LC Forms

3. *Name of Municipal Self-Insured Employer:

4. *Mailing Address

","contentType":"text/html"}]}],"extras":{"htmlId":"_7"},"h":"5.2331mm","name":"MailingAddress","w":"31.276mm","y":"29.526mm"},{"_class":"area","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_8","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].#area[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Mailing address number and street"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Number and Street:"}]}],"reserve":"29.632mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1009","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_9","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].#area[0].carrierAddr1[0]","name":"FS_SOM"},{"_class":"text","_value":"Number and Street:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].carrierAddr1[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[0].#area[0].carrierAddr1[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57415084","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"traversal","children":[{"_class":"traverse","ref":"carrierCity[0]"}]},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"50"}]}],"extras":{"htmlId":"_9","dataId":"57415084","caption":"Number and Street:","tabIndex":"1009"},"h":"6.734mm","name":"carrierAddr1","w":"171.297mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Mailing Address City"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"City:"}]}],"reserve":"29.6316mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1010","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_10","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].#area[0].carrierCity[0]","name":"FS_SOM"},{"_class":"text","_value":"City:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].carrierCity[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[0].#area[0].carrierCity[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57415236","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.254mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"traversal","children":[{"_class":"traverse","ref":"carrierState[0]"}]},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"30"}]}],"extras":{"htmlId":"_10","dataId":"57415236","caption":"City:","tabIndex":"1010"},"h":"6.759mm","name":"carrierCity","w":"87.88mm","x":"0.001mm","y":"7.242mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Mailing Address State. Select from list"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.0762mm"},{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.0762mm"},{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.0762mm"},{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.0762mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.0762mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"State:"}]}],"reserve":"9.74mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1011","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_11","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].#area[0].carrierState[0]","name":"FS_SOM"},{"_class":"text","_value":"State:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].carrierState[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[0].#area[0].carrierState[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57415388","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"items","children":[{"_class":"text","_value":" Select State"},{"_class":"text","_value":"New York"},{"_class":"text","_value":"Alabama"},{"_class":"text","_value":"Alaska"},{"_class":"text","_value":"Arizona"},{"_class":"text","_value":"Arkansas"},{"_class":"text","_value":"California"},{"_class":"text","_value":"Colorado"},{"_class":"text","_value":"Connecticut"},{"_class":"text","_value":"Delaware"},{"_class":"text","_value":"Dist of Columbia"},{"_class":"text","_value":"Florida"},{"_class":"text","_value":"Georgia"},{"_class":"text","_value":"Hawaii"},{"_class":"text","_value":"Idaho"},{"_class":"text","_value":"Illinois"},{"_class":"text","_value":"Indiana"},{"_class":"text","_value":"Iowa"},{"_class":"text","_value":"Kansas"},{"_class":"text","_value":"Kentucky"},{"_class":"text","_value":"Louisiana"},{"_class":"text","_value":"Maine"},{"_class":"text","_value":"Maryland"},{"_class":"text","_value":"Massachusetts"},{"_class":"text","_value":"Michigan"},{"_class":"text","_value":"Minnesota"},{"_class":"text","_value":"Mississippi"},{"_class":"text","_value":"Missouri"},{"_class":"text","_value":"Montana"},{"_class":"text","_value":"Nebraska"},{"_class":"text","_value":"Nevada"},{"_class":"text","_value":"New Hampshire"},{"_class":"text","_value":"New Jersey"},{"_class":"text","_value":"New Mexico"},{"_class":"text","_value":"New York"},{"_class":"text","_value":"North Carolina"},{"_class":"text","_value":"North Dakota"},{"_class":"text","_value":"Ohio"},{"_class":"text","_value":"Oklahoma"},{"_class":"text","_value":"Oregon"},{"_class":"text","_value":"Pennsylvania"},{"_class":"text","_value":"Rhode Island"},{"_class":"text","_value":"South Carolina"},{"_class":"text","_value":"South Dakota"},{"_class":"text","_value":"Tennessee"},{"_class":"text","_value":"Texas"},{"_class":"text","_value":"Utah"},{"_class":"text","_value":"Vermont"},{"_class":"text","_value":"Virginia"},{"_class":"text","_value":"Washington"},{"_class":"text","_value":"West Virginia"},{"_class":"text","_value":"Wisconsin"},{"_class":"text","_value":"Wyoming"}]},{"_class":"items","children":[{"_class":"text"},{"_class":"text","_value":"NY"},{"_class":"text","_value":"AL"},{"_class":"text","_value":"AK"},{"_class":"text","_value":"AZ"},{"_class":"text","_value":"AR"},{"_class":"text","_value":"CA"},{"_class":"text","_value":"CO"},{"_class":"text","_value":"CT"},{"_class":"text","_value":"DE"},{"_class":"text","_value":"DC"},{"_class":"text","_value":"FL"},{"_class":"text","_value":"GA"},{"_class":"text","_value":"HI"},{"_class":"text","_value":"ID"},{"_class":"text","_value":"IL"},{"_class":"text","_value":"IN"},{"_class":"text","_value":"IA"},{"_class":"text","_value":"KS"},{"_class":"text","_value":"KY"},{"_class":"text","_value":"LA"},{"_class":"text","_value":"ME"},{"_class":"text","_value":"MD"},{"_class":"text","_value":"MA"},{"_class":"text","_value":"MI"},{"_class":"text","_value":"MN"},{"_class":"text","_value":"MS"},{"_class":"text","_value":"MO"},{"_class":"text","_value":"MT"},{"_class":"text","_value":"NE"},{"_class":"text","_value":"NV"},{"_class":"text","_value":"NH"},{"_class":"text","_value":"NJ"},{"_class":"text","_value":"NM"},{"_class":"text","_value":"NY"},{"_class":"text","_value":"NC"},{"_class":"text","_value":"ND"},{"_class":"text","_value":"OH"},{"_class":"text","_value":"OK"},{"_class":"text","_value":"OR"},{"_class":"text","_value":"PA"},{"_class":"text","_value":"RI"},{"_class":"text","_value":"SC"},{"_class":"text","_value":"SD"},{"_class":"text","_value":"TN"},{"_class":"text","_value":"TX"},{"_class":"text","_value":"UT"},{"_class":"text","_value":"VT"},{"_class":"text","_value":"VA"},{"_class":"text","_value":"WA"},{"_class":"text","_value":"WV"},{"_class":"text","_value":"WI"},{"_class":"text","_value":"WY"}],"presence":"hidden","save":"1"},{"_class":"margin","bottomInset":"0.254mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"traversal","children":[{"_class":"traverse","ref":"carrierZip[0]"}]},{"_class":"ui","children":[{"_class":"choiceList","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_11","dataId":"57415388","caption":"State:","tabIndex":"1011"},"h":"6.759mm","name":"carrierState","w":"43.405mm","x":"89.624mm","y":"7.242mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Mailing Address Zip Code"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Zip Code:"}]}],"reserve":"16.0533mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1012","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_12","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].#area[0].carrierZip[0]","name":"FS_SOM"},{"_class":"text","_value":"Zip Code:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].carrierZip[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[0].#area[0].carrierZip[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57415540","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.254mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"traversal","children":[{"_class":"traverse","ref":"ReportingPeriod[0]"}]},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"10"}]}],"extras":{"htmlId":"_12","dataId":"57415540","caption":"Zip Code:","tabIndex":"1012"},"h":"6.759mm","name":"carrierZip","w":"36.588mm","x":"134.536mm","y":"7.242mm"}],"extras":{"htmlId":"_8"},"x":"23.788mm","y":"34.756mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Calendar Year for the reporting period"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"1. Calendar Year:"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1026","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_13","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].calendarYear[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num{zzzz}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"zzzz","name":"mask"}]},{"_class":"text","_value":"1. Calendar Year:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].calendarYear[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[0].calendarYear[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57415692","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num{zzzz}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"2025","fracDigits":"0","leadDigits":"4"}]}],"extras":{"htmlId":"_13","displayPatternEx":[{"category":"num","locale":"en_US","mask":"zzzz"}],"dataId":"57415692","caption":"1. Calendar Year:","tabIndex":"1026"},"access":"readOnly","h":"0.261389in","name":"calendarYear","w":"76.2mm","y":"58.126mm","displayPattern":"num{zzzz}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Quarter Ending. Select from list"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","vAlign":"bottom"},{"_class":"value","children":[{"_class":"exData","_value":"

2. *Quarter Ending:

Payroll for period January 1 - March 31

","contentType":"text/html"}]}],"extras":{"htmlId":"_20"},"h":"5.9384mm","name":"thru3-31"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_21","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row1[0].payBy4-30[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Form & payment postmarked by April 30"}]}],"extras":{"htmlId":"_21"},"h":"5.9384mm","name":"payBy4-30"}],"extras":{"htmlId":"_18","tabIndex":"-1"},"layout":"row","name":"Row1","x":"-0.001mm"},{"_class":"instanceManager","name":"_Row2"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_22","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row2[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row2[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_23","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row2[0].Q2[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Q2"}]}],"extras":{"htmlId":"_23"},"h":"5.9384mm","name":"Q2"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_24","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row2[0].thru6-30[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Payroll for period April 1 - June 30 "}]}],"extras":{"htmlId":"_24"},"h":"5.9384mm","name":"thru6-30"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_25","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row2[0].payBy7-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Form & payment postmarked by July 31"}]}],"extras":{"htmlId":"_25"},"h":"5.9384mm","name":"payBy7-31"}],"extras":{"htmlId":"_22","tabIndex":"-1"},"layout":"row","name":"Row2","x":"-0.001mm"},{"_class":"instanceManager","name":"_Row3"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_26","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row3[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row3[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_27","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row3[0].Q3[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Q3"}]}],"extras":{"htmlId":"_27"},"h":"5.9384mm","name":"Q3"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_28","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row3[0].thru9-30[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Payroll for period July 1 - September 30"}]}],"extras":{"htmlId":"_28"},"h":"5.9384mm","name":"thru9-30"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_29","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row3[0].payBy10-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

