Structure
The Michigan UIA 1538 form plays a crucial role for individuals seeking unemployment benefits in the state. When faced with job loss or reduced hours, this form serves as a guide to help you file your claim effectively. It outlines the necessary personal information you need to provide, such as your Social Security number, mailing address, and contact details. Additionally, it prompts you to select your preferred method of payment, whether through direct deposit or a debit card. The form also requires details about your employment history, including the names and addresses of all employers you have worked for in the past 18 months, along with your earnings during that time. By gathering this information beforehand, you can streamline the filing process. Remember, this form is for your records only and should not be sent to the Unemployment Insurance office. Instead, keep it handy as you prepare to navigate the claims process, ensuring you have all the necessary details at your fingertips.
Form Example
UIA 1538
REV.
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STATE OF MICHIGAN |
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RICK SNYDER |
DEPARTMENT OF TALENT AND ECONOMIC DEVELOPMENT |
ROGER CURTIS |
GOVERNOR |
TALENT INVESTMENT AGENCY |
DIRECTOR |
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UNEMPLOYMENT INSURANCE |
WANDA M. STOKES |
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DIRECTOR |
What You Need To File An Unemployment Claim
If you have become unemployed or your hours of work have been reduced, you may file a claim for unemployment benefits. You may file your claim by telephone
DO NOT SEND THIS FORM TO THE UNEMPLOYMENT INSURANCE
KEEP IT FOR YOUR RECORDS.
PERSONAL INFORMATION
Social Security Number:
Driver license number or state ID number:
Mailing address: (Where you want information about your unemployment claim sent.)
County: (Where you reside.) |
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Telephone number: (If you do not have a phone, give |
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a number where a message can be left in case UI staff |
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need to contact you) |
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Method of Payment: (You will be asked to choose |
_______ Direct Deposit |
______ Debit Card |
whether you want your benefit payment issued by |
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direct deposit to your bank or credit union account or |
_______ Routing Number |
______ Bank Account |
by debit card.) |
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If you are not a citizen or national of the United States, |
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give your Alien Registration Number and the expiration |
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date shown on your alien ID or documents: |
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You will need the names and payroll addresses for all the employers you have worked for in the 18 months prior to filing your claim. You may be asked to provide the UI with some of the information contained on this form. It would also be helpful to have available any
EMPLOYMENT INFORMATION
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Your Most Recent Employer #1: |
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(Your separating employer) |
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Street Address: Use the payroll address if known. |
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City, State and Zip Code: |
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Dates of employment and earnings: (Report your |
Beginning Date: ______________________ |
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gross earnings for your most recent period of |
Ending Date: _________________________ |
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continuous employment with this employer.) |
Earnings: ____________________________ |
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UIA 1538 (Rev.
List all other employers you have worked for in the past 18 months giving the payroll address if known (use additional paper if necessary):
EMPLOYER #2
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Your Most Recent Employer #2: |
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Street Address: (Use payroll if known.) |
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City, State and Zip Code: |
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Dates of employment and earnings: (Report your |
Beginning Date: ____________________ |
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gross earnings for your most recent period of |
Ending Date: _______________________ |
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continuous employment with this employer.) |
Earnings: __________________________ |
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EMPLOYER #3
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Your Most Recent Employer #3: |
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Street Address: (Use payroll if known.) |
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City, State and Zip Code: |
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Dates of employment and earnings: (Report your |
Beginning Date: ____________________ |
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gross earnings for your most recent period of |
Ending Date: _______________________ |
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continuous employment with this employer.) |
Earnings: __________________________ |
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DATES
When entering dates, either on the web or the telephone, you must enter two digits for the month, two digits for the day, and four digits for the year. Example: May 19, 2016 should be entered as 05/19/2016 on the web or 05192016 on the phone.
WAGES
Your benefit entitlement will be based on gross wages paid in the first four of the last five completed calendar quarters immediately preceding the Sunday of the week in which you file your claim. If there are insufficient wages in those quarters, the wages in the last four completed quarters will be used. For example, if you filed for benefits on Wednesday, April 12, 2017 the wages paid during the calendar four of the five quarters below would be used to compute your benefit entitlement.
January 1, 2017 through March 31, 2017
October 1, 2016 through December 31, 2016
July 1, 2016 through September 30, 2016
April 1, 2016 through June 30, 2016
January 1, 2015 through March 31, 2016
You may be asked to provide quarterly wages if they were not reported by your employer(s). You should have the information available before filing your claim.
If you have any questions about this form, call the Inquiry Line at
TED is an equal opportunity employer/program.
Document Specs
| Fact Name | Detail |
|---|---|
| Form Title | UIA 1538 REV. 09-16 |
| Governing Law | Michigan Employment Security Act (MCL 421.1 et seq.) |
| Purpose | This form is used to file a claim for unemployment benefits in Michigan. |
| Filing Methods | Claims can be filed by telephone at 1-866-500-0017 or online at http://www.michigan.gov/uia. |
| Personal Information Required | Claimants must provide their Social Security Number, driver license or state ID number, and mailing address. |
| Employment History | Claimants need to list all employers from the past 18 months, including payroll addresses and earnings. |
| Benefit Calculation | Benefits are based on gross wages from the first four of the last five completed calendar quarters before filing. |
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