The UIA 1718 form, also known as the Claimant's Statement of Wages, is a crucial document for individuals in Michigan navigating unemployment benefits. It serves as a tool for claimants to report or dispute wages directly to the Unemployment Insurance Agency (UIA), ensuring that their benefits calculation is accurate and based on the correct earnings. Whether an employer has not reported wages or a disagreement exists about the reported amounts, this form provides a structured way to present the necessary wage information accurately. For a smooth process in addressing your unemployment benefits, make sure you fill out the UIA 1718 form by clicking the button below.
When individuals find themselves navigating the complexities of unemployment benefits, the State of Michigan provides a structured way for claimants to correct or contest reported wages through the UIA 1718 form. This form, meticulously designed by the Michigan Department of Labor and Economic Opportunity and periodically updated, with its latest revision in September 2021, serves as a critical tool for individuals seeking to ensure their unemployment benefits calculations reflect accurate wage information. The necessity for this form arises in instances where there is a discrepancy between the wages employers report to the Unemployment Insurance Agency (UIA) and what the claimant believes to be true, or in cases where an employer fails to report wages entirely. Completion of the UIA 1718, Claimant’s Statement of Wages, enables individuals to officially communicate these discrepancies by providing detailed employment and wage information to the UIA, through either mail or fax. Structured with clear sections for claimant and employer information, employment specifics, quarterly wage details, and a certification statement, the form emphasizes the importance of accuracy and honesty in its completion. Importantly, claimants are also required to submit proof of the wages in question to support their claims, underlining the rigorous process involved in re-evaluating unemployment benefits. This careful process, reinforced by the potential for criminal prosecution if false statements are made, highlights the balance between providing a fair opportunity for claimants to correct wage information and the necessity of maintaining integrity within the 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.
After receiving your Monetary Determination from the Unemployment Insurance Agency (UIA), you may find discrepancies in the wages reported by your employer or discover that your wages were not reported at all. To correct these issues, you will need to fill out the UIA 1718 form, known as the Claimant’s Statement of Wages. This form is a critical step in ensuring your unemployment benefits are calculated correctly based on the accurate wages earned. The instructions provided below are designed to guide you through each section of the form, making sure you complete it accurately and provide all necessary documentation to support your wage claims.
After completing the form, ensure that you attach clear, legible proof of wages such as check stubs, W-2s, payroll records, or a letter from your employer with payroll information. This evidence is crucial for the Unemployment Insurance Agency to verify the information you've provided. Once everything is in order, mail or fax the UIA 1718 form and any supporting documents to the address or fax number provided. This step is essential in rectifying your wages record, ensuring your unemployment benefits reflect the accurate amount you're entitled to based on your employment history.
What is the Form UIA 1718?
The Form UIA 1718, also known as the Claimant’s Statement of Wages, is a document that individuals may need to fill out and submit to the Michigan Unemployment Insurance Agency (UIA). Its purpose is for individuals who either disagree with the wages reported by their employer or for those whose employer did not report any wages for them at all. This form is critical for ensuring that unemployment benefit calculations are accurate and reflect the correct earnings of an individual.
Why would I need to complete the Form UIA 1718?
You’d need to complete this form if the Monetary Determination letter you received from the UIA has discrepancies. This could happen if you notice that the wages reported by your employer(s) are incorrect or if it completely lacks earnings that you believe should have been included. This form gives you the chance to correct those errors by providing the accurate wage information yourself.
How do I submit Form UIA 1718?
After carefully filling out the Form UIA 1718, you can submit it either through mail or fax. The mailing address is Unemployment Insurance Agency, P.O. Box 169, Grand Rapids, MI 49501-0169. If you prefer to fax the document, the number is 1-517-636-0427. Ensure that the form is fully completed to avoid any delays in processing your information.
What information will I need to provide in Form UIA 1718?
In the form, you will need to provide detailed personal and employment information. This includes your name, social security number, the names and details of your employer(s), and a breakdown of your quarterly wage information. It’s essential to also include proof of wages to support the information you provide, such as check stubs, W-2 forms, or payroll records.
What if I made a mistake on the Form UIA 1718 after submitting it?
If you realize you’ve made an error after submitting the form, it’s crucial to contact the Michigan Unemployment Insurance Agency as soon as possible. You can reach them through your MiWAM account or by calling 1-866-500-0017. Prompt action can help correct any mistakes and ensure your claim is handled correctly.
How do I know which quarters I need to report on Form UIA 1718?
The quarters you need to report are directly tied to the quarters mentioned in your Monetary Determination letter from the UIA, under the section titled “Monetary Determination Calculations”. You should fill out all quarters that include wages from employers relevant to your claim or any quarters you believe have been incorrectly reported.
