Unemployment Insurance Handbook Forms

Please note: All of the forms below are provided in PDF format. Some of the documents have been scanned and may not be entirely clear.

  • AdjApp - Adjustment Application (For quarters prior to the first quarter of CY 2008)
  • AdjApp - Adjustment Application (For the first quarter of CY 2008 and quarters thereafter)
  • COM4069 - Election for Reimbursement Option
  • POA - Power of Attorney
  • QPR1 - Public Employers/Municipalities
  • QPR2 - Reimbursable Employers
  • UC-1 - Report to Determine Liability
  • UC-8 - Quarterly Tax Report (For tax reporting for quarters prior to the first quarter of CY 2008)
  • UC-8 - Quarterly Tax Report (For tax reporting for quarters after the CY 2008)
  • UC-400 - Application for Rehire Credit
  • Requirements for Magnetic Media Reporting

Go to the Employer Handbook