Forms and Information


			Pat Quinn, Governor

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For more information call:
312-793-5700

Forms & Information

Overview

IDES distributes most of its electronic forms and publications in the standard, secure Portable Document Format, or PDF. Using the free Adobe Reader software, these forms and documents may be reliably viewed, searched, and printed.

Tax forms | Other employer forms | Workers & job seekers

Many of the forms below have fill-in fields so that they can be completed on screen, and the data that is entered can be saved with the form. To take advantage of these features (called Reader Extensions), version 6.0 (or higher) of the Adobe Reader is required.

Download copies of mandatory state & federal workplace posters

IDES tax forms are also available from the Employer Hotline, at 800-247-4984 or 312-793-4880 (option 1), and at IDES Regional Revenue Offices.

Illinois employment tax forms:

UI-1	Report to Determine Liability Under the Unemployment Insurance Act
UI-1 S&P	Report to Determine Succession
LE-10	Power of Attorney
UI-1M	Special Mailing Form
UI-1B	Voluntary Election of Coverage under the UI Act
UI-1 DOM	Report to Determine Liability for Domestic Employment
UI-5NP	Reimburse Benefits in Lieu of Paying Contributions
UI-50A	Notice of Change
UI-3/40	Employer's Contribution and Wage Report - Quarterly
UI-40C	Employer's Correction Report
UI-40B	Social Security Number Correction and Name Change Notice
UI-40A	Employer's Report of Wages Paid to Each Worker - Continuation Sheet
UI-28	Employer's Claim For Adjustment/Refund
UI-28B	Employer's Correction of Wages Previously Reported
UI-51	Election to File Annually as a Household Employer
UI-WIT	2008 Combined Return for Household Employers Instructions - Unemployment Insurance Contributions and Illinois Income Tax Withheld Previous years also available: 2007 \| 2006 \| 2005
UI-2600	Request for Letter of Clearance (fill-in form, for employers who sell or buy a business)
UI(Ill)ER-65	Application for Partial Transfer of Experience
AFT-1	Affidavit For Termination Pursuant To Ill. Adm. Code 2760.110(c)
ER-66	SCHEDULE A - Allocation of Quarterly Taxable Wage Totals
ER-68	SCHEDULE C - Allocation of Benefit Charge Totals (Claims)
RC-1	Employer Election To Cover Multi-State Workers Under The Illinois Unemployment Insurance Act
RC-1A	Employer Election To Cover Multi-State Workers Under The Illinois Unemployment Insurance Act – Continuation Sheet
LE-11	Authorization for Information Under the Illinois Unemployment Insurance Act

Other forms and information for employers:

	Appeals Division: Authorization Form (to authorize an attorney or other representative to review records) Attorney Appearance Form (to authorize an attorney to receive records) Request for Rehearing - AR-61(R)
	Board of Review: Attorney Appearance and Authorization for Representation Notice of Appeal to Board of Review
	Mandatory IDES Poster page (with links to state, federal Workplace Posters page)
	Fast Facts for Employers
	Job Order Form
	New Hire Reporting
	Work Opportunity Tax Credit (WOTC) - program overview;Work Opportunity Tax Credit Handbook; IRS Forms 8850, 8850-instructions, 5884; USDOL / ETA Form ETA-9061 \| ETA-9061 en Español
	Illinois Hire the Future - response form; job order
	Foreign Labor Certification Packet
	Prevailing Wage Statement - Request
	I-9 Employment Eligibility Verification Form, available from the U.S. Citizenship & Immigration Services, of the U.S. Department of Homeland Security; formerly the Immigration & Naturalization Service (INS).
	Low Earnings Report (Ben-25)
	Labor Dispute Questionnaire - Employer (Ben-178AE)
	Report of Workers Affected by Labor Dispute (Ben-24) (with continuation sheet)
	What Every Worker Should Know - About Unemployment Insurance \| en Español (2 page pamphlet, to be given to workers being laid-off)
	Electronic Filing Certification Form (fill-in; for employers who are filing contribution & wage reports electronically)
	Approved Employer Application - This is the IDES standard employment application to be used for the recruitment of job candidates.

Forms for Workers and Job Seekers:

	Direct Deposit of UI Benefits: Authorization / Cancellation form \| En Español
	Debit Cards for UI Benefits: Cancellation form \| En Español
	Appeals Division: Authorization Form (to authorize an attorney or other representative to review records) Attorney Appearance Form (to authorize an attorney to receive records) Reconsideration Form - Ben 523
	Board of Review: Attorney Appearance and Authorization for Representation Notice of Appeal to Board of Review
	Marketing Your Job Skills \| en Español - pamphlet
	"Important Documents Concerning Your Rights & Responsibilities" - helpful documents when filing for unemployment insurance benefits
	What Every Worker Should Know - About Unemployment Insurance \| en Español (2 page pamphlet)
	Application for Unemployment Insurance \| en Español * Completed application must be brought into the nearest IDES local office, along with 1) a valid ID and, 2) Social Security card or other evidence of the social security number. Mailed-in applications will not be accepted.
	Release of Information Form (From the Social Security Administration)
	Income Tax Withholding - Election Information Sheet (Tax 1 Form, two pages)
	Income Tax Withholding Change (Tax 2 Form, one page)
	Work Search Record (7 pages; allows for 26 weeks of contacts)
	Labor Dispute Questionnaire - Union (Ben-178AU)
	Board of Review - Notice of Appeal (BA-100)
	Benefit Overpayment Information (SI-60)
	State Employment Application (CMS-100, rev. 1/07 ) > > more information & instructions
	If your union has a hiring hall, placement or referral service, see form BEN-629.

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