Can the Form UIA 1718 impact my unemployment benefits?
Yes, accurately completing and submitting Form UIA 1718 can have a direct impact on your unemployment benefits. This form is your opportunity to correct or update wage information, which can affect the amount of benefits you’re eligible to receive. It’s a key step in ensuring your benefits accurately reflect your employment history and earnings.
Where can I get help filling out Form UIA 1718?
If you’re unsure about any part of the form or need further assistance, it’s best to contact the Michigan Unemployment Insurance Agency directly. You can get help through your MiWAM account or by calling their helpline at 1-866-500-0017. Additionally, visiting the official UIA website can provide you with more information and guidance on how to properly fill out and submit this form.
Filling out the UIA 1718 form, a Claimant's Statement of Wages, is a crucial step in ensuring accurate unemployment benefits. However, mistakes can lead to delays or inaccuracies in receiving benefits. One common mistake is inaccurately reporting wages. This form requires detailed historical wage information, including quarterly gross wages. Misreporting these figures, whether by underreporting or overreporting, can significantly affect the calculation of unemployment benefits.
Another pitfall is failing to provide supporting documentation for the wages claimed. The UIA 1718 form explicitly requires claimants to send clear, legible proof of wages, such as check stubs, W-2s, payroll records, or a letter from the employer. Neglecting this requirement can result in the rejection of the submitted wage claim, as the Unemployment Insurance Agency (UIA) heavily relies on this documentation to verify and process claims.
Additionally, applicants often overlook the importance of accurately completing the employer information section. This section captures critical details about the employer, including the name, address, and federal employer identification number (FEIN). Mistakes here can lead to confusion and misidentification, potentially delaying the processing time as the UIA tries to match the provided information with its records.
Lastly, failing to update personal contact information is a significant error. If an address changes after submitting the UIA 1718 form, it's imperative to inform the UIA immediately. Failure to do so can result in missed communications regarding the status of one's unemployment benefit claim, including requests for additional information or clarification that, if unaddressed, could impact the receipt of benefits.
When managing unemployment claims in Michigan, several documents and forms may work in conjunction with the UIA 1718 form, also known as the Claimant’s Statement of Wages. This form is crucial for those needing to correct or dispute wage information regarding their unemployment benefit claims. However, it’s seldom the only piece of documentation required in the process. Below is an overview of other forms and documents commonly used to ensure a comprehensive and factual representation of a claimant’s employment history and earnings.
Understanding and gathering the correct documentation is a crucial step in accurately navigating the complexities of unemployment claims. Each form or document provides a piece of the puzzle in demonstrating an individual's employment history and earnings to the Unemployment Insurance Agency. Individuals are encouraged to maintain organized records of their employment and earnings, which can significantly facilitate the claims process, ensuring that all information presented is accurate and substantiated. Whether challenging a monetary determination, reporting wages not accounted for by an employer, or providing context for an unemployment claim, these documents collectively support the clarity and precision of the information presented to the agency.
The UIA 1718 form, or Claimant’s Statement of Wages, shares similarities with the IRS W-2 form. The W-2 form is used by employers to report an employee's annual wages and the amount of taxes withheld from their paycheck. Both forms are essential for determining unemployment benefits or tax obligations, focusing on an individual’s earnings and deductions. However, while the UIA 1718 is specifically for unemployment claims, the W-2 serves a broader purpose in the taxation process.
Another document akin to the UIA 1718 form is the 1099-MISC, used for reporting payments made to independent contractors. Like the UIA 1718, the 1099-MISC provides detailed information on earnings, which can be essential for self-employed individuals filing for unemployment benefits or calculating their taxes. Both documents ensure that income is accurately reported to state and federal agencies, though they serve different types of workers.
The Quarterly Federal Tax Return, or Form 941, also bears resemblance to the UIA 1718. Employers use Form 941 to report income taxes, social security tax, or Medicare tax withheld from employees' paychecks. Additionally, it reports the employer's portion of Social Security or Medicare tax. Similar to the UIA 1718, which reports wages to the Unemployment Insurance Agency, Form 941 ensures accurate reporting of wages and deductions for federal tax purposes.
Similar to the UIA 1718, the State Unemployment Tax Act (SUTA) filings require employers to report wages paid to employees. SUTA filings help determine the amount of unemployment insurance tax an employer owes. Both the UIA 1718 and SUTA filings are critical for administering unemployment benefits, albeit from different perspectives—the former from the claimant's and the latter from the employer's standpoint.
