Ui Tax Refund Request Form printable pdf download

Ui Tax Refund Request Form

UI Tax Refund Request

Employer Account # ___________________

Employer Name:__________________________________

Doing Business As: ________________________________

I, _____________________________, am the owner or legal representative for the

owner, I am requesting a refund of the credit balance on the above referenced

employer account.

I am certain that the credit balance on this account is accurate and should be

refunded to me.

I am uncertain how the credit balance happened on this account. Please

review my account to make certain this is a valid credit balance before

issuing a refund.

I certify that all quarterly reports have been accurately filed and paid, the check

resulting in the credit balance has cleared the bank, and that it is unreasonable to use

this credit on future tax filings.

________________________________________

_______________

signature of owner or legal representative

Date

_____________________________________

Phone number

Return this form by FAX to 208-334-6301 or mail to:

IDAHO DEPARTMENT OF LABOR

317 W MAIN STREET

BOISE ID 83735-0760

If you have questions regarding your credit, call 208-332-3576 or toll free 800-448-2977.

Ui Tax Refund Request Form