Michigan Form Uia 1538 PDF Details

Do you work in Michigan and need to provide insurance information for the state? Your employer may have asked you to fill out Michigan Form UIA 1538. This form is used to inform the state's Unemployment Insurance Agency of coverage under a private plan that covers individuals who are unable to collect unemployment benefits from the State. Understanding what this document requires can help make sure your filing process runs smoothly and you receive any applicable benefits quickly. To get started, we'll outline exactly what info needs to be included with Form UIA 1538 as well as provide thorough instructions on how it should be completed.

QuestionAnswer
Form NameMichigan Form Uia 1538
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesunemployment mi, michigan unemployment website file a claim, michigan file unemployment, michigan unemployment file online

Form Preview Example

UIA 1538

REV. 09-16

 

STATE OF MICHIGAN

 

RICK SNYDER

DEPARTMENT OF TALENT AND ECONOMIC DEVELOPMENT

ROGER CURTIS

GOVERNOR

TALENT INVESTMENT AGENCY

DIRECTOR

 

UNEMPLOYMENT INSURANCE

WANDA M. STOKES

 

 

DIRECTOR

What You Need To File An Unemployment Claim

If you have become unemployed or your hours of work have been reduced, you may file a claim for unemployment benefits. You may file your claim by telephone toll-free at 1-866-500-0017 (TTY customers use 1-866-366-0004), or file online at http://www.michigan.gov/uia under the heading. Click on “Michigan Web Account Manager for Claimants and Employers.” Completing the information on this sheet first will save you time when you file your claim for unemployment benefits.

DO NOT SEND THIS FORM TO THE UNEMPLOYMENT INSURANCE

KEEP IT FOR YOUR RECORDS.

PERSONAL INFORMATION

Social Security Number:

Driver license number or state ID number:

Mailing address: (Where you want information about your unemployment claim sent.)

County: (Where you reside.)

 

 

Telephone number: (If you do not have a phone, give

 

 

a number where a message can be left in case UI staff

 

 

need to contact you)

 

 

Method of Payment: (You will be asked to choose

_______ Direct Deposit

______ Debit Card

whether you want your benefit payment issued by

 

 

direct deposit to your bank or credit union account or

_______ Routing Number

______ Bank Account

by debit card.)

 

 

If you are not a citizen or national of the United States,

 

 

give your Alien Registration Number and the expiration

 

 

date shown on your alien ID or documents:

 

 

You will need the names and payroll addresses for all the employers you have worked for in the 18 months prior to filing your claim. You may be asked to provide the UI with some of the information contained on this form. It would also be helpful to have available any W-2 forms you have received from employers you have worked for in the past 18 months as the form contains the employer’s Federal Employer Identification Number (FEIN).

EMPLOYMENT INFORMATION

 

Your Most Recent Employer #1:

 

 

 

(Your separating employer)

 

 

 

Street Address: Use the payroll address if known.

 

 

 

 

 

 

 

City, State and Zip Code:

 

 

 

 

 

 

 

Dates of employment and earnings: (Report your

Beginning Date: ______________________

 

gross earnings for your most recent period of

Ending Date: _________________________

 

continuous employment with this employer.)

Earnings: ____________________________

 

 

 

 

UIA 1538 (Rev. 09-16)

List all other employers you have worked for in the past 18 months giving the payroll address if known (use additional paper if necessary):

EMPLOYER #2

 

 

Your Most Recent Employer #2:

 

 

 

 

 

 

 

 

 

Street Address: (Use payroll if known.)

 

 

 

 

 

 

 

 

 

City, State and Zip Code:

 

 

 

 

 

 

 

 

 

Dates of employment and earnings: (Report your

Beginning Date: ____________________

 

 

 

gross earnings for your most recent period of

Ending Date: _______________________

 

 

 

continuous employment with this employer.)

Earnings: __________________________

 

 

 

 

 

 

EMPLOYER #3

 

 

Your Most Recent Employer #3:

 

 

 

 

 

 

 

 

 

Street Address: (Use payroll if known.)

