
Employer Handbook Forms Appendix
Form | Info | Title |
AA-1 | More | Authorized Agent Registration Form |
AC-174.1 | More | Notice of Employer Contribution Rates |
B-187Q | More | Unemployment Benefits Charged to Experience Rating Account |
BC-2 | More | Request for Wage Separation Information |
BC-3E | More | Notice to Employer of Monetary Determination and Request for Separation Information |
BC-3NC | More | Determination /Redetermination of Benefit Charge Liability |
BC-6 | More | Notice of Failure to Apply For, or to Accept, Suitable Work |
BC-10 | More | Instructions for Claiming Unemployment Benefits |
BC-26B | More | Notice of Determination |
BC-28 | More | Request for Separation Information |
BC-90RC | More | Notice to Employer of Fact-Finding Proceeding |
BC-289DR | More | Determination of Denial of Relief of Benefit Charges |
BC-289TO | More | Notice of Determination of Eligibility |
BPC-83 | More | Request for Wage Information for Dependency Allowance |
BPC-98 | More | Weekly Wage Information Request |
BPC-178 | More | Request for Information on Newly Hired Worker |
CS-156 | More | Notice of Contribution/Wage Report Delinquency |
CSRS13001 | More | Combined Assessment Bill |
D-20 | More | Notice of Eligible Determinations - State Plan |
D-40 | More | Notice of Ineligible Determinations - State Plan |
DIS-89T | More | Notice to Employer of State Plan Disability Benefits Paid for Use in Preparing W-2 Forms |
DS-1 | More | Claim for Disability Benefits |
DS-7CR2 | More | Notice of Disability Benefits Charged or Credited |
E-10 | More | Request for Employer Information |
E-20 | More | Second Request for Employer Information |
E-30 | More | Request for Additional Wage Information |
E-40 | More | Penalty Assessment for Delinquency in Reporting Wage and Employment Information |
FL-1 | Application for Family Leave Insurance Benefits | |
Part A, Claimant Information | ||
Part B, Bonding Certification | ||
Part C, Release of Medical Information and Medical Certificate | ||
Part D, Employer Statement | ||
Part E, Intermittent Family Leave Schedule | ||
FL-2 | Application for Family Leave Insurance Benefits, New Mother Bonding | |
IB-4.2 WR | More | Request for Wage Information on Combined Wage Claim |
IB-4.3 WR | More | Notice to Employer of Benefit Determination on Combined Wage Claim (CWC) |
NJ-REG | More | Business Registration |
*** | More | Power of Attorney |
UC-9 | More | Employer’s Claim for Credit or Refund by Reason of Erroneous Payment of Contributions |
UC-9A | More | Employee’s Claim for Refund of Excess Contributions |
UC-52 | More | Employer Certification of Wages and Deductions |

