UInsure Documents

By August 16, 2017 Uinsure

Below are state specific documents required for your UInsure application. For all questions regarding your application or its required documents, please call (800) 631-2967.


Important Documents

Annual unemployment charges and state tax rates can be found on state-issued notices. For a “sample” of your state notice, please click on the proper state below. You should submit your actual state tax notice with our saving analysis application. If you do not see a state that you would like to have a sample for, please contact us.

AlaskaAK_TR02A
AlabamaAL_UO-216
ArizonaAZ_UC-503
CaliforniaCA_DE-2088
ColoradoCO_UITR-7
ConnecticutCT_UC-54A
DelawareDE_UC-12
District of ColumbiaDC_632
FloridaFL_20
GeorgiaGA_626
HawaiiHI_30
IdahoID_011
IllinoisIL_UI-5B
IowaIA_65-5306
KansasKS_K-CNS404
MaineME_13
MarylandMD_64
MassachusettsMA_9701
MichiganMI_UIA1771
MissouriMO_527
NebraskaNE_UI128VR
NevadaNV_4291
New HampshireNH_NHUS1026
New JerseyNJ_174.1
New MexicoNM_ES-952
New YorkNY_97
North CarolinaNC_104
OhioOH_JFS66208
OklahomaOK_48
OregonOR _238
PennsylvaniaPA_657
Rhode IslandRI_DET-EA101
TennesseeTN_0482
Texas (USPS version): TX_72381
Texas (internet version): TX_C22
UtahUT_45
VermontVT_119
VirginiaVA_VEC-FC-29
WashingtonWA_ID1028_2015
WisconsinWI_1008_2015

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