Affidavit for Correction of Form 1099-G Use this form to request a correction to your 1099-G tax form or to report that you received the form in error. If you work in another state but reside in Maryland, you should file your claim in the state you work in.This video shows employers how to amend a submitted wage report manually and via file upload in their account in the BEACON 2.0 system. This includes your full name, social security number, date of birth, date filed, federal employer name, complete address of the agency, and dates of employment. Log into your account and upload documents using the link in My Inbox. Complete this form to apply for, renew, replace, covert from out of state, or reinstate a learner's permit, driver's license, or Mass ID. To determine if you need a license, contact your local Clerk of the Circuit Court or call the State License Bureau at . Complete the entire information sheet and return it to the judgment creditor (plaintiff) along with the documents listed on the form. Identification of Amendments. Complete Form 14039, Identity Theft Affidavit.