Fillable No credit or refund can be allowed unless (State of New Jersey)

Fill Online, Printable, Fillable, Blank No credit or refund can be allowed unless (State of New Jersey) Form

Use Fill to complete blank online STATE OF NEW JERSEY (NJ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

No credit or refund can be allowed unless (State of New Jersey)

On average this form takes 21 minutes to complete

The No credit or refund can be allowed unless (State of New Jersey) form is 1 page long and contains:

  • 0 signatures
  • 4 check-boxes
  • 83 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of New Jersey

BROWSE STATE OF NEW JERSEY (NJ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Subscribed and sworn before me this day of 20
TO BE FILED WITH THE DIVISION OF EMPLOYER ACCOUNTS , PO BOX 910, TRENTON, NJ 08625-0910
UC-9 (R -2-09)
State of New Jersey
Department of Labor and Workforce Development
DIVISION OF EMPLOYER ACCOUNTS
EMPLOYER'S
CLAIM FOR CREDIT OR REFUND
BY REASON OF
ERRONEOUS PAYMENT OF CONTRIBUTIONS
No credit or refund can be allowed unless application
therefore has been made within two years after the
calendar year in which the contributions under
consideration were erroneously paid to this Agency
WERE THE ERRONEOUSLY PAID WORKERS' CONTRIBUTIONS DEDUCTED FROM WORKERS' WAGES?
IF DEDUCTED, HAVE SUCH CONTRIBUTIONS BEEN REFUNDED TO THE WORKERS' ENTITLED THERETO?
LIST BELOW ONLY THE EMPLOYEES' WAGES THAT ARE BEING CORRECTED
QUARTER ENDED
TOTAL
IF THE SPACE ABOVE IS INSUFFICIENT, YOU MAY ATTACH ADDITIONAL SHEETS OF PAPER WITH THE SAME HEADINGS.
IMPORTANT: Section 43:21-16(b)(1) of the New Jersey Unemployment Compensation Law provides penalties for false statements or misrepresentations made to avoid or reduce
any contributions required from an employing unit.
I affirm that the foregoing statements are complete and true; that this
Claim is just and correct and should be allowed; and that the wages on
which refund is claimed were reported as taxable and contributions paid
thereon to the New Jersey Employment Security Agency.
STATE OF
ss
COUNTY OF
Signature
Official Position
Telephone No.
Notary Public
APPROVED BY:
REFUND $
Social Security Number
Employee Name
Yes
Yes
No
No
UNEMPLOYMENT
DISABILITY
WORKFORCE
FAMILY LEAVE INS (FLI)
TOTAL
AMOUNT OF THE CLAIM
EMPLOYER
WORKER
TOTAL
EMPLOYER'S NAME AND ADDRESS
EIN
BASIS OF REFUND REQUEST
Previously Reported Wages
Correctly Reported Wages
Difference in
Excess Wages
Difference in
Taxable Wages
Print Form
COMPLETION INSTRUCTIONS FOR UC-9
General Instructions
The UC-9 must be completed to claim credit or refund by reason of erroneous payment of contributions - UI, DI,
WF and FLI.
The New Jersey Unemployment Compensation Law (43: 21-14(f)) establishes a two-year Statute of Limitations for
refunding any payments, even if the payment was remitted in error.
In addition, the quarterly reports - NJ927 and WR30 - must be amended on-line to reflect any reduction in gross
and/or taxable wages. The amended forms are located on-line at:
https://www1.state.nj.us/TYTR_BusinessFilings/jsp/common/Login.jsp?processType=RETURN.
A refund check will be issued after all reports and form(s) have been submitted and audited. A refund check can
not be issued if outstanding liability or reporting delinquencies exist on the account. A credit will be established and
applied to the outstanding liability.
Specific Instructions
1. The UC-9 must include the following information:
a. Employer's Name, Address and Employer Identification Number (EIN).
b. Amount of the claim. Each cell must be completed.
c. Basis of Refund Request: State a detailed explanation for correction.
d. The quarter in which the erroneous payment occurred. If more than one quarter is to be corrected, a
separate UC-9 must be completed. However, only one form must be notarized as long as all corrected
quarters are attached and submitted at the same time.
e. Employee Social Security Number and Employee Name. Please list only the employees whose wages are
being corrected and the appropriate figure in each of the columns.
f. Worker contributions will not be included in your refund, unless you have reimbursed your employee(s) for
any deductions made from their wages in error. Please be certain to mark the appropriate blocks on the
form.
g. Difference (
increase (+) or decrease (-)) in excess wages as reported on the amended NJ-927.
h. Difference (
increase (+) or decrease (-)) in taxable wages as reported on the amended NJ-927.
2. The UC-9 must be signed, dated, notarized and returned to: NJLWD, Division of Employer Accounts,
Refund Unit,PO Box 910,Trenton,NJ08625-0910.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

No credit or refund can be allowed unless (State of New Jersey)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 7 March 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document