@var_include_rm1_@ @var_include_rm2_@
Name/Address: @VAR_Employee_Name_@ 
@VAR_Address_Delivery_@ 
@VAR_City_@, @VAR_State_@  @VAR_Zip_Code_@ 
Phone Number: @VAR_Phone_Number_@
Location: @VAR_Work_Location_@
Classification: @VAR_Emp_Class_@

State ID: @VAR_State_Code_@
Locality ID: @VAR_Locality_Code_@
  QTD Gross QTD W/H YTD Gross YTD W/H Fiscal Gross Fiscal W/H
State: N/A N/A N/A N/A N/A N/A
SUI: N/A N/A N/A N/A N/A N/A
SUI-ER: N/A   N/A   N/A  
Local: @VAR_Local_Gross_Qtd_@ @VAR_Local_Tax_W/H_Qtd_@ @VAR_Local_Gross_Ytd_@ @VAR_Local_Tax_W/H_Ytd_@ @VAR_Local_Gross_Fiscal_@ @VAR_Local_Tax_W/H_Fiscal_@
 
  Qtr-to-date Year-to-date Fiscal-to-date
Total Pay for this SWT/LOC: @VAR_SWT/LOC_Basis_Qtd_@ @VAR_SWT/LOC_Basis_Ytd_@ @VAR_SWT/LOC_Basis_FiscTD_@
Total Pay for this SUI State: N/A N/A N/A
Weeks Worked at this SUI State: N/A N/A N/A
@var_include_rm1_@