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Division of Employer Accounts

Forms

Woman completing a form

Browse important forms for employers below.

Form

Title

AA-1

Authorized Agent Registration Form

AC-174.1

Notice of Employer Contribution Rates

B-187Q

Unemployment Benefits Charged to Experience Rating Account

BC-2 

Request for Wage Separation Information

BC-3E

Notice to Employer of Monetary Determination and Request for Separation Information

BC-3NC

Determination /Redetermination of Benefit Charge Liability

BC-6

Notice of Failure to Apply For, or to Accept, Suitable Work

BC-10

Instructions for Claiming Unemployment Benefits

BC-26B

Notice of Determination

BC-28

Request for Separation Information

BC-90RC

Notice to Employer of Fact-Finding Proceeding

BC-289DR

Determination of Denial of Relief of Benefit Charges

BC-289TO

Notice of Determination of Eligibility

BPC-83

Request for Wage Information for Dependency Allowance

BPC-98

Weekly Wage Information Request

BPC-178

Request for Information on Newly Hired Worker

CS-156

Notice of Contribution/Wage Report Delinquency

CSRS13001

Combined Assessment Bill

IB-4.2 WR

Request for Wage Information on Combined Wage Claim

IB-4.3 WR

Notice to Employer of Benefit Determination on Combined Wage Claim (CWC)

NJ-REG

Business Registration 

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Power of Attorney

UC-9

Employer’s Claim for Credit or Refund by Reason of Erroneous Payment of Contributions 

UC-9A

Employee’s Claim for Refund of Excess Contributions

UC-52

Employer Certification of Wages and Deductions