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ARIZONA DEPARTMENT OF ECONOMIC SECURITY Workforce Administration Unemployment Insurance ProgramUB113 (417)COMBINEDWAGE CLAIM WITHDRAWAL CLAIMANT INFORMATION NAME (Please print or type) SOCIAL SECURITY

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How to fill out combined-wage claim withdrawal

01

Step 1: Gather all necessary documents and information such as your social security number, employment history, and wage information from all the states you have worked in.

02

Step 2: Contact your state's unemployment office or visit their website to find the combined-wage claim withdrawal form.

03

Step 3: Download or obtain a physical copy of the combined-wage claim withdrawal form.

04

Step 4: Carefully read the instructions provided with the form to ensure you understand the requirements and process.

05

Step 5: Complete the form accurately and legibly. Provide all the requested information, including your personal details, employment history, and reasons for the withdrawal.

06

Step 6: Double-check the form for any errors or omissions before submitting it.

07

Step 7: Submit the completed form to your state's unemployment office by mail or through their online portal.

08

Step 8: Await a response from the unemployment office regarding your combined-wage claim withdrawal.

09

Step 9: If needed, follow up with the unemployment office to inquire about the status of your withdrawal request.

10

Step 10: If approved, the appropriate adjustments will be made to your unemployment benefits or taxes.

11

Step 11: Keep a copy of the submitted form and any related correspondence for your records.

Who needs combined-wage claim withdrawal?

01

Individuals who have filed a combined-wage claim and wish to withdraw their claim may need a combined-wage claim withdrawal.

02

Those who have mistakenly filed for combined wages and want to correct the claim may also require a combined-wage claim withdrawal.

03

People who have experienced changes in their employment history across multiple states may need to withdraw their combined-wage claim.

04

Those who have found alternative means of financial support and no longer require unemployment benefits may choose to withdraw their combined-wage claim.

05

If an individual has found employment and is no longer eligible for unemployment benefits, they may need to withdraw their combined-wage claim.

06

Anyone who has wrongly filed a combined wage claim due to misunderstanding the eligibility criteria may need to submit a withdrawal.

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What is combined-wage claim withdrawal?

Combined-wage claim withdrawal is when an individual decides to withdraw their claim for unemployment benefits based on wages earned in multiple states.

Who is required to file combined-wage claim withdrawal?

Individuals who have filed for unemployment benefits based on wages earned in multiple states may be required to file a combined-wage claim withdrawal.

How to fill out combined-wage claim withdrawal?

To fill out a combined-wage claim withdrawal, individuals need to complete the necessary form provided by the state unemployment agency and follow the instructions provided.

What is the purpose of combined-wage claim withdrawal?

The purpose of combined-wage claim withdrawal is to allow individuals to withdraw their claim if they decide not to pursue unemployment benefits based on wages earned in multiple states.

What information must be reported on combined-wage claim withdrawal?

Individuals must report details about their employment history, wages earned in each state, and reasons for withdrawing their claim on the combined-wage claim withdrawal form.

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