  TAX RATE                             RT ACCOUNT NUMBER

        /              /
Use black ink.  Example A - Handwritten  Example B - Typed                                                             Do not make changes           If you do not have an account number, you 
            Example A                  Example B                                                                       to the pre-printed            are required to register (see instructions).
0  1  2   3  4   5  6  7  8  9 0123456789                                                                              information on this form. If F.E.I. NUMBER
                                                                                                                       changes are needed, visit 
                                                                                                                       floridarevenue.com/taxes/
                                                                                                                       updateaccount to update 
                                                                                                                       your information.            FOR OFFICIAL USE ONLY POSTMARK DATE
                                                                                     Reverse Side Must be Completed
Name                                                                                                                                                                         /      /
Mailing                                                                              2.  Gross wages paid this quarter
Address                                                                                  (Must total all pages)
City/St/ZIP                                                                          3.  Excess wages paid this quarter
                                                                                         (See instructions)
                                                                                     4.  Taxable wages paid this quarter
Location                                                                                 (See instructions)
Address                                                                              5.  Tax due
City/St/ZIP                                                                              (Multiply Line 4 by Tax Rate)
                                                                                     6.  Penalty due
1.  Enter the total number                                                               (See instructions)
of full-time and part-time   1st Month                                               7.  Interest due
covered workers who                                   ,                                  (See instructions)
performed services during or 2nd Month                                               8.  Installment fee
period including the 12th of 
received pay for the payroll                          ,                                  (See instructions)
the month.                   3rd Month
                                                      ,                              9a. Total amount due
                                                                                         (See instructions)
Check if final return:
Date operations ceased.                                                              9b. Amount Enclosed
                                                                                         (See instructions)
Check if you had out-of-state wages. Attach Employer’s                                                         If you are filing as a sole proprietor, is this for 
Quarterly Report for Out-of-State Taxable Wages (RT-6NF).                                                      domestic (household) employment only?
                                                                                RT-6                                                                                                 Yes   No
                               Under penalties of perjury, I declare that I have read this return and the facts stated in it are true (section 443.171(5), Florida Statutes).
Signature                                                                       Date                       Title
Preparer’s
signature                                                                       Date                       Phone      (           )                     Fax                  (           )
            Firm’s name                                                                                    Preparer check                  Preparer’s 
            (or yours if       Name                                                                        if self-employed                SSN or PTIN 
Paid        self-employed)
preparers                      Address                                                                                                              FEIN
only
            Address                                                                                                                       Preparer’s 
                               City/St/ZIP                                                                                                phone number  (           )
                                                                                                                                                                             DO NOT 
                                                      Employer’s Quarterly Report Payment Coupon                                                                             DETACH          RT-6
                                                                                                                                                                                          R. 07/23
Florida Department of Revenue  COMPLETE and MAIL with your REPORT/PAYMENT.                                                                DOR  USE  ONLY
                               Please write your RT ACCOUNT NUMBER on check.
                               Make check payable to: Florida U.C. Fund 
                                                                                                                            POSTMARK OR HAND-DELIVERY DATE

RT ACCOUNT NO.
                                                           RT-6                                                                                     U.S. Dollars                          Cents
F.E.I. NUMBER                                                                                        GROSS WAGES
                                                                                                     (From Line 2 above.)
                                                                                               AMOUNT ENCLOSED
                                                                                                (From Line 9b above.)
Name                                                                                 PAYMENT FOR QUARTER 
                                                                                                      ENDING MM/YY                         -
Mailing
Address                                                                                         Check here if you are electing to                       Check here if you transmitted 
City/St/ZIP                                                                                     pay tax due in installments.                            funds electronically.

                                                           9100 0 99999999 0068054031 7 5009999999 0000 49100 0 99999999 0068054031 7 5009999999 0000 4

                                           Florida Department of Revenue Employer’s Quarterly Report
                                             Employers are required to file quarterly tax/wage reports regardless                                                            RT-6
                                                                                                                                                       R. 07/23
                                                        of employment activity or whether any taxes are due.                                        Page 2 of 2
                                                           Use Black Ink to Complete This Form
QUARTER ENDING                         EMPLOYER’S NAME                                                                           RT ACCOUNT NUMBER
       /          /                                                                                                                                 

10.  EMPLOYEE’S SOCIAL SECURITY NUMBER 11.  EMPLOYEE’S NAME (please print first twelve characters of last name and first      12a.  EMPLOYEE’S GROSS WAGES PAID THIS QUARTER
                                           eight characters of first name in boxes)                                           12b.  EMPLOYEE’S TAXABLE WAGES PAID THIS QUARTER
                                                                                                                                Only the first $7,000 paid to each employee per calendar year is taxable.
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       Last
          -          -                 Name                                                                              12a.                                                
                                       First                                            Middle
                                       Name                                             Initial                          12b.                                                
                                       13a.  Total Gross Wages (add Lines 12a only). Total this page only. 
                                       Include this and totals from additional pages in Line 2 on page 1.                                                                    
                                       13b.  Total Taxable Wages (add Lines 12b only). Total this page only. 
                                       Include this and totals from additional pages in Line 4 on page 1.                                                                          
                                                           DO NOT DETACHDO NOT DETACH

E-Verify Certification

I attest, under penalty of perjury, that this employer uses the E-Verify system defined in section 448.095(1)(c), Florida Statutes 
or theEmployment (Form USCIS I-9), if E-Verify is not available within three business days of a new hire,                                                                                                Eligibility Verification
to verify the employment eligibility of newly hired employees.
                                                                           Signature       _________________________________________________
                                                                           Title                _________________________________________________
                                                                           Today’s Date  _________________________________________________

Mail Reply To:                                              Social security numbers (SSNs) are used by the Florida Department of Revenue as unique 
Reemployment Tax                                            identifiers for the administration of Florida’s taxes. SSNs obtained for tax administration 
Florida Department of Revenue                               purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not 
5050 W Tennessee St                                         subject to disclosure as public records. Collection of your SSN is authorized under state 
Tallahassee FL 32399-0180                                   and federal law. Visit floridarevenue.com/Privacy for more information regarding the state 
                                                            and federal law governing the collection, use, or release of SSNs, including authorized 
                                                            exceptions.