What is Form UI-28?
Form UI-28 is called the Employer’s Claim for Adjustment or Refund. This form must be filed by the employer.
What is Form UI-28 for?
The form is created for claiming any refund or adjustment. All these claims may be subject to audit and field investigation at the Director’s discretion. If the claims involve contributions that were paid on overstated salaries, they may influence the contribution rate of the employer for any year.
When is Form UI-28 Due?
This form must be filed by the employer not later than 3 years after the date when the contribution, penalty or interest were erroneously disbursed. Generally, the claim must be completed every calendar year.
Is Form UI-28 Accompanied by Other Documents?
Other forms or documents are not required to be attached. However, if more space is needed for providing all information, it is possible to attach more additional sheets.
What Information do I Include in Form UI-28?
The following information must be indicated in the form:
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Employer name;
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Account number;
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Address;
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Position;
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Email address and fax number;
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Year of filing;
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Total wages, interest and penalties;
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Verified facts and figures;
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Total amount of the claim.
At the end it is required to sign and date the document.
Where do I Send Form UI-28 after Completing?
Send this form either by fax (312-793-4351) or mail:
State of Illinois
Department of Employment Security
Revenue Division
33 South State Street
Chicago, Illinois 60603
