Employer Reply

Upon receipt of the employer reply portion of the claim, the employer should complete the questionnaire on the reverse side of the form giving full details as to the reason for separation of the claimant from his employ.

It is important that the Commission also be furnished all information requested so that determinations can be made accurately and timely. Form UCB-101 should be returned to the address indicated on the reverse side of the form or faxed to the number provided on the form. A response must be received in the local office no later than 7 days from the mailing date indicated on the UCB-101.

An employer may furnish information requested on Form UCB-101 by letter. The letter should contain all the information requested on the Form UCB-101 including the claimant’s name and social security number.

An employer may appear in person at the interview to provide the information requested. The time and location of the interview is on the reverse side of the Form UCB-101.

The claimant is instructed to report back to the local office at a specified time after filing his request for determination of insured status. If the reason given by the claimant for his separation and the reason given by his employer disagree, a fact finding interview will be conducted in order that the best information available can be obtained upon which to make a determination. This may require a telephone call to the employer to obtain additional information.

Reply by Email
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