Forms

For Employers | Employment Related Forms | For Workers/Job Seekers

Mandatory State & Federal Workplace Posters

For Employers

Registration for Unemployment Insurance Taxes
Note: 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. Click here to register online.

UI-1 Report to Determine Liability Under the Unemployment Insurance Act

UI-5NP Reimburse Benefits in Lieu of Paying Contributions

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

UI-B Voluntary Election of Coverage under the UI Act

Tax Filings & Corrections

UI-3/40 Employer's Contribution and Wage Report - Quarterly

UI-40A Employer's Report of Wages Paid to Each Worker - Continuation Sheet

UI-40B Social Security Number Correction and Name Change

UI-40C Employer's Correction Report

Election of Representation

LE-10 Power of Attorney

LE-11 Authorization for Information Under the Illinois Unemployment Insurance Act

UI-1M Special Mailing Form

Domestic/Household

UI-1DOM Report to Determine Liability for Domestic Employment

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

Business Changes

UI-50A Notice of Change

Refunds of Taxes Paid

UI-28 Employer's Claim for Adjustment/Refund

UI-28B Employer's Correction of Wages Previously Reported

Mergers & Acquisitions

UI-1 S&P Report to Determine Succession

UI-50A Notice of Change

UI(Ill)ER-65 Application for Partial Transfer of Experience

ER-66 Schedule A - Allocation of Quarterly Taxable Wage Totals

ER-67 Schedule B - Allocation of Worker’s Quarterly Taxable Wages

ER-68 Schedule C - Allocation of Benefit Charge Totals (Claims)

Debts Owed

UI-2600 Request for Letter of Clearance

AFT-1 Affidavit for Termination Pursuant to IL Adm. Code 2760.110(c)

Other Forms for Employers:

Appealing a benefits determination - first steps:

Reconsideration Form - Ben 523 (to request an appeal hearing)
Authorization Form (to authorize an attorney or other representative to review your unemployment insurance files)
Attorney Appearance Form (submitted by your attorney to request the state's referee's benefit decision)
Request for Rehearing or Reopening AR-61(R) - (use this form if you were absent from the appeals hearing)

Appealing a benefits determination - second steps:

Notice of Appeal to Board of Review (to appeal the state referee's benefit decision)
Attorney Appearance and Authorization for Representation (completed by your attorney)

Employment Related Forms

Approved Employer Application –
This is the IDES standard employment application to be used for the recruitment of candidates.

Electronic Filing Certification Form

Foreign Labor Certification Information

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).

Illinois Hire the Future
-Response Form | Job Order

Job Order Form

Low Earnings Report (Ben-25)

Labor Dispute Questionnaire –Employer (Ben-178AE)

New Hire Reporting Form

Prevailing Wage Statement - Request

Report of Workers Affected by Labor Dispute (Ben-24)

Work Opportunity Tax Credit (WOTC)

For Workers and Job Seekers

Application for Unemployment Insurance Benefits | en Español
This form is an alternative to filing for benefits online. The completed application must be brought into the nearest IDES local office, along with a valid I.D. and Social Security Card. Mailed-in applications will not be accepted.

Release of Information Form ( authorizes IDES to obtain required information on you from the Social Security Administration)

Income Tax Withholding - Election Information Sheet ( Tax 1 Form, 2 pages) | Español | Polski

Income Tax Withholding Change | Español | Polski ( Tax 2 Form, 1 page)

Work Search Record | Español

Important Documents Concerning Your Rights and Responsibilities

Payment Methods for Unemployment Insurance: