Picture of Page 2 Form CT-1, Revision 2023 indicating the Transcription Lines (T-Line) and the editing locations (Edit Field) for:T Line: Line 30 - Qualified sick leave compensation for leave taken before April 1, 2021.T Line: Line 31 - Qualified health plan expenses allocable to compensation reported on line 30.T Line: Line 32 - Qualified family leave compensation for leave taken before April 1, 2021.T Line: Line 33 - Qualified health plan expenses allocable to compensation reported on line 32.Line 34 - Reserved for future use.Line 35 - Reserved for future use.T Line: Line 36 - Qualified sick leave compensation for leave taken after March 31, 2021, and before October 1, 2021.T Line: Line 37 - Qualified health plan expenses allocable to qualified sick leave compensation reported on line 36.T Line: Line 38 - Amounts under certain collectively bargained agreements allocable to qualified sick leave compensation reported on line 36.T Line: Line 39 - Qualified family leave compensation for leave taken after March 31, 2021, and before October 1, 2021.T Line: Line 40 - Qualified health plan expenses allocable to qualified family leave compensation reported on line 39.T Line: Line 41 - Amounts under certain collectively bargained agreements allocable to qualified family leave compensation reported on line 39.Line 42 - Reserved for future use.Line 42 - Reserved for future use.T Line: Third Party Designee- Personal Identification number (PIN).Verification Field: Sign Here - Correspond if missing.T Line: Paid Preparer's Use Only - Preparer's PTIN.T Line: Paid Preparer's Use Only - EIN.T Line: Paid Preparer's Use Only - Phone Number.