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Unemployment Insurance Eligibility Request

The document is a letter from the Michigan Unemployment Insurance Agency requesting additional information from Nicki Gatlin regarding a late claimant protest. It informs Gatlin that their request for redetermination was received after the required 30 day deadline and asks them to provide information about why the deadline was missed. Gatlin is asked to certify that the information provided is true and advised that making false statements could result in penalties. Translations of the letter are provided in multiple languages.

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Nicki Gatlin
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0% found this document useful (0 votes)
41 views4 pages

Unemployment Insurance Eligibility Request

The document is a letter from the Michigan Unemployment Insurance Agency requesting additional information from Nicki Gatlin regarding a late claimant protest. It informs Gatlin that their request for redetermination was received after the required 30 day deadline and asks them to provide information about why the deadline was missed. Gatlin is asked to certify that the information provided is true and advised that making false statements could result in penalties. Translations of the letter are provided in multiple languages.

Uploaded by

Nicki Gatlin
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

STATE OF MICHIGAN

UIA 1713 C/E Authorized By


(Rev. 02-21) DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY MCL 421.1 et seq.
UNEMPLOYMENT INSURANCE AGENCY
GRETCHEN WHITMER
GOVERNOR
SUSAN R. CORBIN
DIRECTOR
l
Sent via Go Green

NICKI GATLIN Mail Date: October 19, 2021


727 SKIPPER LN Letter ID: L0114127374
COLDWATER MI 49036-8811
CLM: C59538190
Name: NICKI GATLIN

Request for Information


Employer Name: ** No Employer Selected **
Social Security Number: ###-##-6366
Benefit Year Begin: March 22, 2020 Case Number: 37875845
A question of eligibility and/or qualification has been raised on a claim in which you are an interested party.
Respond to the questions on the reverse side of this form and keep a copy for your records. Return the completed
form to Unemployment Insurance (UI) by October 29, 2021. Failure to respond to this request for
information will result in a determination based on available information.

How to Respond
Submit copies (not the originals) of any records which you believe support your position, such as pay stubs, layoff
slip, federal income tax form, W-2, etc. If you require additional space, attach additional pages(s). Include your
name, Claim ID and Letter ID as shown above, on all documents that you submit.

You can respond online, by mail or fax. To submit your response through your MiWAM account, go to
[Link]/uia and select "Additional fact finding is required for your claim." If you do not have an existing
MiWAM account, you can create an account by selecting "Register as a New User", and follow the prompts. To
respond by mail, return the completed form along with a copy of any additional documents to Unemployment
Insurance Agency, P.O. Box 169, Grand Rapids, MI 49501-0169 or fax to (517) 636-0427.

Penalties
It is against state law to intentionally make false statements or conceal material information to gain or avoid the
payment of benefits. You may have to repay up to 1.5 times the amount of benefits received. Benefits will be
stopped, and any remaining benefits will be lost. You may also be subject to criminal prosecution. If prosecuted,
you may be required to pay court costs and fines, face jail time, perform community service or any combination of
these.

If your address changes it is important to update it with Unemployment Insurance.

If you have questions, contact UIA Customer Service at 1-866-500-0017. TTY customers use 1-866-366-0004.

1 UIA is an Equal Opportunity Employer/Program.

l Auxiliary aids, services and other reasonable


accommodations are available upon request to
individuals with disabilities.
UIA 1713 C/E Letter ID: L0114127374
(Rev. 02-21)

Additional information is necessary regarding Late Claimant Protest.

False

Your request for a redetermination, which was mailed on 9/3/2021, was received by the Unemployment
Insurance Agency on 10/18/2021 3:13:33 AM. To be filed on time a protest/appeal must be received by
the UIA within 30 calendar days after the date of mailing of the (re)determination which is in dispute.

My protest/appeal was not filed within thirty (30) calendar days from the date the (re)determination was
mailed because:
I did not have new or additional information available to supply within the required timeframe.
I did not receive the notice.
I was not aware of or did not understand the time limit.

Did your address change?


Yes No

Did you notify UIA of your address change?


Yes No

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 to reduce or prevent benefits, I may be
required to repay benefits, charged damages and could be subject to criminal prosecution.
______________________________________________ _____________________ ______________________________
Signature Date Telephone Number
_______________________________________________ ____________________________________________________________
Print Name Title

1
UIA is an Equal Opportunity Employer/Program.
Auxiliary aids, services and other reasonable

l accommodations are available upon request to


individuals with disabilities.
UIA 1713 C/E Letter ID: L0114127374
(Rev. 02-21)

1 UIA is an Equal Opportunity Employer/Program.

l Auxiliary aids, services and other reasonable


accommodations are available upon request to
individuals with disabilities.
UIA 1713 C/E Letter ID: L0114127374
(Rev. 02-21)

English
IMPORTANT! This document(s) contains important information about your unemployment compensation rights,
responsibilities and/or benefits. It is critical that you understand the information in this document.

