Form Uia 1718 PDF Details

Form UIA 1718 is a document that is used in the United States to request evidence for an immigrant visa application. The form is also known as a Request for Evidence (RFE) and is used by US Citizenship and Immigration Services (USCIS) to ask for additional information about an applicant. The RFE will typically include specific questions that need to be answered in order to continue with the visa application process. It is important to respond to the RFE promptly and accurately, as failure to do so could result in a delay or even denial of the visa application.

The table provides details about the form uia 1718. It's advisable that you look at this information before you decide to begin editing the PDF.

QuestionAnswer
Form NameForm Uia 1718
Form Length3 pages
Fillable?Yes
Fillable fields181
Avg. time to fill out37 min 1 sec
Other namesmichigan form uia 1718, michigan form unemployed workers, michigan form uia 1718 unemployed, uia 1718 form

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UIA 1718

 

 

 

Reset Form

(Rev. 09-21)

 

 

 

 

 

 

 

STATE OF MICHIGAN

GRETCHEN WHITMER

DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY

GOVERNOR

UNEMPLOYMENT INSURANCE AGENCY

 

 

 

 

Mail Date:

 

 

 

 

 

 

 

 

 

 

Letter ID:

 

 

 

 

CLM:

 

 

 

 

Name:

Authorized by

MCL 421.1 et seq.

SUSAN R. CORBIN

DIRECTOR

 

Claimant’s Statement of Wages

Employers are required to report quarterly wages for each employee to the Unemployment Insurance Agency (UIA). A claim for unemployment benefits is based on these reported wages. You were sent a Monetary Determination that provided information regarding your claim for unemployment benefits. This monetary determination showed you the wages reported by your employers and/or informed you that an employer(s) did not report wages for you.

This Form UIA 1718, Claimant’s Statement of Wages, must be completed by you if either you disagree with the wages reported by an employer or an employer did not report wages for you at all. Carefully read and follow the directions to complete this form. Mail to the Unemployment Insurance Agency, P.O. Box 169, Grand Rapids, MI 49501-0169 or Fax at 1-517-636-0427.

Check the reason you are completing this form:

Wages earned with _________________________________that I included on my claim for unemployment

Name of Employer

benefits were not included in the calculation of my Monetary Determination.

I disagree with the wages reported by ______________________________ as shown on my Monetary

Name of Employer

Determination.

I never worked for or was not paid by _______________________________ as shown on my Monetary

Name of Employer

Determination and to request the reported wages not be used. Complete Section E only.

Section A - Claimant Information

____________________________________________

_________________________________

First and Last name

 

Social Security Number

Section B - Employer Information

 

____________________________________________

_________________________________

Name of Company or Business

 

Owner/Employer Name

____________________________

_________________________

___________________________

Telephone Number

UIA Employer Account Number

Federal Employer Identification Number (FEIN)

____________________________________________________________________________________________

Address

City

State

Zip Code

Section C - Employment Information

 

 

 

Physical location of your employment: _____________________________________________________________

Type of work you performed or your job title: ________________________________________________________

*017182109*

UIA is an equal opportunity employer/program.

 

UIA 1718 (Rev. 09-21)

How were you paid?

Cash Check

Direct deposit

Letter ID:

Other - explain: ____________________

Was there other remuneration (e.g. bonuses, commissions, 401K, room and board, etc.) in your wages?

No

Yes - explain:

Were deductions made from your pay (e.g. FICA, income taxes, etc.) in your wages?

No

Total gross wages during current calendar year: $____________________

actual

Total gross wages during preceding calendar year: $__________________

actual

Were there other employees?

No

Yes - how many? ______________

 

Is the employer still operating?

No

Yes

 

Additional comments:

 

 

 

Yes

estimated

estimated

Section D - Quarterly Wage Information

You must report the quarterly gross wages (before taxes) on the chart on the next page. There are four calendar quarters per year. The quarters are numbered and are the same from year to year. Each quarter contains three calendar months as follows:

1st Quarter

January 1

through

March 31

2nd Quarter

April 1

through

June 30

3rd Quarter

July 1

through

September 30

4th Quarter

October 1

through

December 31

The involved quarters are the same quarters that are shown on your Monetary Determination under the heading “Monetary Determination Calculations”. Label the chart on the next page with the same quarter dates.

