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Statement of benefit charges

At the beginning of each quarter, we mail a Statement of Benefit Charges to employers who had unemployment insurance benefits charged to their accounts during the previous quarter. Review the statement to determine if the information is correct.

Here are two questions to help you determine if the information is correct:

  • Is this a former employee?
  • Why did your former employee leave your company?

If the information on the form is correct, do not return it. If the information is incorrect, write the correct information on the form and mail or fax it back to us. If you think you qualify for relief of benefit charges, send a written request within 30 days after of the date on the form

Related links
Relief of benefit charges | FAQs - Benefit charging | Sample form - Statement of benefit charges