Form & payment postmarked by October 31

","contentType":"text/html"}]}],"extras":{"htmlId":"_29"},"h":"5.9384mm","name":"payBy10-31"}],"extras":{"htmlId":"_26","tabIndex":"-1"},"layout":"row","name":"Row3","x":"-0.001mm"},{"_class":"instanceManager","name":"_Row4"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_30","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row4[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row4[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_31","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row4[0].Q4[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Q4"}]}],"extras":{"htmlId":"_31"},"h":"6.1183mm","name":"Q4"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_32","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row4[0].thru12-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Payroll for period October 1 - December 31"}]}],"extras":{"htmlId":"_32"},"h":"5.9384mm","name":"thru12-31"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_33","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].RemitSchedule[0].Row4[0].payBy1-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Form & payment postmarked by January 31"}]}],"extras":{"htmlId":"_33"},"h":"6.1183mm","name":"payBy1-31"}],"extras":{"htmlId":"_30","tabIndex":"-1"},"layout":"row","name":"Row4","x":"-0.001mm"}],"extras":{"htmlId":"_17","tabIndex":"-1"},"layout":"table","columnWidths":"8.3504mm 56.798mm 58.427mm","h":"24.016mm","name":"RemitSchedule","x":"79.064mm","y":"53.476mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_34","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].AssessmentBasis[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","size":"12pt","weight":"bold"},{"_class":"para"},{"_class":"traversal","children":[{"_class":"traverse","ref":"AssessBasis[0]"}]},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"C. Basis for Assessment:"}]}],"extras":{"htmlId":"_34"},"h":"5.503mm","name":"AssessmentBasis","w":"68.029mm","y":"83.135mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_35","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].Text3[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

* Indicates a required field

","contentType":"text/html"}]}],"extras":{"htmlId":"_35"},"h":"5.2331mm","name":"Text3","w":"44.105mm","x":"86.959mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_36","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].Text4[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"0,0,255"}]}],"typeface":"Arial","baselineShift":"0pt","underline":"1"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

GA-4 Instructions

","contentType":"text/html"}]}],"extras":{"htmlId":"_36"},"h":"4.528mm","name":"Text4","w":"30.849mm","x":"171.79mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - WCB Identification Number - this is the Board assigned W Number. It begins with a W followed by 6 digits."}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"exData","_value":"

1. *WCB Identification Number (W Number):

","contentType":"text/html"}]}],"reserve":"70.272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1005","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_37","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[0].carrierCodeNumber[0]","name":"FS_SOM"},{"_class":"text","_value":"1. *WCB Identification Number (W Number):","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].carrierCodeNumber[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[0].carrierCodeNumber[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57416756","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"7"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = this.rawValue.toUpperCase();\nform1.GA4_1.carrierCodeNumber.rawValue = this.rawValue;\nform1.checkStub.carrierCodeNumber.rawValue = this.rawValue;\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_37","dataId":"57416756","caption":"1. *WCB Identification Number (W Number):","tabIndex":"1005"},"h":"6.402mm","name":"carrierCodeNumber","w":"121.5mm","y":"6.288mm"}],"extras":{"htmlId":"_3","tabIndex":"-1"},"w":"202.639mm"},{"_class":"breakBefore","target":"Page1","targetType":"pageArea"},{"_class":"instanceManager","name":"_AssessBasis"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_38","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"margin","leftInset":"0mm"},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"carrierSubform[0]"}]},{"_class":"instanceManager","name":"_carrierSubform"},{"_class":"subform","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_39","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"contentArea"},{"_class":"margin","bottomInset":"0mm","topInset":"0.1295mm"},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"Carrier[0]"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"},{"_class":"instanceManager","name":"_Carrier"},{"_class":"subform","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_40","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"contentArea"},{"_class":"occur"},{"_class":"overflow","leader":"HeaderRow"},{"_class":"instanceManager","name":"_HeaderRow","max":"-1"},{"_class":"subform","children":[{"_class":"assist","role":"TH"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_41","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].HeaderRow[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].HeaderRow[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur","max":"-1"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"payrollClassHR[0]"}]},{"_class":"draw","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Enter the Payroll Class Code"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_42","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].HeaderRow[0].payrollClassHR[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"-10.8pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

*(1) Payroll Class Code

","contentType":"text/html"}]}],"extras":{"htmlId":"_42"},"h":"10.8mm","name":"payrollClassHR","y":"0mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_43","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].HeaderRow[0].payrollClassDesc[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(2) Description"}]}],"extras":{"htmlId":"_43"},"h":"10.8mm","name":"payrollClassDesc","y":"0mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_44","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].HeaderRow[0].qrtlyPayrollDollard[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro","baselineShift":"0pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

*(3) Quarterly Payroll Dollars

","contentType":"text/html"}]}],"extras":{"htmlId":"_44"},"h":"10.8mm","name":"qrtlyPayrollDollard"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_45","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].HeaderRow[0].lessCostPayroll[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(4) Loss Cost Per Hundred Dollars of Payroll"}]}],"extras":{"htmlId":"_45"},"h":"10.8mm","name":"lessCostPayroll","w":"2in","y":"0mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_46","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].HeaderRow[0].totalLossCostCalc[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro","baselineShift":"0pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

