Indiana Change of Family Status Request Form

State:
Multi-State
Control #:
US-133EM
Format:
Word; 
Rich Text
Instant download

Description

This form may be used to request a change of status within an employee's family situation for the purpose of company benefits.

How to fill out Change Of Family Status Request Form?

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FAQ

Click here or call 800-403-0864 to report a change to your SNAP (food assistance), TANF (cash assistance) or Medicaid (health coverage) case; such as income, household member changes, home address, employment status, etc.

To apply for PUA benefits, you must first file a regular claim for unemployment insurance benefits. Instructions on how to add your employer can be found here. If you are denied, the PUA application will then appear on your claimant home page as a To-Do at the top of the screen for you to submit you PUA application.

Call us at 1-877-822-7196 or in the Indianapolis area 317-822-7196. There are representatives that can help you. If you should get an automated message after-hours, please leave your name and number and someone will return your call no later than the next business day.

Form ME UC-1 QUARTERLY REPORT OF UNEMPLOYMENT CONTRIBUTIONS must be filed by all employers registered to remit unemployment contributions.

New Address or Phone Number You can do this online here. Log in to the system to make your change. If you don't have a login, click on the blue "sign up for a new account" button. You can also call 1-800-403-0864 to make the change.

What is Uplink? Uplink is the name of Indiana Department of Workforce Development's automated self service Unemployment Insurance system. Through the Uplink Claimant Self Service System, you now have access to enhanced services, 24 hours a day, 7 days a week.

Change Reporting For SNAP, you must report the following changes within 10 days of the change: Change in amount of income your household has, if the change is more than $125 a month. Change in where the income comes from (the income source) if the amount of income you have also changes.

The Indiana Department of Workforce Development (DWD) has announced that the unemployment quarterly contribution (Form UC-1) and wage (Form UC-5) reports must be filed electronically by all employers, beginning with the first quarter 2019 reports.

Proof of employment can include: paycheck stubs, 2022 earnings and leave statements showing the employer's name and address, and 2022 W-2 forms when available.

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Indiana Change of Family Status Request Form