The UIA 1718 form is a crucial document used by individuals in Michigan to report discrepancies in their unemployment wage records. This form allows claimants to contest reported wages or to inform the Unemployment Insurance Agency if wages were not reported at all. Completing the UIA 1718 accurately is essential for ensuring that unemployment benefits reflect the correct earnings; take the first step by filling out the form below.
The UIA 1718 form is an essential document for individuals navigating the unemployment benefits process in Michigan. This form, known as the Claimant’s Statement of Wages, is designed for those who need to contest the wages reported by their employers or address situations where wages have not been reported at all. It plays a critical role in ensuring that claimants receive the correct amount of unemployment benefits based on their actual earnings. The form requires claimants to provide detailed information about their employment, including the names of employers, types of work performed, and gross wages for specific quarters. Additionally, it emphasizes the importance of submitting clear proof of wages, such as pay stubs or W-2 forms, to support any claims made. Completing the UIA 1718 accurately and promptly can significantly impact the outcome of a claimant's benefits, making it crucial for individuals to follow the provided instructions carefully. This form not only serves as a means of rectifying wage discrepancies but also acts as a safeguard for the integrity of the unemployment benefits system.
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
Determination.
I never worked for or was not paid by _______________________________ as shown on my Monetary
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
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?
Total gross wages during current calendar year: $____________________
actual
Total gross wages during preceding calendar year: $__________________
Were there other employees?
Yes - how many? ______________
Is the employer still operating?
Yes
Additional comments:
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
June 30
3rd Quarter
July 1
September 30
4th Quarter
October 1
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.
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 ______
WEEK PAID
GROSS WAGES
PAID
TOTAL
Quarterly
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.
Completing the UIA 1718 form is an important step if you believe there are discrepancies in the wage information reported by your employer or if you did not receive credit for wages you earned. Once you fill out this form, you will need to submit it to the Unemployment Insurance Agency for review. This process is crucial for ensuring your unemployment benefits are calculated accurately.
What is the purpose of the UIA 1718 form?
The UIA 1718 form, also known as the Claimant’s Statement of Wages, is designed for individuals who wish to contest the wages reported by their employers to the Unemployment Insurance Agency (UIA). It is also used when an employer has not reported any wages for the claimant. Completing this form is essential for ensuring that the correct wage information is considered when determining eligibility for unemployment benefits.
Who needs to complete the UIA 1718 form?
How do I fill out the UIA 1718 form?
To complete the UIA 1718 form, follow these steps:
What should I do if I disagree with the wages reported by my employer?
If you disagree with the wages reported by your employer, you should complete the UIA 1718 form, specifically indicating your disagreement in the designated section. Ensure that you provide clear evidence to support your claim, such as pay stubs or other relevant documentation. This evidence will help the UIA assess your case accurately.
What if my employer did not report any wages for me?
If your employer did not report any wages, you must complete the UIA 1718 form and specify this in the appropriate section. Provide as much detail as possible regarding your employment and any wages you believe you earned. It is crucial to include supporting documentation to substantiate your claim.
How should I submit the completed UIA 1718 form?
You can submit the completed UIA 1718 form by mailing it to the Unemployment Insurance Agency at P.O. Box 169, Grand Rapids, MI 49501-0169. Alternatively, you may fax it to 1-517-636-0427. Ensure that you keep a copy of the submitted form for your records.
What types of documentation do I need to include?
When submitting the UIA 1718 form, it is essential to include clear and legible proof of wages. Acceptable documentation may include:
This documentation supports the information you provide on the form and is necessary for the UIA to process your claim accurately.
What if I have questions about the UIA 1718 form?
If you have questions regarding the UIA 1718 form or the unemployment benefits process, you can contact the UIA through your MiWAM account or by calling 1-866-500-0017. Additionally, you can visit the UIA website at www.michigan.gov/uia for more information and resources.
What happens after I submit the UIA 1718 form?
After you submit the UIA 1718 form, the Unemployment Insurance Agency will review the information and documentation provided. They will assess your claim and may reach out for additional information if necessary. You will receive a notification regarding the outcome of your claim and any adjustments made to your Monetary Determination.
Is there a deadline for submitting the UIA 1718 form?
While specific deadlines may vary, it is crucial to submit the UIA 1718 form as soon as possible after receiving your Monetary Determination. Timely submission ensures that your claim is processed efficiently and that you receive the benefits to which you may be entitled without unnecessary delays.
Filling out the UIA 1718 form can be a straightforward process, but many people make common mistakes that can lead to delays or issues with their unemployment benefits. One frequent error is not providing accurate personal information. Claimants often overlook the importance of ensuring their name and Social Security number are correct. A simple typo can lead to significant complications in processing your claim.
Another mistake involves the employer information section. People sometimes forget to include the correct name of their employer or fail to provide the employer's Federal Employer Identification Number (FEIN). This information is crucial. If the Unemployment Insurance Agency cannot match your claim with the correct employer, it may result in a denial of benefits.
Many individuals also struggle with the quarterly wage information. A common error is reporting wages in the wrong quarter. Remember, wages should be reported in the quarter they were actually paid, not when they were earned. This misunderstanding can cause discrepancies that complicate your claim.
Additionally, some claimants neglect to include supporting documentation. The UIA requires proof of wages, such as pay stubs or W-2 forms. Failing to attach this documentation can lead to delays or even denial of your claim. Always remember to provide clear and legible proof to support the information you submit.
Finally, individuals sometimes skip the certification statement at the end of the form. This section is essential, as it confirms that the information provided is true and correct. Forgetting to sign and date this section can result in your form being rejected. Always double-check that you have completed every section, including the certification.
The UIA 1718 form is a critical document for individuals seeking unemployment benefits in Michigan. When completing this form, there are several other forms and documents that may also be required or helpful in the process. Understanding these additional documents can assist claimants in navigating their unemployment claims more effectively.
By gathering these additional documents, claimants can strengthen their cases and ensure that their unemployment claims are processed accurately. Each document plays a unique role in clarifying employment history and wage information, which is essential for receiving the correct benefits.
When filling out the UIA 1718 form, it is crucial to approach the task carefully. Here are five things you should and shouldn't do to ensure your submission is accurate and complete.
Following these guidelines will help streamline the process and improve the chances of a successful claim for unemployment benefits.
Misconceptions about the UIA 1718 form can lead to confusion and mistakes in the unemployment benefits process. Here are eight common misconceptions, along with clarifications to help you better understand this important document.
Understanding these misconceptions can help you navigate the unemployment benefits process more effectively. Always ensure that you provide accurate information and necessary documentation when completing the UIA 1718 form.
Filling out the UIA 1718 form is an important step in ensuring that your unemployment benefits are accurately calculated. Here are key takeaways to keep in mind:
By following these guidelines, you can help ensure that your unemployment benefits are calculated fairly and accurately. If you have questions, don't hesitate to reach out for assistance.