The Salary Verification Letter, often requested by lenders or landlords, is another document akin to the UIA 1718. This letter verifies an employee's income directly from the employer, similar to how the UIA 1718 form collects wage information for unemployment claims. Both documents serve to confirm earnings, although for different purposes: one for personal or financial verification and the other for unemployment benefit eligibility.
The Request for Wage and Income Transcript, a form issued by the IRS, also shares similarities with the UIA 1718. It allows individuals to request a record of their income reported to the IRS, including W-2s, 1099s, and 1098s. Both this form and the UIA 1718 provide crucial information on an individual's earnings, essential for various administrative processes like tax filing and unemployment benefit calculation.
The Employment History Report, typically used by employers during the hiring process, compares to the UIA 1718 form by detailing an individual's past wages and employment. While the Employment History Report is used to assess a candidate’s job experience and salary progression, the UIA 1718 focuses on confirming wage information for unemployment claims. Both, however, are vital for evaluating an individual's work and earnings history.
Another similar document to the UIA 1718 form is the Personal Financial Statement. This statement provides a comprehensive overview of an individual’s financial status, including income, liabilities, and assets. While serving a broader purpose than the UIA 1718, which is focused on employment-related earnings, both documents require detailed reporting of income for assessment purposes—whether for financial planning or unemployment claims.
The Wage and Hour Compliance Questionnaire, used by labor departments to investigate wage violations, is somewhat akin to the UIA 1718. It gathers comprehensive wage data from employers to ensure compliance with labor laws. Like the UIA 1718, which gathers wage information for unemployment claims, this questionnaire ensures that employees are compensated according to legal requirements.
Finally, the Paycheck Protection Program (PPP) Loan Forgiveness Application is a document that, like the UIA 1718, deals with the reporting of wages. Applicants must provide detailed payroll data to qualify for loan forgiveness, similar to how claimants must report wages on the UIA 1718 to compute unemployment benefits. Both forms play crucial roles in providing financial relief, whether through unemployment insurance or loan forgiveness.
When filling out the UIA 1718 form, a careful approach is necessary to ensure accuracy and compliance with the guidelines set by the Michigan Unemployment Insurance Agency. Here are eight key dos and don'ts to guide you through the process:
Remember, accurately completing the UIA 1718 form is crucial for ensuring that your unemployment claim reflects the correct wages, which can affect your benefit amounts. Taking the time to double-check your entries and providing supporting documentation as required can help streamline the process and avoid potential delays or discrepancies in your claim.
Misconception: The UIA 1718 form is only for people who have been denied unemployment benefits.
Reality: This form is not solely for those who have been denied, but for any claimant who disagrees with their reported wages or if an employer failed to report wages at all. It's a tool to correct or update wage information to ensure accurate benefit calculations.
Misconception: You need an attorney to complete the UIA 1718 form.
Reality: While you can seek legal advice, the form is designed to be completed by the claimant. Clear instructions are provided, making it accessible for individuals to fill out and submit on their own.
Misconception: Completing the UIA 1718 form guarantees additional benefits.
Reality: Submitting this form does not guarantee that you will receive more benefits. It's a step towards ensuring the accuracy of your wage information, which may or may not affect your benefit amount.
Misconception: You can only submit the form by mail.
Reality: While mailing is an option, the form can also be faxed to the Unemployment Insurance Agency. This provides flexibility in how you can submit your information.
Misconception: The form is only for disputing the wages your employer reported.
Reality: You can use the form for several purposes: to dispute reported wages, report wages your employer didn't include, or even correct information if you were mistakenly listed as an employee by a company.
Misconception: Once submitted, you can't update the information you provided on the UIA 1718 form.
Reality: If your circumstances change or you need to correct the information provided, you should contact the Unemployment Insurance Agency directly to discuss the next steps. Keeping your information up to date is crucial.
Misconception: The UIA 1718 form is complicated and takes a long time to fill out.
Reality: While it requires attention to detail, particularly in the quarterly wage sections, clear instructions are provided. Carefully gathering your wage information before starting can streamline the process.
Misconception: You must report gross wages without accounting for taxes.
Reality: The form requires your gross wages (before taxes). This is crucial for the accurate calculation of your unemployment benefits, and the form provides specific sections to report these amounts properly.
Filling out and using the UIA 1718 form, also known as the Claimant’s Statement of Wages, is an essential step for individuals in Michigan whose unemployment benefits claims are based on inaccurately reported wages or for those whose wages were not reported by their employers. Here are key takeaways to guide you through this process:
By meticulously completing the UIA 1718 form and providing all required documentation, you can ensure that your unemployment benefits reflect your actual earnings, thereby providing you with the financial aid you're rightly entitled to during your period of unemployment.
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