 

 

 

 

 

 

 

 

 

City, State and Zip Code:

 

 

 

 

 

 

 

 

 

Dates of employment and earnings: (Report your

Beginning Date: ____________________

 

 

 

gross earnings for your most recent period of

Ending Date: _______________________

 

 

 

continuous employment with this employer.)

Earnings: __________________________

 

 

 

 

 

 

DATES

When entering dates, either on the web or the telephone, you must enter two digits for the month, two digits for the day, and four digits for the year. Example: May 19, 2016 should be entered as 05/19/2016 on the web or 05192016 on the phone.

WAGES

Your benefit entitlement will be based on gross wages paid in the first four of the last five completed calendar quarters immediately preceding the Sunday of the week in which you file your claim. If there are insufficient wages in those quarters, the wages in the last four completed quarters will be used. For example, if you filed for benefits on Wednesday, April 12, 2017 the wages paid during the calendar four of the five quarters below would be used to compute your benefit entitlement.

January 1, 2017 through March 31, 2017

October 1, 2016 through December 31, 2016

July 1, 2016 through September 30, 2016

April 1, 2016 through June 30, 2016

January 1, 2015 through March 31, 2016

You may be asked to provide quarterly wages if they were not reported by your employer(s). You should have the information available before filing your claim.

If you have any questions about this form, call the Inquiry Line at 1-866-500-0017. TTY customers call 1-866-366-0004.

TED is an equal opportunity employer/program.

How to Edit Michigan Form Uia 1538 Online for Free

mi uia need file claim can be completed easily. Simply use FormsPal PDF editor to complete the job without delay. We are devoted to giving you the ideal experience with our editor by consistently presenting new functions and improvements. With these improvements, using our editor becomes better than ever! Starting is simple! Everything you need to do is follow these simple steps directly below:

Step 1: Simply click on the "Get Form Button" at the top of this page to see our pdf editing tool. There you'll find all that is required to work with your document.

Step 2: As soon as you open the file editor, you will notice the document prepared to be completed. Besides filling in different blanks, you may also perform other sorts of actions with the form, particularly writing any text, modifying the initial text, adding images, affixing your signature to the form, and much more.

In an effort to fill out this PDF form, ensure you type in the necessary details in every field:

1. Fill out your mi uia need file claim with a selection of major blanks. Note all of the important information and make certain not a single thing omitted!

Completing section 1 of unemployment form uia

2. Soon after finishing this section, head on to the subsequent step and fill in all required particulars in these blank fields - EMPLOYMENT INFORMATION, Your Most Recent Employer Your, Street Address Use the payroll, City State and Zip Code Dates of, and Beginning Date Ending Date.

Part number 2 of completing unemployment form uia

3. This third segment is normally fairly straightforward, EMPLOYER, Your Most Recent Employer, Street Address Use payroll if known, City State and Zip Code Dates of, Beginning Date Ending Date, EMPLOYER, Your Most Recent Employer, Street Address Use payroll if known, City State and Zip Code Dates of, and Beginning Date Ending Date - these fields will have to be completed here.

Your Most Recent Employer, EMPLOYER, and Street Address Use payroll if known in unemployment form uia

It is possible to make errors when completing the Your Most Recent Employer, and so make sure to take another look before you'll send it in.

4. Filling in City State and Zip Code Dates of, Beginning Date Ending Date, DATES, When entering dates either on the, WAGES, Your benefit entitlement will be, January through March, October through December, July through September, April through June, January through March, You may be asked to provide, and If you have any questions about is vital in the next section - make certain that you take the time and fill out each and every blank!

Guidelines on how to prepare unemployment form uia part 4

Step 3: Before submitting the document, make certain that blanks were filled out as intended. The moment you think it is all fine, click on “Done." Create a 7-day free trial account with us and gain immediate access to mi uia need file claim - which you can then use as you would like from your personal account page. At FormsPal, we do our utmost to guarantee that all of your details are stored secure.