(5) Total Loss Cost

(3) x (4) divided by $100

","contentType":"text/html"}]}],"extras":{"htmlId":"_46"},"h":"10.8mm","name":"totalLossCostCalc"}],"extras":{"htmlId":"_41","tabIndex":"-1"},"layout":"row","id":"HeaderRow_ID_copy1_copy1","name":"HeaderRow","y":"0mm"},{"_class":"instanceManager","name":"_SchoolDistricts","max":"-1"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_47","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur","max":"-1"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Payroll Class Code"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1035","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_48","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].payrollClassCode[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].payrollClassCode[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].payrollClassCode[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57416908","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Various"}]}],"extras":{"htmlId":"_48","dataId":"57416908","tabIndex":"1035"},"access":"protected","h":"6.35mm","name":"payrollClassCode"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Payroll Class Code description - automatically filled based on payroll class code"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1036","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_49","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].classDesc[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"text{999999999}","name":"picture"},{"_class":"text","_value":"text","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"999999999","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].classDesc[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].classDesc[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57417364","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"text{999999999}"}]},{"_class":"value","children":[{"_class":"text","_value":"School Districts - All Employees"}]}],"extras":{"htmlId":"_49","displayPatternEx":[{"category":"text","locale":"en_US","mask":"999999999"}],"dataId":"57417364","tabIndex":"1036"},"access":"readOnly","h":"6.35mm","name":"classDesc","displayPattern":"text{999999999}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Quarterly Payroll Dollars for School Districts Employees (exclude all other Municipal Employees)"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1037","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_50","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].qrtlyPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].qrtlyPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].qrtlyPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57417820","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","leadDigits":"10"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.page1.AssessBasis.carrierSubform.Carrier.SchoolDistricts.rowTotalLossCost.execCalculate();\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_50","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57417820","tabIndex":"1037"},"h":"6.35mm","name":"qrtlyPayroll","displayPattern":"num.currency{}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Less Cost Per Hundred Dollars of Payroll - automatically filled based on payroll class code"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1038","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_51","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].lessCost[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].lessCost[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].lessCost[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57417972","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":".5"}]}],"extras":{"htmlId":"_51","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57417972","tabIndex":"1038"},"access":"readOnly","h":"6.35mm","name":"lessCost","displayPattern":"num.currency{}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"School District Employees Total Loss Cost - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"this.rawValue = (form1.page1.AssessBasis.carrierSubform.Carrier.SchoolDistricts.qrtlyPayroll.rawValue * form1.page1.AssessBasis.carrierSubform.Carrier.SchoolDistricts.lessCost.rawValue) / 100;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1039","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_52","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].rowTotalLossCost[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].rowTotalLossCost[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].SchoolDistricts[0].rowTotalLossCost[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57418428","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"10"}]}],"extras":{"htmlId":"_52","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57418428","tabIndex":"1039"},"access":"readOnly","h":"6.35mm","name":"rowTotalLossCost","displayPattern":"num.currency{}"}],"extras":{"htmlId":"_47","tabIndex":"-1"},"layout":"row","name":"SchoolDistricts","y":"0mm"},{"_class":"instanceManager","name":"_Municipal"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_53","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"field","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1040","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_54","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].payrollClassCode[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].payrollClassCode[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].payrollClassCode[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57418580","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Various"}]}],"extras":{"htmlId":"_54","dataId":"57418580","tabIndex":"1040"},"access":"protected","h":"6.504mm","name":"payrollClassCode"},{"_class":"field","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1041","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_55","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].classDesc[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].classDesc[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].classDesc[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57419036","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"All Other Municipal Employees"}]}],"extras":{"htmlId":"_55","dataId":"57419036","tabIndex":"1041"},"access":"readOnly","h":"6.504mm","name":"classDesc"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Quarterly Payroll Dollars for Municipal Employees (excluding School Districts)"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1042","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_56","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].qrtlyPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].qrtlyPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].qrtlyPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57419492","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","leadDigits":"10"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.page1.AssessBasis.carrierSubform.Carrier.Municipal.rowTotalLossCost.execCalculate();\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_56","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57419492","tabIndex":"1042"},"h":"6.504mm","name":"qrtlyPayroll","displayPattern":"num.currency{}"},{"_class":"field","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1043","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_57","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].lessCost[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].lessCost[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].lessCost[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57419644","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"2.3"}]}],"extras":{"htmlId":"_57","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57419644","tabIndex":"1043"},"access":"readOnly","h":"6.504mm","name":"lessCost","displayPattern":"num.currency{}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Municipal Employees Total Loss Cost - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"this.rawValue = (form1.page1.AssessBasis.carrierSubform.Carrier.Municipal.qrtlyPayroll.rawValue * form1.page1.AssessBasis.carrierSubform.Carrier.Municipal.lessCost.rawValue) / 100;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1044","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_58","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].rowTotalLossCost[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].rowTotalLossCost[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].carrierSubform[0].Carrier[0].Municipal[0].rowTotalLossCost[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57420100","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"10"}]}],"extras":{"htmlId":"_58","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57420100","tabIndex":"1044"},"access":"readOnly","h":"6.504mm","name":"rowTotalLossCost","displayPattern":"num.currency{}"}],"extras":{"htmlId":"_53","tabIndex":"-1"},"layout":"row","name":"Municipal","y":"0mm"}],"extras":{"htmlId":"_40","tabIndex":"-1"},"layout":"table","columnWidths":"0.891694in 71.331mm 29.8499mm 27.09mm 32.809mm","name":"Carrier"}],"extras":{"htmlId":"_39","tabIndex":"-1"},"layout":"tb","name":"carrierSubform"},{"_class":"instanceManager","name":"_"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_59","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"margin","leftInset":"0mm","topInset":"0mm"},{"_class":"occur"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"},{"_class":"instanceManager","name":"_Totals"},{"_class":"subform","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_60","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"contentArea"},{"_class":"occur"},{"_class":"instanceManager","name":"_subtotalPayroll"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_61","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].subtotalPayroll[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].subtotalPayroll[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_62","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].subtotalPayroll[0].#draw[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"1.27mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(6) Subtotal Payroll"}]}],"extras":{"htmlId":"_62"},"colSpan":"2","h":"6.35mm","w":"93.617mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Subtotal Payroll - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"this.rawValue = form1.page1.AssessBasis.carrierSubform.Carrier.SchoolDistricts.qrtlyPayroll.rawValue + form1.page1.AssessBasis.carrierSubform.Carrier.Municipal.qrtlyPayroll.rawValue;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1046","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_63","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].subtotalPayroll[0].qrtlyPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].Totals[0].subtotalPayroll[0].qrtlyPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].subtotalPayroll[0].qrtlyPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57420252","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"10"}]}],"extras":{"htmlId":"_63","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57420252","tabIndex":"1046"},"access":"readOnly","h":"6.35mm","name":"qrtlyPayroll","displayPattern":"num.currency{}"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_64","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].subtotalPayroll[0].#draw[1]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_64"},"minH":"6.35mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_65","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].subtotalPayroll[0].#draw[2]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_65"},"h":"6.35mm"}],"extras":{"htmlId":"_61","tabIndex":"-1"},"layout":"row","name":"subtotalPayroll"},{"_class":"instanceManager","name":"_excludedlPayroll"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_66","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].excludedlPayroll[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].excludedlPayroll[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_67","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].excludedlPayroll[0].#draw[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"1.27mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(7) Excluded Payroll Not Subject to Assessment (if applicable)"}]}],"extras":{"htmlId":"_67"},"colSpan":"2","h":"6.35mm","w":"93.617mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Excluded Quarterly Payroll Dollars Not Subject to Assessment (if applicable) (enter minus sign)"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1050","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_68","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].excludedlPayroll[0].qrtlyPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].Totals[0].excludedlPayroll[0].qrtlyPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].excludedlPayroll[0].qrtlyPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57420404","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"255,0,0"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","leadDigits":"10"}]}],"extras":{"htmlId":"_68","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57420404","tabIndex":"1050"},"h":"6.35mm","name":"qrtlyPayroll","displayPattern":"num.currency{}"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_69","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].excludedlPayroll[0].#draw[1]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_69"},"minH":"6.35mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_70","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].excludedlPayroll[0].#draw[2]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_70"},"h":"6.35mm"}],"extras":{"htmlId":"_66","tabIndex":"-1"},"layout":"row","name":"excludedlPayroll"},{"_class":"instanceManager","name":"_totalPayroll"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_71","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalPayroll[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalPayroll[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_72","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalPayroll[0].#draw[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"1.27mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(8) Total Payroll = (6) + (7)"}]}],"extras":{"htmlId":"_72"},"colSpan":"2","h":"6.35mm","w":"93.617mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Total Payroll - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"this.rawValue = form1.page1.AssessBasis.Totals.subtotalPayroll.qrtlyPayroll.rawValue + form1.page1.AssessBasis.Totals.excludedlPayroll.qrtlyPayroll.rawValue;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1054","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_73","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalPayroll[0].qrtlyPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].Totals[0].totalPayroll[0].qrtlyPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalPayroll[0].qrtlyPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57420556","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"10"}]}],"extras":{"htmlId":"_73","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57420556","tabIndex":"1054"},"access":"readOnly","h":"6.35mm","name":"qrtlyPayroll","displayPattern":"num.currency{}"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_74","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalPayroll[0].#draw[1]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_74"},"minH":"6.35mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_75","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalPayroll[0].#draw[2]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_75"},"h":"6.35mm"}],"extras":{"htmlId":"_71","tabIndex":"-1"},"layout":"row","name":"totalPayroll"},{"_class":"instanceManager","name":"_totalLossCost"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_76","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalLossCost[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalLossCost[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_77","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalLossCost[0].totalLossCostTxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"1.27mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

(9) Total Loss Cost

","contentType":"text/html"}]}],"extras":{"htmlId":"_77"},"colSpan":"4","h":"6.35mm","name":"totalLossCostTxt","w":"150.919mm","y":"0mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Total Loss Cost - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"this.rawValue = form1.page1.AssessBasis.carrierSubform.Carrier.SchoolDistricts.rowTotalLossCost.rawValue + form1.page1.AssessBasis.carrierSubform.Carrier.Municipal.rowTotalLossCost.rawValue;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1058","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_78","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalLossCost[0].totalLossCost[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].Totals[0].totalLossCost[0].totalLossCost[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].totalLossCost[0].totalLossCost[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57420708","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"10"}]}],"extras":{"htmlId":"_78","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57420708","tabIndex":"1058"},"access":"readOnly","h":"6.35mm","name":"totalLossCost","y":"0mm","displayPattern":"num.currency{}"}],"extras":{"htmlId":"_76","tabIndex":"-1"},"layout":"row","name":"totalLossCost","y":"0mm"},{"_class":"instanceManager","name":"_TotalAssessmentRate"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_79","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentRate[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentRate[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_80","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentRate[0].assessmentRatetxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"1.27mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

(10) Assessment Rate

","contentType":"text/html"}]}],"extras":{"htmlId":"_80"},"colSpan":"4","h":"6.35mm","name":"assessmentRatetxt","w":"151.069mm","y":"0mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Assessment Rate - prefilled"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1060","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_81","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentRate[0].assessmentRate[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num{zz.zz%}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"zz.zz%","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].Totals[0].TotalAssessmentRate[0].assessmentRate[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentRate[0].assessmentRate[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57420860","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num{zz.zz%}"}]},{"_class":"value","children":[{"_class":"float","_value":".071"}]}],"extras":{"htmlId":"_81","displayPatternEx":[{"category":"num","locale":"en_US","mask":"zz.zz%"}],"dataId":"57420860","tabIndex":"1060"},"access":"protected","h":"6.35mm","name":"assessmentRate","y":"0mm","displayPattern":"num{zz.zz%}"}],"extras":{"htmlId":"_79","tabIndex":"-1"},"layout":"row","name":"TotalAssessmentRate","y":"0mm"},{"_class":"instanceManager","name":"_TotalAssessmentDue"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_82","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentDue[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentDue[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_83","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentDue[0].assessmentDuetxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(11) Total Assessment Due"}]}],"extras":{"htmlId":"_83"},"colSpan":"4","h":"6.35mm","name":"assessmentDuetxt","w":"151.069mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Total Assessment Due - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"var a = form1.page1.AssessBasis.Totals.totalLossCost.totalLossCost.rawValue;\nvar b = form1.page1.AssessBasis.Totals.TotalAssessmentRate.assessmentRate.rawValue;\na = new BigNumber(a);\nb = new BigNumber(b);\nvar total = a.multipliedBy(b);\nthis.rawValue = total;\nform1.checkStub.AssessmentDue.rawValue = total;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1062","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_84","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentDue[0].assessmentDue[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].AssessBasis[0].Totals[0].TotalAssessmentDue[0].assessmentDue[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].AssessBasis[0].#subform[1].Totals[0].TotalAssessmentDue[0].assessmentDue[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57421316","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"traversal","children":[{"_class":"traverse","ref":"#subform[3]"}]},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","leadDigits":"10"}]}],"extras":{"htmlId":"_84","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57421316","tabIndex":"1062"},"access":"readOnly","h":"6.35mm","name":"assessmentDue","displayPattern":"num.currency{}"}],"extras":{"htmlId":"_82","tabIndex":"-1"},"layout":"row","name":"TotalAssessmentDue"}],"extras":{"htmlId":"_60","tabIndex":"-1"},"layout":"table","columnWidths":"22.3848mm 71.268mm 29.8499mm 27.2092mm 32.739mm","name":"Totals","y":"0.23mm"}],"extras":{"htmlId":"_59","tabIndex":"-1"},"h":"38.771mm","w":"183.633mm","x":"0.386mm","y":"23.542mm"}],"extras":{"htmlId":"_38","tabIndex":"-1"},"name":"AssessBasis","w":"203.2mm"},{"_class":"instanceManager","name":"_"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_85","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"margin","topInset":"5.08mm"},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"#area[1].#subform[4]"}]},{"_class":"area","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_86","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"instanceManager","name":""},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_87","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1].#subform[4]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1].#subform[4]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"certSection[0]"}]},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_88","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certSection[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","baselineShift":"0pt","size":"12pt","weight":"bold"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"D. Certification:"}]}],"extras":{"htmlId":"_88"},"h":"5.385mm","name":"certSection","w":"40.478mm","y":"0mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Name of person certifying form"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9pt"},{"_class":"margin"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"exData","_value":"

