Form VEC-FC-21 "Employer's Quarterly Payroll Report" - Virginia

What Is Form VEC-FC-21?

This is a legal form that was released by the Virginia Employment Commission - a government authority operating within Virginia. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on July 5, 2012;
  • The latest edition provided by the Virginia Employment Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form VEC-FC-21 by clicking the link below or browse more documents and templates provided by the Virginia Employment Commission.

ADVERTISEMENT
ADVERTISEMENT

Download Form VEC-FC-21 "Employer's Quarterly Payroll Report" - Virginia

Download PDF

Fill PDF online

Rate (4.8 / 5) 19 votes
First six wage records must be reported on page one.
Employer’s Quarterly Payroll Report (FC-21)
Continue on this page to report additional wage records.
_
Account
Federal ID
Quarter
/
/
Number:
Number:
Ending:
Social Security Number
Employee’s Name
Wages Paid in Quarter
_
_
,
,
.
M.I.
First
1.
Last
_
_
,
,
.
First
M.I.
2.
Last
_
_
,
,
.
M.I.
First
3.
Last
_
_
,
,
.
M.I.
First
4.
Last
_
_
,
,
.
First
M.I.
5.
Last
_
_
,
,
.
M.I.
First
6.
Last
_
_
,
,
.
First
M.I.
7.
Last
_
_
,
,
.
M.I.
First
8.
Last
_
_
,
,
.
First
M.I.
9.
Last
_
_
,
,
.
M.I.
10.
First
Last
Subtotal Wages Paid in Quarter
,
,
.
Print
(Add Lines 1 – 10)
Page
of
Equal Opportunity Employer/Program Auxiliary Aids and Services Are Available Upon Request to Individuals with Disabilities
Most services available at www.vec.virginia.gov
(804) 786-4207
T-FC-21
Web-07-05-2012
First six wage records must be reported on page one.
Employer’s Quarterly Payroll Report (FC-21)
Continue on this page to report additional wage records.
_
Account
Federal ID
Quarter
/
/
Number:
Number:
Ending:
Social Security Number
Employee’s Name
Wages Paid in Quarter
_
_
,
,
.
M.I.
First
1.
Last
_
_
,
,
.
First
M.I.
2.
Last
_
_
,
,
.
M.I.
First
3.
Last
_
_
,
,
.
M.I.
First
4.
Last
_
_
,
,
.
First
M.I.
5.
Last
_
_
,
,
.
M.I.
First
6.
Last
_
_
,
,
.
First
M.I.
7.
Last
_
_
,
,
.
M.I.
First
8.
Last
_
_
,
,
.
First
M.I.
9.
Last
_
_
,
,
.
M.I.
10.
First
Last
Subtotal Wages Paid in Quarter
,
,
.
Print
(Add Lines 1 – 10)
Page
of
Equal Opportunity Employer/Program Auxiliary Aids and Services Are Available Upon Request to Individuals with Disabilities
Most services available at www.vec.virginia.gov
(804) 786-4207
T-FC-21
Web-07-05-2012