My UC-1099G form for PA doesn't have these specified boxes (Box 1-11). I don't know what my state, federal, or local tax withheld is. Do I have the wrong form?

TurboTax is asking for information for Box 1, 4, 10a, 10b, 11, and Local income tax withheld. The form I was provided only lists Social Security #, Total Payment, Tax Withheld, Tax Year.  So I'm not sure where to enter my tax withheld or state identification number is.