Form UC-9 "Employer's Claim for Credit or Refund by Reason of Erroneous Payment of Contributions" - New Jersey

What Is Form UC-9?

This is a legal form that was released by the New Jersey Department of Labor & Workforce Development - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2009;
  • The latest edition provided by the New Jersey Department of Labor & Workforce Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form UC-9 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.

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Download Form UC-9 "Employer's Claim for Credit or Refund by Reason of Erroneous Payment of Contributions" - New Jersey

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TO BE FILED WITH THE DIVISION OF EMPLOYER ACCOUNTS , PO BOX 910, TRENTON, NJ 08625-0910
EMPLOYER'S NAME AND ADDRESS
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
EIN
No credit or refund can be allowed unless application
AMOUNT OF THE CLAIM
therefore has been made within two years after the
calendar year in which the contributions under
consideration were erroneously paid to this Agency
DISABILITY
FAMILY LEAVE INS (FLI)
TOTAL
UNEMPLOYMENT
WORKFORCE
EMPLOYER
WORKER
TOTAL
BASIS OF REFUND REQUEST
Yes
No
WERE THE ERRONEOUSLY PAID WORKERS' CONTRIBUTIONS DEDUCTED FROM WORKERS' WAGES?
Yes
No
IF DEDUCTED, HAVE SUCH CONTRIBUTIONS BEEN REFUNDED TO THE WORKERS' ENTITLED THERETO?
LIST BELOW ONLY THE EMPLOYEES' WAGES THAT ARE BEING CORRECTED
QUARTER ENDED
Difference in
Difference in
Excess Wages
Taxable Wages
Employee Name
Social Security Number
Correctly Reported Wages
Previously Reported Wages
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
STATE OF
Claim is just and correct and should be allowed; and that the wages on
ss
which refund is claimed were reported as taxable and contributions paid
COUNTY OF
thereon to the New Jersey Employment Security Agency.
Signature
Subscribed and sworn before me this
day of
20
Official Position
Telephone No.
Notary Public
APPROVED BY:
REFUND
$
Print Form
TO BE FILED WITH THE DIVISION OF EMPLOYER ACCOUNTS , PO BOX 910, TRENTON, NJ 08625-0910
EMPLOYER'S NAME AND ADDRESS
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
EIN
No credit or refund can be allowed unless application
AMOUNT OF THE CLAIM
therefore has been made within two years after the
calendar year in which the contributions under
consideration were erroneously paid to this Agency
DISABILITY
FAMILY LEAVE INS (FLI)
TOTAL
UNEMPLOYMENT
WORKFORCE
EMPLOYER
WORKER
TOTAL
BASIS OF REFUND REQUEST
Yes
No
WERE THE ERRONEOUSLY PAID WORKERS' CONTRIBUTIONS DEDUCTED FROM WORKERS' WAGES?
Yes
No
IF DEDUCTED, HAVE SUCH CONTRIBUTIONS BEEN REFUNDED TO THE WORKERS' ENTITLED THERETO?
LIST BELOW ONLY THE EMPLOYEES' WAGES THAT ARE BEING CORRECTED
QUARTER ENDED
Difference in
Difference in
Excess Wages
Taxable Wages
Employee Name
Social Security Number
Correctly Reported Wages
Previously Reported Wages
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
STATE OF
Claim is just and correct and should be allowed; and that the wages on
ss
which refund is claimed were reported as taxable and contributions paid
COUNTY OF
thereon to the New Jersey Employment Security Agency.
Signature
Subscribed and sworn before me this
day of
20
Official Position
Telephone No.
Notary Public
APPROVED BY:
REFUND
$
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 (
) in excess wages as reported on the amended NJ-927.
increase
or decrease
(+)
(-)
h. Difference (
) in taxable wages as reported on the amended NJ-927.
increase
or decrease
(+)
(-)
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.
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