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UIA 1021 (Rev. 5-11) State of Michigan Licensing and Regulatory Affairs UNEMPLOYMENT INSURANCE AGENCY Tax Office Suite 11-500 3024 W. Grand Boulevard Detroit, Michigan 48202 Phone: (313) 456-2180
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How to fill out UIA 1021 form:

01
Obtain a copy of the UIA 1021 form from the appropriate source, such as your employer or the Unemployment Insurance Agency (UIA) website.
02
Read the instructions provided with the form carefully to understand the information required and any specific guidelines for filling it out.
03
Start by entering your personal information, including your name, address, Social Security number, and contact details.
04
Provide details about your previous job, such as the name and address of your employer, dates of employment, and the reason for separation from the job.
05
If you received any wages or severance pay, report the amount and provide details about where it came from.
06
If you are claiming dependents, provide their information as well, including their names and Social Security numbers.
07
Fill in the sections related to any pensions, retirement, or other types of income you may be receiving.
08
Review the completed form for accuracy, ensuring that all fields are filled out, and there are no mistakes or omissions.
09
Sign and date the form, affirming that the information provided is true and accurate to the best of your knowledge.
10
Submit the completed UIA 1021 form according to the instructions provided, whether it's mailing it or submitting it online through the UIA's designated platform.

Who needs the UIA 1021 form?

01
Individuals who have recently become unemployed and are seeking to claim unemployment benefits from the UIA.
02
Employees who have been separated from their job due to reasons such as a layoff, company closure, or termination not due to their own fault.
03
Individuals who meet the eligibility requirements and have been advised or directed by the UIA to complete and submit the UIA 1021 form as part of their unemployment benefits application process.
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UIA 1021 form is a document used by employers to report their quarterly wage details to the Unemployment Insurance Agency (UIA).
All employers in compliant with the Michigan Employment Security Act are required to file uia 1021 form.
To fill out uia 1021 form, employers need to provide accurate wage details for each employee, including social security number, gross wages, hours worked, and any other required information.
The purpose of uia 1021 form is to ensure accurate reporting of employee wages for the calculation of unemployment taxes and benefits.
Employers must report employee wages, hours worked, social security numbers, and any other required information on uia 1021 form.
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