IMMEDIATELY: If needed, call 1-866-500-0017 for assistance in the translation and understanding of the information
in the document(s) you have received.

Spanish
¡IMPORTANTE! Este documento (s) contiene información importante sobre sus derechos, responsabilidades y / o
beneficios de compensación de desempleo. Es fundamental que comprenda la información de este documento.

INMEDIATAMENTE: Si es necesario, llame al 1-866-500-0017 para obtener ayuda en la traducción y


comprensión de la información en el (los) documento (s) que ha recibido.

Arabic

Albanian
• E RËNDËSISHME! Ky dokument përmban informacione të rëndësishme për të drejtat, përgjegjësitë dhe / ose
përfitimet e kompensimit të papunësisë. Është e rëndësishme që ju të kuptoni informacionin në këtë dokument.
• MENJËHERË: Nëse është e nevojshme, telefononi 1-866-500-0017 për ndihmë në përkthimin dhe kuptimin
e informacionit në dokumentet që keni marrë.

Common questions

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The Unemployment Insurance Agency ensures equitable access by offering auxiliary aids and reasonable accommodations to individuals with disabilities upon request. This commitment to accessibility is part of the agency's equal opportunity employment program. Furthermore, support for understanding and translating important documents is available in multiple languages to assist those who may face linguistic barriers, thereby underpinning the agency's dedication to inclusivity .

Auxiliary aids and services are crucial for ensuring that individuals with disabilities can fully understand and respond to unemployment benefit communications. The State of Michigan's Unemployment Insurance Agency provides such accommodations upon request to ensure equal access to its programs and services. Additionally, customer support is available to assist with translations and understanding of documents in multiple languages, as specified in various languages in the document .

Requiring claimants to provide true and correct information aids in the fair and efficient administration of unemployment benefits by ensuring that only eligible individuals receive assistance. This requirement helps prevent fraud and misuse of resources, thereby maintaining the viability and accuracy of the benefits system. It also supports the equitable distribution of resources to those genuinely in need and facilitates timely and correct determination of claims .

The 30-day time limit for filing a protest or appeal is significant because it ensures that disputes regarding unemployment determinations are addressed within a reasonable timeframe, thereby facilitating efficient resolution. If this deadline is not met, it generally leads to a loss of the right to contest the determination based on new or additional information, unless exceptional circumstances such as lack of notice or misunderstanding of the time limit can be demonstrated, possibly requiring certification of truthfulness in late submissions .

The MiWAM account provides a digital platform for claimants to submit responses to inquiries regarding their unemployment benefits. This online solution allows for efficient, organized access to submit necessary documentation and responses, reducing the risk of delays associated with mail or fax submissions. Additionally, it enables claimants to track the status of their inquiries and receive updates, which can be particularly advantageous for maintaining compliance with deadlines and managing communications .

Failure to respond to an eligibility or qualification inquiry for unemployment benefits by the specified deadline will result in a determination based on available information . Additionally, if the response is not timely or information is intentionally misrepresented, penalties may include repayment of benefits up to 1.5 times the received amount, cessation of benefits, potential criminal prosecution, court costs, fines, and possibly jail time or community service .

Providing false statements to the Unemployment Insurance Agency can lead to the requirement of repaying benefits, potentially up to 1.5 times the amount originally received. Legal risks also include criminal prosecution, which could result in fines, court costs, jail time, or community service . These potential consequences highlight the importance of accuracy and honesty in submitting unemployment claims to protect claimants from severe financial and legal repercussions.

Address changes can affect the receipt of important notices related to unemployment benefits. If an individual does not update their address with the Unemployment Insurance Agency (UIA), important documents may not be received in time, affecting the ability to meet deadlines for filings such as appeals or necessary information submissions. To prevent this, it is crucial to promptly notify the UIA of any address changes .

Incorrect certification on an unemployment benefits claim can have severe consequences, including a requirement to repay benefits, charges for damages, and potential criminal prosecution. Even if unintentional, providing inaccurate information could result in the claimant's benefits being halted or denied, because it undermines the integrity of the submitted information and leads to mistrust from the agency. Thus, claimants must thoroughly verify all supplied information before certifying it as true and correct .

Claimants can ensure effective documentation by submitting clear copies of records such as pay stubs, layoff slips, and relevant federal income tax forms. It's essential to label all documents with their name, Claim ID, and Letter ID to maintain clarity and ensure the materials are correctly associated with their claim. Furthermore, using the MiWAM account can streamline submissions and provide secure documentation uploads, reducing the likelihood of lost or misplaced papers .

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