If you are completing this form because wages earned with an employer that you included on your claim were not used in the calculation of your Monetary Determination, complete all quarters that contained wages from that employer.

If you are completing this form because you disagree with the wages reported by your employer, complete only the quarters that you disagree with.

If your address changes, it is important to update it with the Unemployment Insurance Agency.

If you have questions, you may contact us through your MiWAM account or by calling 1-866-500-0017. For telephone or Local Office hours of operation, visit www.michigan.gov/uia. TTY service is available at 1-866-366-0004.

UIA 1718

Letter ID:

 

(Rev. 09-21)

 

These quarterly charts allow you to enter wage information per week to help you determine your quarterly total wages. If you know your gross wages for each quarter, complete only the Total Quarterly Wage box for each involved quarter. Wages are reported in the quarter they are paid to you.

Example: You may have worked during the last week of March (1st quarter), but you were not paid until April (2nd quarter). These wages must be reported in the 2nd quarter (the quarter containing the date you were PAID).

You are required to send in clear, legible proof of wages to support the information you provide on this form. This can include check stubs, W-2s, payroll records, or a letter from the employer with payroll information. Proof of wages must be included in the order for the Unemployment Insurance Agency to use the information you are providing.

Quarter ___

Year ______

Quarter ___

Year ______

Quarter ___

Year ______

Quarter ___

Year ______

Quarter ___

Year ______

WEEK PAID

GROSS WAGES

WEEK PAID

GROSS WAGES

WEEK PAID

GROSS WAGES

WEEK PAID

GROSS WAGES

WEEK PAID

GROSS WAGES

PAID

PAID

PAID

PAID

PAID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

TOTAL

 

TOTAL

 

TOTAL

 

TOTAL

 

Quarterly

 

Quarterly

 

Quarterly

 

Quarterly

 

Quarterly

 

Wages

 

Wages

 

Wages

 

Wages

 

Wages

 

 

 

 

 

 

 

 

 

 

 

Section E - Certification Statement

Certification: I certify that the information I have reported is true and correct. I understand that if I intentionally make a false statement, misrepresent facts or conceal material information, I may be required to pay damages and could be subject to criminal prosecution.

_____________________________________________________

_______________________

Signature

Date

*017182109* UIA is an equal opportunity employer/program.

 

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Step 1: The first task is to select the orange "Get Form Now" button.

Step 2: When you've accessed the uia editing page you may find all of the functions you can conduct concerning your document from the upper menu.

Get the uia PDF and type in the details for each and every part:

wwwmichigan gov uia blanks to consider

Type in the appropriate information in the field NameofEmployer, Determination, NameofEmployer, SectionAClaimantInformation, SocialSecurityNumber, OwnerEmployerName, TelephoneNumber, UIAEmployerAccountNumber, ZipCode, City, State, and Physicallocationofyouremployment.

Entering details in wwwmichigan gov uia part 2

Write down the vital data in Physicallocationofyouremployment area.

wwwmichigan gov uia Physicallocationofyouremployment blanks to fill

The area UIARevHowwereyoupaid, CashCheck, Directdeposit, Otherexplain, LetterID, Yesexplain, Yes, actual, estimated, actual, estimated, Werethereotheremployees, Yeshowmany, and Yes is where you add all sides' rights and responsibilities.

wwwmichigan gov uia UIARevHowwereyoupaid, CashCheck, Directdeposit, Otherexplain, LetterID, Yesexplain, Yes, actual, estimated, actual, estimated, Werethereotheremployees, Yeshowmany, and Yes fields to fill

Finalize by reading these areas and writing the suitable particulars: Quarter, Year, Quarter, Year, Quarter, Year, Quarter, Year, Quarter, Year, WEEKPAID, GROSSWAGES, PAID, WEEKPAID, and GROSSWAGES.

Completing wwwmichigan gov uia part 5

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