*Name

","contentType":"text/html"}]}],"placement":"bottom","reserve":"3.97mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1065","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_89","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certifiedByName[0]","name":"FS_SOM"},{"_class":"text","_value":"*Name ","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].certifiedByName[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certifiedByName[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57421468","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"60"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.checkStub.certifiedByName.rawValue = this.rawValue;\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_89","dataId":"57421468","caption":"*Name ","tabIndex":"1065"},"h":"10.823mm","name":"certifiedByName","w":"100.584mm","y":"16.958mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Title of person certifying form"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"exData","_value":"

*Title

*Email Address

*Confirm Email Address

*Phone - ext.

","contentType":"text/html"}]}],"placement":"bottom","reserve":"4.064mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1069","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_93","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certifiedByPhoneNumber[0]","name":"FS_SOM"},{"_class":"text","_value":"*Phone - ext.","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].certifiedByPhoneNumber[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certifiedByPhoneNumber[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57422076","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"traversal","children":[{"_class":"traverse","ref":"certifiedByDate[0]"}]},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"30"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.checkStub.certifiedByPhoneNumber.rawValue = this.rawValue;\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_93","dataId":"57422076","caption":"*Phone - ext.","tabIndex":"1069"},"h":"10.823mm","name":"certifiedByPhoneNumber","w":"100.584mm","y":"41.155mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Enter today's date (automatically filled)"}]},{"_class":"calculate","override":"error"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Date (automatically filled)"}]}],"placement":"bottom","reserve":"4.064mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1070","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_94","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certifiedByDate[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"date{MM/DD/YYYY}","name":"picture"},{"_class":"text","_value":"date","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"MM/DD/YYYY","name":"mask"}]},{"_class":"text","_value":"Date (automatically filled)","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].certifiedByDate[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certifiedByDate[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57422228","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"traversal","children":[{"_class":"traverse","ref":"next[0]"}]},{"_class":"ui","children":[{"_class":"dateTimeEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"date{MM/DD/YYYY}"}]},{"_class":"validate","children":[{"_class":"message","children":[{"_class":"text","name":"nullTest"}]}]},{"_class":"value","children":[{"_class":"date","_value":"2025-06-01"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"$.rawValue = FormCalc.num2date(FormCalc.date(), \"YYYY-MM-DD\");\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_94","displayPatternEx":[{"category":"date","locale":"en_US","mask":"MM/DD/YYYY"}],"dataId":"57422228","caption":"Date (automatically filled)","tabIndex":"1070"},"access":"readOnly","h":"10.823mm","name":"certifiedByDate","w":"100.584mm","x":"102.615mm","y":"41.155mm","displayPattern":"date{MM/DD/YYYY}"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_95","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].#area[1].#subform[4].certification[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","posture":"italic","size":"9pt","weight":"bold"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"By submitting this form via email, the sender certifies that the information presented herein, including all applicable addendums, has been examined and is a true, correct, and complete report made in good faith. "}]}],"extras":{"htmlId":"_95"},"h":"7.839mm","name":"certification","w":"183.418mm","x":"9.893mm","y":"6.787mm"}],"extras":{"htmlId":"_87","tabIndex":"-1"},"h":"52.238mm","w":"203.199mm"}],"extras":{"htmlId":"_86"},"y":"0mm"},{"_class":"instanceManager","name":"_next"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_96","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].next[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].next[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"contentArea"},{"_class":"margin","topInset":"2.54mm"},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"goToGA4_1[0]"}]},{"_class":"instanceManager","name":"_goToGA4_1"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_97","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].next[0].goToGA4_1[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].next[0].goToGA4_1[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"moreThanOneEmpTxt[0]"}]},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_98","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].next[0].goToGA4_1[0].moreThanOneEmpTxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

Note: Additional employers covered under the same W Number shown must be reported on the Quarterly Unified Employer Assessment Municipal Self-Insurers Remittance Form - Payroll by FEIN Addendum (Form GA-4.1)

","contentType":"text/html"}]}],"extras":{"htmlId":"_98"},"h":"9.069mm","name":"moreThanOneEmpTxt","w":"203.07mm","y":"0.261mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Are there additional employers covered under this W Number?"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"exData","_value":"

*Are additional employers covered under this W Number?

","contentType":"text/html"}]}],"reserve":"82.7878mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1072","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_99","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].page1[0].#subform[3].next[0].goToGA4_1[0].moreThanOneEmp[0]","name":"FS_SOM"},{"_class":"text","_value":"*Are additional employers covered under this W Number?","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].page1[0].next[0].goToGA4_1[0].moreThanOneEmp[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].page1[0].#subform[3].next[0].goToGA4_1[0].moreThanOneEmp[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57422380","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"items","children":[{"_class":"text","_value":"Select"},{"_class":"text","_value":"Yes"},{"_class":"text","_value":"No"}]},{"_class":"items","children":[{"_class":"text"},{"_class":"text","_value":"Y"},{"_class":"text","_value":"N"}],"presence":"hidden","save":"1"},{"_class":"margin","bottomInset":"1mm","leftInset":"1mm","rightInset":"1mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"choiceList","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"if (this.rawValue == 'Y') \n{\n form1.GA4_1.presence = \"visible\";\n} else {\n form1.GA4_1.presence = \"hidden\";\n}\n","contentType":"application/x-javascript"}],"activity":"change","name":"event__change"}],"extras":{"htmlId":"_99","dataId":"57422380","caption":"*Are additional employers covered under this W Number?","tabIndex":"1072"},"h":"9mm","name":"moreThanOneEmp","w":"111.185mm","y":"11.44mm"}],"extras":{"htmlId":"_97","tabIndex":"-1"},"h":"25.9mm","name":"goToGA4_1","w":"203.156mm"}],"extras":{"htmlId":"_96","tabIndex":"-1"},"layout":"tb","name":"next","w":"202.597mm","y":"53.229mm"}],"extras":{"htmlId":"_85","tabIndex":"-1"},"h":"85.489mm","w":"203.199mm"}],"extras":{"htmlId":"_2","tabIndex":"-1"},"layout":"tb","name":"page1","w":"8in"},{"_class":"instanceManager","name":"_GA4_1"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_100","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"breakBefore","target":"Page2","targetType":"pageArea"},{"_class":"instanceManager","name":"_"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_101","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"margin","leftInset":"0mm","topInset":"0mm"},{"_class":"occur"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_102","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].carrierInfo[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","baselineShift":"0pt","size":"12pt","weight":"bold"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"A. Municipal Self-Insurer Information:"}]}],"extras":{"htmlId":"_102"},"minH":"0.212in","name":"carrierInfo","w":"75.499mm","x":"0mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"WCB Identification Number"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"1. WCB Identification Number (W Number):"}]}],"reserve":"70.11mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1078","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_103","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].carrierCodeNumber[0]","name":"FS_SOM"},{"_class":"text","_value":"1. WCB Identification Number (W Number):","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].carrierCodeNumber[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].#subform[0].carrierCodeNumber[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57422532","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"7"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.carrierCodeNumber.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_103","dataId":"57422532","caption":"1. WCB Identification Number (W Number):","tabIndex":"1078"},"access":"readOnly","h":"6.402mm","name":"carrierCodeNumber","w":"123.3mm","y":"6.725mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Municipal Self-Insured Employer Name"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"2. Name of Municipal Self-Insured Employer: "}]}],"reserve":"70.1065mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1079","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_104","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].carrierName[0]","name":"FS_SOM"},{"_class":"text","_value":"2. Name of Municipal Self-Insured Employer: ","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].carrierName[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].#subform[0].carrierName[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57422684","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"60"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.carrierName.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_104","dataId":"57422684","caption":"2. Name of Municipal Self-Insured Employer: ","tabIndex":"1079"},"access":"readOnly","minH":"6.35mm","name":"carrierName","w":"190.922mm","x":"0mm","y":"14.147mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Calendar Year for the reporting period"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"1. Calendar Year:"}]}],"reserve":"49.7349mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1093","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_105","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].calendarYear[0]","name":"FS_SOM"},{"_class":"text","_value":"1. Calendar Year:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].calendarYear[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].#subform[0].calendarYear[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57422836","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"2025"}]}],"extras":{"htmlId":"_105","dataId":"57422836","caption":"1. Calendar Year:","tabIndex":"1093"},"access":"readOnly","h":"0.261389in","name":"calendarYear","w":"76.2mm","x":"0.104mm","y":"26.882mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Quarter ending of the Calendar Year for the reporting period"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"exData","_value":"

