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UI28 Stock # 7189 IL 4270235 (Rev. 02/07) STATE OF ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY REVENUE DIVISION 33 SOUTH STATE STREET, CHICAGO, ILLINOIS 60603 (Do Not Use) DCN No. EMPLOYERS CLAIM FOR
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To fill out UI 28 form, follow these steps:
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Start by obtaining the UI 28 form from the relevant authority.
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Read the instructions and requirements carefully before filling out the form.
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Provide all the necessary personal information in the designated fields, such as name, address, and contact details.
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Fill out the specific sections related to the nature of your request or application.
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Double-check all the information you have entered to ensure accuracy and completeness.
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Submit the completed UI 28 form to the designated authority by the specified means (e.g., in person, mail, online).
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Keep a copy of the completed form and any supporting documents for your records.
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Follow up with the relevant authority to check the status or progress of your application, if necessary.

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UI 28 is needed by individuals who are applying for a specific service, benefit, or permission from the relevant authority.
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Common scenarios where someone may need to fill out UI 28 include:
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- Applying for unemployment benefits
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In summary, anyone who is required to make a formal request or application may need to fill out UI 28 as per the specific requirements of the authority involved.
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UI 28 is a form used for reporting certain information to the relevant authorities.
Employers or entities responsible for the reported information are required to file UI 28.
UI 28 can be filled out manually or electronically, following the instructions provided by the authorities.
The purpose of UI 28 is to report specific information to ensure compliance with regulations.
UI 28 typically requires information such as employee details, wages, and taxes withheld.
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