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                                                                                       Employer’s Quarterly Report for Employees                                                 RT-6EW
                                                                                                                                                                                 R. 07/23
                                                                                            Contracted to Governmental or                                                        Rule 73B-10.037, F.A.C. 
                                                                                            Nonprofit Educational Institutions                                                   Effective XX/XX
                                                                                                                                                                                 Page 1 of 2
                                                                                                                                                                                 Provisional
Quarter Ending                              Employer’s Name                                                                                                     RT Account Number

          /         /
                                                                                                                                                                F.E.I. Number
10. Employee’s Social Security Number (SSN)                                                                                                                     - 
11.Employee’s Name  (please print first twelve characters of last name and first eight 12a.  Employee’s Florida Gross Wages Paid this Quarter
    characters of first name in boxes)                                                 12b.  Employee’s Florida Taxable Wages Paid this Quarter                 12c.  Employee’s Wages Paid this Quarter Under 
                                                                                                                                                                    a Contract with an Educational Institution.
                                                                                       Only the first $7,000 paid to each employee per calendar year is taxable.
10. SSN
                     -                   -
11. Last
    Name                                                                               12a.
    First                                   Middle
    Name                                    Initial                                    12b.                                                                     12c.   
10. SSN
                     -                   -
11. Last
    Name                                                                               12a.
    First                                   Middle
    Name                                    Initial                                    12b.                                                                     12c.   
10. SSN
                     -                   -
11. Last
    Name                                                                               12a.
    First                                   Middle
    Name                                    Initial                                    12b.                                                                     12c.   
10. SSN
                     -                   -
11. Last
    Name                                                                               12a.
    First                                   Middle
    Name                                    Initial                                    12b.                                                                     12c.   
10. SSN
                     -                   -
11. Last
    Name                                                                               12a.
    First                                   Middle
    Name                                    Initial                                    12b.                                                                     12c.   
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 of the RT-6.                      13a.
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 of the RT-6.                  13b.

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 
the Employment Eligibility Verification     (Form                     USCIS  -9),I     if E-Verify is not available within three business days of a new hire,
to verify the employment eligibility of newly hired employees.

                                                                                         Signature       _________________________________________________
                                                                                       Title                _________________________________________________
                                                                                       Today’s Date  _________________________________________________

                                                                                            Instructions
This schedule is used by private employers who have a                                                     Line 10 - Enter each employee’s social security number 
contract to provide services to a governmental or nonprofit                                               (Nine digits – Do not suppress the leading zeros). Every 
educational institution. Wages paid to the employees of a                                                 employee, regardless of age, is required to have a social 
private employer who perform services covered by a contract                                               security number. If the employee’s SSN is not included, no 
with a governmental or non-profit educational institution must                                            credit will be given for previously reported taxable wages.
be reported on this schedule. This form must be submitted 
with the completed first page (containing items 1 through 9)                                              Line 11 – Enter each employee’s last name, first name, 
of your Employer’s Quarterly Report (RT-6).                                                               and middle initial.



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                                                                                                                            RT-6EW
                                                                                                                            R. 07/23
                                                                                                                            Page 2 of 2
Line 12a – Enter each employee’s Gross Wages paid for          any other public or private agency, person, partnership, 
the quarter as defined in Line 2 of the RT-6 instructions      corporation, or business entity acting on behalf of any public 
(RT-6N). Gross wages should not include wage items             agency.
specifically exempt per section 443.1217(2)(b)-(g), Florida 
Statutes (F.S.).                                               Employees - Individuals filling a permanent position who 
                                                               perform labor or services under the control or direction 
Line 12b – Enter each employee’s Taxable Wages paid for        of an employer that has the power or right to control and 
the quarter.                                                   direct the employee in the material details of how the work 
                                                               is to be performed in exchange for salary, wages, or other 
Line 12c – Enter each employee’s wages paid this quarter       remuneration. The term “employee” does not include an 
for services performed under a contract with a governmental    individual hired for casual labor which is to be performed 
or non-profit educational institution.                         entirely within a private residence, or an independent 
                                                               contractor, as defined in federal laws or regulations, hired 
Line 13a – Enter the total gross wages for this page. All      to perform a specified portion of labor or services.
wages from this page and any attached pages must be 
included in Line 2 on the front of the RT-6.                   Employers or employee leasing companies required to certify 
                                                               use of E-Verify must sign, date, and enter their title on the first 
Line 13b – Enter the total taxable wages for this page. All    Reemployment Tax report or return filed each calendar year 
wages from this page and any attached pages must be            if the entity he or she represents utilizes the E-Verify system 
included in Line 4 on the front of the RT-6.                   or Form USCIS  -9,Iif E-Verify is not available within three 
                                                               days of the new hire, to verify employment eligibility. Entities 
E-Verify Certification                                         required to verify employment who don’t do so are subject to 
Florida law requires public agencies and private employers     a fine.
that employ 25 or more employees to certify on their first 
Reemployment Tax report or return filed each calendar year     Social security numbers (SSNs) are used by the Florida 
that they use the E-Verify system. E-Verify is an internet-    Department of Revenue as unique identifiers for the 
based system operated by the U.S. Department of Homeland       administration of Florida’s taxes. SSNs obtained for tax 
Security that allows participating employers to electronically administration purposes are confidential under sections 
verify employment eligibility of all newly hired employees.    213.053 and 119.071, Florida Statutes, and not subject 
Additional information on the free E-Verify system may be      to disclosure as public records. Collection of your SSN is 
found at e-verify.gov/employers.                               authorized under state and federal law. Visit 
                                                               floridarevenue.com/privacy for more information regarding 
If the E-Verify system is unavailable for three business days  the state and federal law governing the collection, use, or 
after the first day that the new employee begins working       release of SSNs, including authorized exceptions.
for pay, an employer must use the Employment Eligibility 
Verification (Form USCIS  -9)Ito verify employment eligibility.Contact Us
                                                               Tax forms and brochures are available at
In the absence of a written agreement or understanding with    floridarevenue.com/forms.
a client company, an employee leasing company must certify 
use of the E-Verify system on the first return or report filed Information and tutorials are available at 
within a calendar year.                                        floridarevenue.com/taxes/education.

The following definitions apply to the certification           To speak with a Department of Revenue representative, 
requirement:                                                   call Taxpayer Services at 850-488-6800, Monday through 
Public agency - Any office, department, agency, division,      Friday, excluding holidays.
subdivision, political subdivision, board, bureau, commission, 
authority, district, public body, body politic, state, county, 
city, town, village, municipality, or any other separate unit 
of government created or established pursuant to law, and 






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