2. Quarter Ending:

","contentType":"text/html"}]}],"reserve":"49.7349mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1094","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_106","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].QuarterEnding[0]","name":"FS_SOM"},{"_class":"text","_value":"2. Quarter Ending:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].QuarterEnding[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].#subform[0].QuarterEnding[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57423292","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"7"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.QuarterEnding.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_106","dataId":"57423292","caption":"2. Quarter Ending:","tabIndex":"1094"},"access":"readOnly","h":"6.402mm","name":"QuarterEnding","w":"76.2mm","x":"0.104mm","y":"34.855mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_107","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].ReportingPeriod[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","size":"12pt","weight":"bold"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"B. Reporting Period:"}]}],"extras":{"htmlId":"_107"},"minH":"0.212in","name":"ReportingPeriod","w":"65.6mm","x":"0.104mm","y":"21.602mm"},{"_class":"instanceManager","name":"_RemitSchedule"},{"_class":"subform","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_108","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"contentArea"},{"_class":"occur"},{"_class":"instanceManager","name":"_Row1"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_109","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row1[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row1[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_110","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row1[0].Q1[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Q1"}]}],"extras":{"htmlId":"_110"},"h":"5.842mm","name":"Q1"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_111","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row1[0].thru3-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

Payroll for period January 1 - March 31

","contentType":"text/html"}]}],"extras":{"htmlId":"_111"},"h":"5.842mm","name":"thru3-31"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_112","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row1[0].payBy4-30[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Form & payment postmarked by April 30"}]}],"extras":{"htmlId":"_112"},"h":"5.842mm","name":"payBy4-30"}],"extras":{"htmlId":"_109","tabIndex":"-1"},"layout":"row","name":"Row1","x":"-0.001mm"},{"_class":"instanceManager","name":"_Row2"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_113","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row2[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row2[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_114","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row2[0].Q2[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Q2"}]}],"extras":{"htmlId":"_114"},"h":"5.842mm","name":"Q2"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_115","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row2[0].thru6-30[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Payroll for period April 1 - June 30 "}]}],"extras":{"htmlId":"_115"},"h":"5.842mm","name":"thru6-30"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_116","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row2[0].payBy7-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Form & payment postmarked by July 31"}]}],"extras":{"htmlId":"_116"},"h":"5.842mm","name":"payBy7-31"}],"extras":{"htmlId":"_113","tabIndex":"-1"},"layout":"row","name":"Row2","x":"-0.001mm"},{"_class":"instanceManager","name":"_Row3"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_117","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row3[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row3[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_118","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row3[0].Q3[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Q3"}]}],"extras":{"htmlId":"_118"},"h":"5.842mm","name":"Q3"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_119","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row3[0].thru9-30[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Payroll for period July 1 - September 30"}]}],"extras":{"htmlId":"_119"},"h":"5.842mm","name":"thru9-30"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_120","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row3[0].payBy10-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

Form & payment postmarked by October 31

","contentType":"text/html"}]}],"extras":{"htmlId":"_120"},"h":"5.842mm","name":"payBy10-31"}],"extras":{"htmlId":"_117","tabIndex":"-1"},"layout":"row","name":"Row3","x":"-0.001mm"},{"_class":"instanceManager","name":"_Row4"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_121","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row4[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row4[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_122","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row4[0].Q4[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Q4"}]}],"extras":{"htmlId":"_122"},"h":"5.842mm","name":"Q4"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_123","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row4[0].thru12-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Payroll for period October 1 - December 31"}]}],"extras":{"htmlId":"_123"},"h":"5.842mm","name":"thru12-31"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_124","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].RemitSchedule[0].Row4[0].payBy1-31[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1.27mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Form & payment postmarked by January 31"}]}],"extras":{"htmlId":"_124"},"h":"5.842mm","name":"payBy1-31"}],"extras":{"htmlId":"_121","tabIndex":"-1"},"layout":"row","name":"Row4","x":"-0.001mm"}],"extras":{"htmlId":"_108","tabIndex":"-1"},"layout":"table","columnWidths":"8.3504mm 56.798mm 58.427mm","h":"0.92in","name":"RemitSchedule","x":"77.978mm","y":"22.442mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_125","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].ListOfEmployerstxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","size":"12pt","weight":"bold"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"C. Municipal Employers Covered Under the W Number Shown Above:"}]}],"extras":{"htmlId":"_125"},"h":"7.588mm","name":"ListOfEmployerstxt","w":"142.817mm","x":"0.104mm","y":"48.533mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_126","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].#subform[0].Text4[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"0,0,255"}]}],"typeface":"Arial","baselineShift":"0pt","underline":"1"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

GA-4.1 Instructions

","contentType":"text/html"}]}],"extras":{"htmlId":"_126"},"h":"4.528mm","name":"Text4","w":"34.095mm","x":"169.105mm","y":"0.001mm"}],"extras":{"htmlId":"_101","tabIndex":"-1"},"h":"56.121mm","w":"203.2mm"},{"_class":"instanceManager","name":"_ListOfEmployers"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_127","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"margin","leftInset":"0mm"},{"_class":"occur"},{"_class":"instanceManager","name":"_SIEmpSubform"},{"_class":"subform","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_128","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"none"},{"_class":"margin","bottomInset":"0mm","topInset":"0.1295mm"},{"_class":"occur"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"},{"_class":"instanceManager","name":"_SIEmp"},{"_class":"subform","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_129","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"overflow","leader":"HeaderRow"},{"_class":"instanceManager","name":"_HeaderRow","max":"-1"},{"_class":"subform","children":[{"_class":"assist","role":"TH"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_130","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].HeaderRow[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].HeaderRow[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"none"},{"_class":"occur","max":"-1"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_131","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].HeaderRow[0].FEIN[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9pt"},{"_class":"keep","intact":"none"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

(1) *FEIN

","contentType":"text/html"}]}],"extras":{"htmlId":"_131"},"h":"12.536mm","name":"FEIN","y":"0mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_132","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].HeaderRow[0].Name[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9pt"},{"_class":"keep","intact":"none"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

(2) *Municipal Self-Insured Employer Name

","contentType":"text/html"}]}],"extras":{"htmlId":"_132"},"h":"12.536mm","name":"Name","y":"0mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_133","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].HeaderRow[0].SIQtrlyPayroll[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9pt"},{"_class":"keep","intact":"none"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

