Unemployment Publications and Forms
Employers: Tax Publications and Forms
- How to File Your Weekly Benefit Claim (Me. B-4A)
- Unemployment Poster (Me. I-1)
- Benefits Rights Booklet - What Every Worker Should Know
- Trade Readjustment Assistance Act - Work Search Requirements
- Trade Readjustment Assistance Act (Brochure A)
- Trade Readjustment Assistance Act (Brochure B)
- How to Prepare for an Appeal Hearing (Me. A-12)
|Form #||Form Name and Description|
|B-9.2||Initial Claim Form with Instructions
Printable application form for New Unemployment Claims.
|B-9.3||Verification of Earnings
This form allows an employer to verify a claimant's weekly earnings
|B-100||Weekly Claim Form
This Weekly Claim form is provided as a substitute claim form only. It can be used only when authorized by the Bureau of Unemployment Compensation. You must be a currently active claimant to use this form.
|B-101||Work Search Log
This form is used for claimants to maintain a record of their work searches. The claimant should submit a copy of their work search logs when requested by the agency or immediately if they return to work.
|B-4A||How to File Your Weekly Benefit Claim (Me. B-4A)
Instructions on how to file weekly claims for unemployment benefits.
|W-4V||Income Tax Voluntary Withholding Form
Provides for the voluntary withholding of state and federal income taxes from Unemployment Compensation. Includes I-5 Instruction sheet.
|I-1||Unemployment Poster (Me. I-1)
Employers required to provide unemployment compensation coverage for their employees must post this notice.
|I-3||Benefits Rights Booklet - What Every Worker Should Know
What Every Worker Should Know About Unemployment Benefits (Information about every claimant's rights and responsibilities)
|B-70||Dependents Claim Form
Information required to claim a dependency allowance.
|B-7||Alien Verification Form
Information required to verify Alien Status for non-citizens and request for copy of alien card.
|ETA-858A (1)||Weekly Request for Allowances
Weekly Request for Allowances Only - Daily Travel/Subsistence for Trade Readjustment Allowances and North American Free Trade Agreement Programs.
|B-100 (DWB)||Dislocated Worker Benefits Weekly Claim Form
Verification of attendance at training for Dislocated Worker Benefts claims.
|DWB-1||Dislocated Worker Benefits
Initial Application for Dislocated Worker Benefits.
|I-23 TRA||Trade Readjustment Assistance Act - Work Search Requirements
Explanation of Work Search and Suitable Work Requirements under the Trade Readjustment Allowances and North American Free Trade Agreement Programs.
|UC-3||Request for Commission Hearing for Income Tax Refund Offset
Used to request a commission hearing when an Income Tax Refund is being offset.
|UIC-1||Overpayment Waiver Information
Information on how to request a waiver of an unemployment benefit overpayment through the Unemployment Insurance Commission.
|B-170||Application for Direct Deposit
Unemployment benefit checks can be direct deposited into your checking or savings account. Use this application to start or stop direct deposit.
|ETA-858A (2)||Weekly Request for Allowances and Attendance Form for TAA/TRA
Weekly Request for Benefits and/or Daily Travel/Subsistence Allowances (combined form) for Trade Readjustment Allowances and North American Free Trade Agreement Programs
|FD-1||Reporting Potential Unemployment Fraud
You can report instances of unemployment fraud by using this form.
|B-2 (EUC08)||Emergency Unemployment Compensation 2008 (EUC08) Application
This form is used to file for Emergency Unemployment Benefits (EUC08)
|TRA-17A||Trade Readjustment Assistance Act (Brochure A)
Explanation of benefits and allowances available for Trade Readjustment Allowances and the Trade Adjustment Assistance Programs. (For Trade Certifications Numbered 50,000 - 69,999 or 80,000+)
|TRA-17B||Trade Readjustment Assistance Act (Brochure B)
Explanation of benefits and allowances available for Trade Readjustment Allowances and the Trade Adjustment Assistance Programs. (For Trade Certifications Numbered 70,000)
|B-70.1||Dependents Claim Form - Continuation Sheet
Continuation sheet for listing additional dependent children when using the Form Me. B-70
|BD-4.7 (Web)||Medical Information
This form can be used when medical information is required in order to process a claim for unemployment compensation.