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Get You Can Download A Copy Of The Waiver Form Here - Michigan ...

DIRECTOR Statement of Identity Theft Name: Claim #/Date: SSN: I did not file or attempt to reopen a claim for unemployment benefits with the information above. I did not certify for unemployment benefits on the claim listed above. I did not receive any funds from the payment of unemployment benefits on the claim listed above. I would like this claim filed in my name to be withdrawn. Contact Information: Address:.

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