(3) *Quarterly Payroll

","contentType":"text/html"}]}],"extras":{"htmlId":"_133"},"h":"12.536mm","name":"SIQtrlyPayroll"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.175mm"},{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_134","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].HeaderRow[0].ExclPayroll[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"keep","intact":"none"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(4) Excluded Payroll (if \u2029applicable)"}]}],"extras":{"htmlId":"_134"},"h":"12.536mm","name":"ExclPayroll"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.1778mm"},{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.1778mm"},{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden","thickness":"0.1778mm"},{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_135","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].HeaderRow[0].RemoveRow[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"keep","intact":"none"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_135"},"h":"12.536mm","name":"RemoveRow","y":"0mm"}],"extras":{"htmlId":"_130","tabIndex":"-1"},"layout":"row","id":"HeaderRow_ID_copy1","name":"HeaderRow","y":"0mm"},{"_class":"instanceManager","name":"_SIEmprInfo","max":"-1"},{"_class":"subform","children":[{"_class":"assist","role":"TR"},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_136","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"keep","intact":"none"},{"_class":"occur","max":"-1"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - FEIN (Federal Tax ID number)"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1101","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_137","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIEmpFEIN[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIEmpFEIN[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIEmpFEIN[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57423444","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"10"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"if ((this.rawValue != \"\") && (this.rawValue != null)) \n{\n if (FEINvalidation.validateFEIN(this)) \n {\n } else {\n xfa.host.setFocus(this);\n app.alert(\"The FEIN (Federal Employer Identification Number) is required. Enter the FEIN like 123456789 or 12-3456789.\");\n }\n}\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_137","dataId":"57423444","tabIndex":"1101"},"h":"6.35mm","name":"SIEmpFEIN"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Municipal Self-Insured Employer Name"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1102","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_138","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIEmpName[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIEmpName[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIEmpName[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57423596","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.508mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"60"}]}],"extras":{"htmlId":"_138","dataId":"57423596","tabIndex":"1102"},"h":"6.35mm","name":"SIEmpName"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Required Field - Quarterly Payroll for this employer"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.1778mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1103","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_139","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIqrtlyPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIqrtlyPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].SIqrtlyPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57423748","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","leadDigits":"10"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.GA4_1.ListOfEmployers.AddendumTotalPayroll.TotalPayroll.execCalculate();\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_139","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57423748","tabIndex":"1103"},"h":"6.35mm","name":"SIqrtlyPayroll","displayPattern":"num.currency{}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Excluded Payroll (if applicable) (enter minus sign)"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}],"hand":"right"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1104","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_140","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].ExcludedPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].ExcludedPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].ExcludedPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57423900","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"255,0,0"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","leadDigits":"7"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.GA4_1.ListOfEmployers.AddendumTotalPayroll.subtotalExclPayroll.execCalculate();\nform1.GA4_1.ListOfEmployers.AddendumTotalPayroll.TotalPayroll.execCalculate();\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"}],"extras":{"htmlId":"_140","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57423900","tabIndex":"1104"},"h":"6.35mm","name":"ExcludedPayroll","w":"19.05mm","displayPattern":"num.currency{}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Remove this row","priority":"caption"}]},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"raised"},{"_class":"fill","children":[{"_class":"color","value":"73,132,197"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"255,255,255"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Remove"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1105","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_141","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].Remove[0]","name":"FS_SOM"},{"_class":"text","_value":"Remove","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].SIEmpSubform[0].SIEmp[0].SIEmprInfo[0].Remove[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Myriad Pro"},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"var sSubformSOM2 = \"xfa.form.form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.SIEmprInfo\";\nvar message = \"You cannot remove this row.\";\nvar oSubform = xfa.resolveNode(sSubformSOM2);\nif (_SIEmprInfo.count > _SIEmprInfo.occur.min) \n{\n _SIEmprInfo.removeInstance(SIEmprInfo.index);\n} else {\n xfa.host.messageBox(\"You cannot remove this row.\", \"Carrier\", 1);\n}\n","contentType":"application/x-javascript"}],"activity":"click","name":"event__click"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.GA4_1.ListOfEmployers.AddendumTotalPayroll.SubtotalPayroll.execCalculate();\nform1.GA4_1.ListOfEmployers.AddendumTotalPayroll.subtotalExclPayroll.execCalculate();\nform1.GA4_1.ListOfEmployers.AddendumTotalPayroll.TotalPayroll.execCalculate();\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_141","caption":"Remove","tabIndex":"1105"},"presence":"invisible","h":"6.35mm","name":"Remove","w":"19.05mm"}],"extras":{"htmlId":"_136","tabIndex":"-1"},"layout":"row","name":"SIEmprInfo","y":"0mm"}],"extras":{"htmlId":"_129","tabIndex":"-1"},"layout":"table","columnWidths":"20.894mm 113.456mm 30.48mm 23.219mm 14.861mm","name":"SIEmp"}],"extras":{"htmlId":"_128","tabIndex":"-1"},"name":"SIEmpSubform","w":"203.2mm"},{"_class":"instanceManager","name":"_AddendumTotalPayroll"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_142","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"margin","leftInset":"0mm","topInset":"0mm"},{"_class":"occur"},{"_class":"instanceManager","name":"_"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_143","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].#subform[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].#subform[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_144","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].#subform[0].subtotalPayrollTxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"9pt","weight":"bold"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(5) Subtotal Payroll"}]}],"extras":{"htmlId":"_144"},"h":"6.35mm","name":"subtotalPayrollTxt","w":"113.454mm","x":"20.902mm","y":"0mm"},{"_class":"instanceManager","name":"_addCarrier"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_145","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].#subform[0].addCarrier[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].#subform[0].addCarrier[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Select to add another insurer"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color","value":"255,255,255"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color","value":"255,255,255"}]},{"_class":"fill","children":[{"_class":"color"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"255,255,255"}]}],"typeface":"Arial","baselineShift":"0pt","weight":"bold"},{"_class":"margin"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Add Row"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1107","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_146","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].#subform[0].addCarrier[0].btn_addCarrier[0]","name":"FS_SOM"},{"_class":"text","_value":"Add Row","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].#subform[0].addCarrier[0].btn_addCarrier[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Myriad Pro"},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"var xTableLength = form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.nodes.length;\nvar xNumRow = 0;\nfor (var xCount = 0; xCount < xTableLength; xCount++) \n {\n if ((form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.nodes.item(xCount).className == \"subform\") & (form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.nodes.item(xCount).name !== \"HeaderRow\")) \n {\n xNumRow = xNumRow + 1;\n }\n }\n{\n form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.SIEmprInfo.instanceManager.addInstance(1);\n xfa.host.setFocus(xfa.resolveNode(\"form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.SIEmprInfo[\" + xNumRow + \"].SIEmpFEIN\"));\n if (xNumRow > 0) \n {\n xfa.resolveNode(\"form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.SIEmprInfo[\" + xNumRow + \"].Remove\").presence = 'visible';\n }\n}\n","contentType":"application/x-javascript"}],"activity":"click","name":"event__click"}],"extras":{"htmlId":"_146","caption":"Add Row","tabIndex":"1107"},"relevant":"-print","h":"6.35mm","name":"btn_addCarrier","w":"20.894mm","y":"0mm"}],"extras":{"htmlId":"_145","tabIndex":"-1"},"h":"6.35mm","name":"addCarrier","w":"20.9mm","y":"0.004mm"}],"extras":{"htmlId":"_143","tabIndex":"-1"},"h":"6.61mm","w":"134.41mm","y":"0.059mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Subtotal Quarterly Payroll - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"var fields = xfa.form.form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.resolveNodes(\"SIEmprInfo[*].SIqrtlyPayroll\");\nvar sum = 0;\nfor (var i = 0; i < fields.length; i++) \n {\n sum += fields.item(i).rawValue;\n }\nthis.rawValue = sum;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1108","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_147","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].SubtotalPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].SubtotalPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].SubtotalPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57424052","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0.762mm","topInset":"1mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"10"}]}],"extras":{"htmlId":"_147","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57424052","tabIndex":"1108"},"access":"readOnly","h":"6.35mm","name":"SubtotalPayroll","w":"30.478mm","x":"134.41mm","y":"0.116mm","displayPattern":"num.currency{}"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_148","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].blankBox1[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0.762mm","topInset":"1mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_148"},"h":"6.35mm","name":"blankBox1","w":"22.983mm","x":"164.973mm","y":"0.116mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_149","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].subtotaExclPayrollTxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"9pt","weight":"bold"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(6) Subtotal Excluded Payroll (if applicable)"}]}],"extras":{"htmlId":"_149"},"h":"6.35mm","name":"subtotaExclPayrollTxt","w":"134.302mm","y":"6.466mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color","value":"226,226,226"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_150","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].blankBox2[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0.762mm","topInset":"1mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_150"},"h":"6.35mm","name":"blankBox2","w":"30.532mm","x":"134.41mm","y":"6.466mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Subtotal Excluded Payroll - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"var fields = xfa.form.form1.GA4_1.ListOfEmployers.SIEmpSubform.SIEmp.resolveNodes(\"SIEmprInfo[*].ExcludedPayroll\");\nvar sum = 0;\nfor (var i = 0; i < fields.length; i++) \n {\n sum += fields.item(i).rawValue;\n }\nthis.rawValue = sum;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1112","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_151","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].subtotalExclPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].subtotalExclPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].subtotalExclPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57424204","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0.762mm","topInset":"1mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"7"}]}],"extras":{"htmlId":"_151","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57424204","tabIndex":"1112"},"access":"readOnly","h":"6.35mm","name":"subtotalExclPayroll","w":"22.983mm","x":"164.973mm","y":"6.466mm","displayPattern":"num.currency{}"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_152","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].TotalPayrollTxt[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","posture":"italic","size":"9pt","weight":"bold"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.762mm","topInset":"0.5mm"},{"_class":"para","hAlign":"right","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"(7) Total Payroll = (5) + (6)"}]}],"extras":{"htmlId":"_152"},"h":"6.35mm","name":"TotalPayrollTxt","w":"134.302mm","y":"12.816mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Total Payroll - calculated"}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"calculate","children":[{"_class":"script","_parentClass":"calculate","_value":"this.rawValue = form1.GA4_1.ListOfEmployers.AddendumTotalPayroll.SubtotalPayroll.rawValue + form1.GA4_1.ListOfEmployers.AddendumTotalPayroll.subtotalExclPayroll.rawValue;\n","contentType":"application/x-javascript"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1114","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_153","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].TotalPayroll[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num.currency{}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"($z,zzz,zzz,zzz,zzz,zz9.99)","name":"mask"}]},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].TotalPayroll[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].GA4_1[0].ListOfEmployers[0].AddendumTotalPayroll[0].TotalPayroll[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57424356","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0.762mm","topInset":"1mm"},{"_class":"para","hAlign":"right","vAlign":"middle"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num.currency{}"}]},{"_class":"value","children":[{"_class":"decimal","_value":"0.00","leadDigits":"10"}]}],"extras":{"htmlId":"_153","displayPatternEx":[{"category":"num","locale":"en_US","mask":"($z,zzz,zzz,zzz,zzz,zz9.99)"}],"dataId":"57424356","tabIndex":"1114"},"access":"readOnly","h":"6.35mm","name":"TotalPayroll","w":"53.552mm","x":"134.408mm","y":"12.816mm","displayPattern":"num.currency{}"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_142","tabIndex":"-1"},"h":"25.724mm","name":"AddendumTotalPayroll","w":"203.2mm"}],"extras":{"htmlId":"_127","tabIndex":"-1"},"layout":"tb","minH":"45.962mm","name":"ListOfEmployers","w":"203.2mm"}],"extras":{"htmlId":"_100","tabIndex":"-1"},"layout":"tb","name":"GA4_1","w":"203.2mm"},{"_class":"instanceManager","name":"_checkStub"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_154","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","operation":"first","ref":"Text6[0]"}]},{"_class":"breakBefore","target":"Page1","targetType":"pageArea"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_155","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].Text6[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

If you do not receive a confirmation email with a PDF copy of the quarterly form, then the Board did not receive your form. Please try to attach a saved version of this form to an email to Assessments@wcb.ny.gov. If you still do not receive an email confirmation, please contact the Board by sending an email to WCBFinanceOffice@wcb.ny.gov.

