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Example - Delaware Uc 400 Form

Delaware Department of Labor

UC-400

Division of Unemployment Insurance

Document 60-06/96/01/03

PO Box 9953

 

Wilmington, DE 19809-0953

 

APPLICATION FOR REHIRE CREDIT

It is important that you read all instructions (including those on the reverse side) before completing this form. If you have any questions please call our office at (302) 761-8482 between 8:00 a.m. and 4:30 p.m. and ask to speak to a Benefit Accounting Specialist

A COMPLETED " Application for Rehire Credit" must be received by the Department of Labor within the ninety (90) day period following a claimant's benefit year ending date. A benefit year ends one year from the DATE OF CLAIM shown on the "Benefit Wage Charge Notice" (form UC-12). No rehire credit can be applied for prior to the end of the claimant's benefit year. Applications for rehire credit not filed within the specified time period will be denied.

Credit for rehiring an employee may be approved ONLY if the written application is complete, is sent within the specified time period, and the employee was rehired by you.

PLEASE COMPLETE THE FOLLOWING.

Applications cannot be processed without a signature, date and account number.

 

 

(PLEASE PRINT OR TYPE)

 

 

 

 

 

 

 

 

 

 

 

 

Account Number

Company Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trading as Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

Telephone Number

 

 

 

 

 

City

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Authorized Signature

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title (please print)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To ensure prompt and accurate processing, verify all Social Security numbers and dates of claim against your files before mailing this form.

Social Security #

Name

Date of Claim

Rehire Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Delaware Uc 400: Usage Guide

Completing the Delaware UC-400 form is a straightforward process, but it requires attention to detail. Make sure to gather all necessary information before you begin. This form must be submitted within 90 days after the end of the claimant's benefit year. Follow these steps to ensure your application is filled out correctly.

  1. Obtain the Delaware UC-400 form from the Delaware Department of Labor or download it from their website.
  2. At the top of the form, locate the Account Number field. Enter your company's account number.
  3. Next, fill in the Company Name as it appears on your business registration.
  4. If applicable, provide the Trading as Name (DBA) for your business.
  5. In the Mailing Address section, write your complete business address, including street, city, state, and zip code.
  6. Enter your Telephone Number for contact purposes.
  7. Find the Employer Authorized Signature line. An authorized representative must sign here.
  8. Next to the signature, write the Date when the form is signed.
  9. In the Title field, print the title of the person signing the form.
  10. Now, locate the section for the claimant’s information. Fill in the Social Security # of the employee you rehired.
  11. Provide the Name of the rehired employee.
  12. Enter the Date of Claim as shown on the claimant’s Benefit Wage Charge Notice (form UC-12).
  13. Finally, indicate the Rehire Date when the employee was rehired.

After completing the form, double-check all entries for accuracy. Ensure that the form is signed and dated. Submit it to the Delaware Department of Labor within the required timeframe for processing.

Documents used along the form

The Delaware UC-400 form is an important document for employers seeking rehire credits for employees who have previously claimed unemployment benefits. Alongside this form, several other documents are often required or beneficial for a complete application process. Below is a list of related forms and documents that may be used in conjunction with the UC-400.

  • UC-12 Benefit Wage Charge Notice: This form provides details about the claimant’s benefit year and is essential for determining eligibility for rehire credit. It shows the dates of claims and the amount of benefits charged to the employer's account.
  • California Motorcycle Bill of Sale: This document is vital for recording the sale of a motorcycle, ensuring both parties have a clear agreement on ownership transfer. For more details, visit smarttemplates.net/fillable-california-motorcycle-bill-of-sale/.
  • UC-1 Employer Registration Form: This document registers an employer with the Delaware Department of Labor. It includes essential information about the business, such as its name, address, and federal employer identification number (FEIN).
  • UC-3 Quarterly Wage Report: Employers must submit this report to document employee wages and hours worked each quarter. This information is used to calculate unemployment insurance benefits.
  • UC-5 Request for Reconsideration: If an employer disagrees with a decision made regarding unemployment claims, they can use this form to request a review of the decision. It must be filed within a specific timeframe.
  • UC-6 Employer's Notice of Claim: This form notifies employers when a claim for unemployment benefits has been filed against them. It provides an opportunity for employers to respond to the claim.
  • UC-7 Appeal Form: If an employer wishes to appeal a decision regarding a claim or benefit determination, this form is used. It outlines the grounds for the appeal and must be submitted by a deadline.
  • Employer's Payroll Records: Maintaining accurate payroll records is crucial. These records may be requested to verify employment dates and wages when applying for rehire credits.

By understanding these related forms and documents, employers can navigate the rehire credit application process more effectively. Ensuring all necessary paperwork is completed accurately and submitted on time will help in obtaining the desired credit for rehiring employees.

Key takeaways

Here are some key takeaways about filling out and using the Delaware UC-400 form:

  • Application Purpose: The UC-400 form is used to apply for rehire credit for employees.
  • Submission Deadline: The completed form must be submitted within 90 days after the claimant's benefit year ends.
  • Benefit Year Definition: A benefit year ends one year from the date of claim indicated on the Benefit Wage Charge Notice (form UC-12).
  • No Early Applications: You cannot apply for rehire credit before the end of the claimant's benefit year.
  • Complete Application: Ensure the application is complete, including a signature, date, and account number.
  • Employee Rehire: Credit can only be approved if the employee was rehired by your company.
  • Verify Information: Double-check all Social Security numbers and dates of claim for accuracy before sending the form.
  • Contact Information: If you have questions, call the Department of Labor at (302) 761-8482 during business hours.
  • Mailing Address: Send the completed form to the Delaware Department of Labor, UC Division, PO Box 9953, Wilmington, DE 19809-0953.

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File Details

Fact Name Description
Form Purpose The UC-400 form is used to apply for rehire credit for employees who have previously received unemployment benefits.
Governing Law This form is governed by Delaware's Unemployment Insurance laws.
Submission Deadline Applications must be submitted within 90 days after the claimant's benefit year ends.
Eligibility Rehire credit is only granted if the employee was rehired and the application is complete.
Contact Information For questions, contact the Delaware Department of Labor at (302) 761-8482.
Signature Requirement A valid signature, date, and account number are mandatory for processing the application.
Verification Ensure all Social Security numbers and claim dates are accurate before submitting the form.
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