Instructions For Completing Uc-9a And Obtaining Employer Certifications printable pdf download

Instructions For Completing Uc-9a And Obtaining Employer Certifications

INSTRUCTIONS FOR COMPLETING UC-9A AND OBTAINING EMPLOYER CERTIFICATIONS

COMPLETING UC-9A REFUND FORM

TYPE or PRINT* your Social Security Number and your exact name and address at the top of the claim.

SIGN and DATE the refund claim.

TYPE or PRINT the exact name and location of all your employers who made deductions for

Unemployment Insurance, New Jersey Health Care Subsidy Fund, Workforce Development Partnership

Fund and Disability Insurance from your 2000 wages and state the total amount of wages from which the

deductions were made.

*LEGIBLE INFORMATION WILL ENSURE PROPER REIMBURSEMENT

Your refund claim must also be accompanied by a certification of the deductions made by each of your employers listed

on your claim.

Certification of your wages and deductions can be obtained through one of the following:

Have your employer complete form UC-52, "Employer Certification of Wages and Deductions for

Unemployment Insurance, New Jersey Health Care Subsidy Fund, Workforce Development Partnership

Fund and Disability Insurance."

Furnish a copy of your W-2 Tax Statement provided the form shows the amounts withheld as worker

contributions for Unemployment Insruance, Health Care Subsidy Fund, Workforce Development

Partnership Fund and Disability Insurance.

Mail the completed original UC-9A form together with ALL of your employer certifications to the Division of Employer

Accounts, Worker Refund Unit "00", PO Box 076, Trenton, New Jersey 08625-0076.

After your claim has been received it will be audited and verified. However, no refunds will be issued prior to

August 30, 2001 as claims must be crossmatched with Gross Income Tax records to avoid the possibility of issuing

duplicate credits and/or refunds. Please allow 6-8 weeks processing time.

If you have any questions concerning your claim you may write to the above address or call (609) 292-0083. In

communicating with this Agency concerning your claim, be sure to refer to your Social Security Number.

NOTE:

IF THE AMOUNT DEDUCTED BY ANY ONE EMPLOYER EXCEEDS THE MAXIMUM FOR EITHER

UNEMPLOYMENT INSURANCE, HEALTH CARE SUBSIDY FUND, WORKFORCE DEVELOPMENT PARTNERSH

FUND OR DISABILITY INSURANCE, YOU SHOULD CONTACT THAT EMPLOYER FOR A REFUND OF TH

BALANCE OF THE DEDUCTION.

Instructions For Completing Uc-9a And Obtaining Employer Certifications