Checks payable to "Commissioner of Taxation & Finance" as custodian of the fund. For electronic payment options, please email Billing@wcb.ny.gov.

","contentType":"text/html"}]}],"extras":{"htmlId":"_155"},"h":"27.452mm","name":"Text6","w":"185.563mm","x":"8.823mm","y":"0mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_156","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].Text5[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"16pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Please print this page and mail with your check to:"}]}],"extras":{"htmlId":"_156"},"h":"7.049mm","name":"Text5","w":"203.055mm","x":"0.144mm","y":"32.417mm"},{"_class":"draw","children":[{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"thickness":"0.175mm"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_157","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].SubmitTo[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt"},{"_class":"margin","bottomInset":"1.27mm","leftInset":"1.27mm","rightInset":"1.27mm","topInset":"1.27mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"\tNYS Workers' Compensation Board\u2029\tPO Box 5532\u2029\tBinghamton, NY 13902-5532"}]}],"extras":{"htmlId":"_157"},"h":"20.223mm","name":"SubmitTo","w":"118.96mm","x":"42.122mm","y":"45.272mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_158","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].carrierInfo[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","baselineShift":"0pt","size":"12pt","weight":"bold"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Self-Insurer Information:"}]}],"extras":{"htmlId":"_158"},"minH":"0.212in","name":"carrierInfo","w":"54.802mm","x":"0.938mm","y":"70.639mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"WCB Identification Number"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"WCB Identification Number:"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1122","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_159","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].carrierCodeNumber[0]","name":"FS_SOM"},{"_class":"text","_value":"WCB Identification Number:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].carrierCodeNumber[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].carrierCodeNumber[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57424508","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"7"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.carrierCodeNumber.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_159","dataId":"57424508","caption":"WCB Identification Number:","tabIndex":"1122"},"access":"readOnly","h":"6.402mm","name":"carrierCodeNumber","w":"83.117mm","x":"0.938mm","y":"78.541mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Self Insured Employer Name"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Name of Self-Insured Employer:"}]}],"reserve":"53.6266mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1123","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_160","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].carrierName[0]","name":"FS_SOM"},{"_class":"text","_value":"Name of Self-Insured Employer:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].carrierName[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].carrierName[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57424660","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"60"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.selfInsurer.carrierName.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_160","dataId":"57424660","caption":"Name of Self-Insured Employer:","tabIndex":"1123"},"access":"readOnly","minH":"6.35mm","name":"carrierName","w":"190.922mm","x":"0.938mm","y":"87.692mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_161","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].ReportingPeriod[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","size":"12pt","weight":"bold"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Reporting Period:"}]}],"extras":{"htmlId":"_161"},"minH":"0.212in","name":"ReportingPeriod","w":"67.758mm","x":"1.042mm","y":"99.768mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Calendar Year for the reporting period"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Calendar Year:"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1125","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_162","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].calendarYear[0]","name":"FS_SOM"},{"_class":"text","_value":"Calendar Year:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].calendarYear[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].calendarYear[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57424812","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"2025"}]}],"extras":{"htmlId":"_162","dataId":"57424812","caption":"Calendar Year:","tabIndex":"1125"},"access":"readOnly","h":"0.261389in","name":"calendarYear","w":"83.117mm","x":"0.938mm","y":"106.45mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Quarter ending of the Calendar Year for the reporting period"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Quarter Ending:"}]}],"reserve":"28.3882mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1126","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_163","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].QuarterEnding[0]","name":"FS_SOM"},{"_class":"text","_value":"Quarter Ending:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].QuarterEnding[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].QuarterEnding[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57425268","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"7"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.selfInsurer.QuarterEnding.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_163","dataId":"57425268","caption":"Quarter Ending:","tabIndex":"1126"},"access":"readOnly","h":"6.402mm","name":"QuarterEnding","w":"46.831mm","x":"91.702mm","y":"106.45mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Total Assessment Due"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin"},{"_class":"para","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Total Assessment Due:"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1127","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_164","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].AssessmentDue[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"num{$z,zzz,zzz,zzz.99}","name":"picture"},{"_class":"text","_value":"num","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"$z,zzz,zzz,zzz.99","name":"mask"}]},{"_class":"text","_value":"Total Assessment Due:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].AssessmentDue[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].AssessmentDue[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57425420","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"numericEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"num{$z,zzz,zzz,zzz.99}"}]},{"_class":"value","children":[{"_class":"decimal","leadDigits":"10"}]}],"extras":{"htmlId":"_164","displayPatternEx":[{"category":"num","locale":"en_US","mask":"$z,zzz,zzz,zzz.99"}],"dataId":"57425420","caption":"Total Assessment Due:","tabIndex":"1127"},"access":"readOnly","h":"6.35mm","name":"AssessmentDue","w":"83.117mm","x":"0.938mm","y":"116.233mm","displayPattern":"num{$z,zzz,zzz,zzz.99}"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Date Form Certified"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"exData","_value":"

Date Form Certified:

","contentType":"text/html"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1128","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_165","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].CertifiedDate[0]","name":"FS_SOM"},{"_class":"extras","name":"format","children":[{"_class":"text","_value":"date{M/D/YYYY}","name":"picture"},{"_class":"text","_value":"date","name":"category"},{"_class":"text","_value":"en_US","name":"locale"},{"_class":"text","_value":"M/D/YYYY","name":"mask"}]},{"_class":"text","_value":"Date Form Certified:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].CertifiedDate[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].CertifiedDate[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57425572","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","hAlign":"center","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"dateTimeEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"format","children":[{"_class":"picture","_value":"date{M/D/YYYY}"}]},{"_class":"value","children":[{"_class":"date","_value":"2025-06-01"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.certifiedByDate.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_165","displayPatternEx":[{"category":"date","locale":"en_US","mask":"M/D/YYYY"}],"dataId":"57425572","caption":"Date Form Certified:","tabIndex":"1128"},"access":"readOnly","h":"0.261389in","name":"CertifiedDate","w":"83.117mm","x":"0.938mm","y":"125.566mm","displayPattern":"date{M/D/YYYY}"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_166","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].ContactInfo[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","size":"12pt","weight":"bold"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Contact Information: "}]}],"extras":{"htmlId":"_166"},"minH":"0.212in","name":"ContactInfo","w":"67.339mm","x":"1.208mm","y":"135.674mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Name of person certifying form"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Name:"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1130","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_167","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].certifiedByName[0]","name":"FS_SOM"},{"_class":"text","_value":"Name:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].certifiedByName[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].certifiedByName[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57425724","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"60"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.certifiedByName.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_167","dataId":"57425724","caption":"Name:","tabIndex":"1130"},"access":"readOnly","h":"6.469mm","name":"certifiedByName","w":"190.922mm","x":"0.938mm","y":"142.634mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Phone number of person certifying form"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Phone:"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1131","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_168","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].certifiedByPhoneNumber[0]","name":"FS_SOM"},{"_class":"text","_value":"Phone:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].certifiedByPhoneNumber[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].certifiedByPhoneNumber[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57425876","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"30"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.certifiedByPhoneNumber.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_168","dataId":"57425876","caption":"Phone:","tabIndex":"1131"},"access":"readOnly","h":"5.955mm","name":"certifiedByPhoneNumber","w":"190.922mm","x":"0.938mm","y":"151.875mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Email of person certifying form"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"9.5pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"bottom"},{"_class":"value","children":[{"_class":"text","_value":"Email Address:"}]}],"reserve":"53.6272mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1132","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_169","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].certifiedByEmail[0]","name":"FS_SOM"},{"_class":"text","_value":"Email Address:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].certifiedByEmail[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].certifiedByEmail[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57426028","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"0.762mm","leftInset":"0.762mm","rightInset":"0.762mm","topInset":"0.762mm"},{"_class":"para","marginLeft":"0pt","vAlign":"bottom"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","maxChars":"60"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"this.rawValue = form1.page1.email.rawValue;\n","contentType":"application/x-javascript"}],"ref":"$layout","activity":"ready","name":"event__layout_ready"}],"extras":{"htmlId":"_169","dataId":"57426028","caption":"Email Address:","tabIndex":"1132"},"access":"readOnly","h":"5.955mm","name":"certifiedByEmail","w":"190.922mm","x":"0.938mm","y":"160.602mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Click this button to submit the form"}]},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"raised"},{"_class":"fill","children":[{"_class":"color","value":"212, 208, 200"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"11pt"},{"_class":"margin"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Submit"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1134","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_170","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].TestValidation[0]","name":"FS_SOM"},{"_class":"text","_value":"Submit","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].TestValidation[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Arial"},{"_class":"traversal","children":[{"_class":"traverse","ref":"HTTPSubmitButton1[0]"}]},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.ga_validations.validateForm(form1);\n","contentType":"application/x-javascript"}],"activity":"click","name":"event__click"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"","contentType":"application/x-javascript"}],"activity":"initialize","name":"event__initialize"}],"extras":{"htmlId":"_170","caption":"Submit","tabIndex":"1134"},"relevant":"-print","h":"5.999mm","name":"TestValidation","w":"34.925mm","x":"84.14mm","y":"191.868mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Click this button to submit the form"}]},{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"raised"},{"_class":"fill","children":[{"_class":"color","value":"212,208,200"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","weight":"bold"},{"_class":"margin"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Submit"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1135","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_171","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].HTTPSubmitButton1[0]","name":"FS_SOM"},{"_class":"text","_value":"Submit","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].HTTPSubmitButton1[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Myriad Pro"},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"submit","format":"urlencoded","target":"https://www.wcb.ny.gov/GeneralAssessmentForms/rest/services/GeneralAssessment/Processes/HTML5GAFormSubmission","textEncoding":"UTF-8"}],"activity":"click","name":"event__click"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"","contentType":"application/x-javascript"}],"activity":"initialize","name":"event__initialize"}],"extras":{"htmlId":"_171","caption":"Submit","tabIndex":"1135"},"presence":"hidden","h":"6mm","name":"HTTPSubmitButton1","w":"28.575mm","x":"137.33mm","y":"191.868mm"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"speak","_value":"Form ID"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9.5pt"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Form ID"}]}],"reserve":"25mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1133","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_172","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].checkStub[0].formID[0]","name":"FS_SOM"},{"_class":"text","_value":"Form ID","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].checkStub[0].formID[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].checkStub[0].formID[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"57426180","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"9pt"},{"_class":"margin","bottomInset":"1mm","leftInset":"1mm","rightInset":"1mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"GA-4"}]}],"extras":{"htmlId":"_172","dataId":"57426180","caption":"Form ID","tabIndex":"1133"},"presence":"hidden","access":"readOnly","h":"9mm","name":"formID","w":"62mm","y":"191.868mm"}],"extras":{"htmlId":"_154","tabIndex":"-1"},"h":"243.84mm","name":"checkStub","w":"203.2mm"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"app.setTimeOut(\"xfa.form.form1.variables.ga_functions.initForm()\", 300);\n","contentType":"application/x-javascript"}],"activity":"initialize","name":"event__initialize"},{"_class":"pageSet","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[0]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"pageArea","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[0].Page1[0]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"medium","long":"279.4mm","short":"215.9mm","stock":"letter"},{"_class":"occur"},{"_class":"contentArea","h":"243.84mm","w":"203.2mm","x":"6.348mm","y":"24.032mm"},{"_class":"draw","children":[{"_class":"assist","children":[{"_class":"speak","_value":"New York State Workers' Compensation Board"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[0]Page1_1","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[0].Page1[0].WCBLogo[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"para"},{"_class":"ui","children":[{"_class":"imageEdit","children":[{"_class":"margin"}]}]},{"_class":"desc","children":[{"_class":"text","_value":"..\\..\\Workbench 6\\wcb0092tw5app.svc.ny.gov\\GeneralAssessment\\1.0\\Forms\\NYS-WCB_logo_black100.png","name":"embeddedHref"}]},{"_class":"value","children":[{"_class":"image","_value":"iVBORw0KGgoAAAANSUhEUgAABVoAAAGXCAYAAABC/uueAAAACXBIWXMAAC4jAAAuIwF4pT92AAAg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","contentType":"image/png"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[0]Page1_1"},"h":"14.022mm","name":"WCBLogo","w":"38.1mm","x":"6.35mm","y":"6.35mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[0]Page1_2","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[0].Page1[0].formTitle[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","baselineShift":"0pt","size":"12pt","weight":"bold"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

QUARTERLY UNIFIED EMPLOYER ASSESSMENT

Municipal Self-Insurers Remittance Form

State of New York - Workers' Compensation Board

","contentType":"text/html"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[0]Page1_2"},"h":"14.393mm","name":"formTitle","w":"114.3mm","x":"50.799mm","y":"6.35mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[0]Page1_3","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[0].Page1[0].T42[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Calibri","size":"11pt","weight":"bold"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"GA-4 (2025)"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[0]Page1_3"},"minH":"0.193in","name":"T42","w":"44.45mm","x":"6.35mm","y":"269.24mm"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[0].Page1[0]_1"},"id":"Page1","name":"Page1"},{"_class":"pageArea","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[0].Page2[0]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"medium","long":"279.4mm","short":"215.9mm","stock":"letter"},{"_class":"occur"},{"_class":"contentArea","h":"235.693mm","w":"203.2mm","x":"6.35mm","y":"31.17mm"},{"_class":"draw","children":[{"_class":"assist","children":[{"_class":"speak","_value":"New York State Workers' Compensation Board"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[0]Page2_ID_1","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[0].Page2[0].WCBLogo[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"para"},{"_class":"ui","children":[{"_class":"imageEdit","children":[{"_class":"margin"}]}]},{"_class":"desc","children":[{"_class":"text","_value":"..\\..\\Workbench 6\\wcb0092tw5app.svc.ny.gov\\GeneralAssessment\\1.0\\Forms\\NYS-WCB_logo_black100.png","name":"embeddedHref"}]},{"_class":"value","children":[{"_class":"image","_value":"iVBORw0KGgoAAAANSUhEUgAABVoAAAGXCAYAAABC/uueAAAACXBIWXMAAC4jAAAuIwF4pT92AAAg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","contentType":"image/png"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[0]Page2_ID_1"},"h":"14.022mm","name":"WCBLogo","w":"38.1mm","x":"6.35mm","y":"6.35mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[0]Page2_ID_2","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[0].Page2[0].formTitle[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","baselineShift":"0pt","size":"12pt","weight":"bold"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

QUARTERLY UNIFIED EMPLOYER ASSESSMENT

Municipal Self-Insurers Remittance Form

Payroll by FEIN Addendum

State of New York - Workers' Compensation Board

","contentType":"text/html"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[0]Page2_ID_2"},"h":"22.44mm","name":"formTitle","w":"114.3mm","x":"50.799mm","y":"6.35mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[0]Page2_ID_3","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[0].Page2[0].T42[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Calibri","size":"11pt","weight":"bold"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"GA-4.1 (2025)"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[0]Page2_ID_3"},"minH":"0.193in","name":"T42","w":"44.45mm","x":"6.35mm","y":"269.24mm"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[0].Page2[0]_1"},"id":"Page2_ID","name":"Page2","numbered":"0"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[0]_1"}},{"_class":"pageSet","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[1]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"pageArea","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[1].Page1[1]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"medium","long":"279.4mm","short":"215.9mm","stock":"letter"},{"_class":"occur"},{"_class":"contentArea","h":"243.84mm","w":"203.2mm","x":"6.348mm","y":"24.032mm"},{"_class":"draw","children":[{"_class":"assist","children":[{"_class":"speak","_value":"New York State Workers' Compensation Board"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[1]Page1_1","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[1].Page1[1].WCBLogo[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"para"},{"_class":"ui","children":[{"_class":"imageEdit","children":[{"_class":"margin"}]}]},{"_class":"desc","children":[{"_class":"text","_value":"..\\..\\Workbench 6\\wcb0092tw5app.svc.ny.gov\\GeneralAssessment\\1.0\\Forms\\NYS-WCB_logo_black100.png","name":"embeddedHref"}]},{"_class":"value","children":[{"_class":"image","_value":"iVBORw0KGgoAAAANSUhEUgAABVoAAAGXCAYAAABC/uueAAAACXBIWXMAAC4jAAAuIwF4pT92AAAg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","contentType":"image/png"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[1]Page1_1"},"h":"14.022mm","name":"WCBLogo","w":"38.1mm","x":"6.35mm","y":"6.35mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[1]Page1_2","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[1].Page1[1].formTitle[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"35,64,97"}]}],"typeface":"Arial","baselineShift":"0pt","size":"12pt","weight":"bold"},{"_class":"para","hAlign":"center","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

QUARTERLY UNIFIED EMPLOYER ASSESSMENT

Municipal Self-Insurers Remittance Form

State of New York - Workers' Compensation Board

","contentType":"text/html"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[1]Page1_2"},"h":"14.393mm","name":"formTitle","w":"114.3mm","x":"50.799mm","y":"6.35mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0].pageSet[1]Page1_3","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].#pageSet[1].Page1[1].T42[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Calibri","size":"11pt","weight":"bold"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"GA-4 (2025)"}]}],"extras":{"htmlId":"xfa[0].form[0].form1[0].pageSet[1]Page1_3"},"minH":"0.193in","name":"T42","w":"44.45mm","x":"6.35mm","y":"269.24mm"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[1].Page1[1]_1"},"id":"Page1","name":"Page1"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[1]_1"}}],"extras":{"htmlId":"_1","tabIndex":"-1"},"layout":"tb","locale":"en_US","name":"form1","restoreState":"auto"}],"extras":{"htmlId":"xfaFormNode"}}]}, null, {"_class":"localeSet","locales":{"en_US":{"calendarSymbols":{"monthNames":["January","February","March","April","May","June","July","August","September","October","November","December"],"abbrmonthNames":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"dayNames":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"abbrdayNames":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"meridiemNames":["AM","PM"],"eraNames":["BC","AD"]},"datePatterns":{"full":"EEEE, MMMM D, YYYY","long":"MMMM D, YYYY","med":"MMM D, YYYY","short":"M/D/YY"},"timePatterns":{"full":"h:MM:SS A Z","long":"h:MM:SS A Z","med":"h:MM:SS A","short":"h:MM A"},"dateTimeSymbols":"GyMdkHmsSEDFwWahKzZ","numberPatterns":{"numeric":"z,zz9.zzz","currency":"$z,zz9.99|($z,zz9.99)","percent":"z,zz9%"},"numberSymbols":{"decimal":".","grouping":",","percent":"%","minus":"-","zero":"0"},"currencySymbols":{"symbol":"$","isoname":"USD","decimal":"."},"typefaces":{}}}}, {"template":"GA-4.xdp","contentRoot":"repository:///Applications/GeneralAssessment/1.0/Forms","mfAllowAttachments":null}, null);