ILLINOIS DEPARTMENT ON AGING
MY CHOICES PROGRAM
UNEMPLOYMENT BENEFITS COMMUNICATION
DEAR MY CHOICES PROGRAM PARTICIPANT:
ASIWorks, Inc., your fiscal employer agent (FEA), will be withholding and paying
unemployment taxes from your workers’ paychecks. Those payments are made to the
Illinois Department of Employment Securities (IDES).
Sometimes when a worker leaves employment, he/she will file for unemployment
benefits. If this happens, you as their employer will be sent a notification about your
former worker filing for unemployment. This notification will be sent to ASIWorks, Inc.,
your fiscal employer agent, at our address. If ASI receives a notification, we will
immediately send it to you because you were the worker’s employer. You will then
need to communicate directly with the Department of Employment Securities if you have
any questions regarding the unemployment benefit request from your former worker.
As an employer, I understand that I am responsible for communicating with the
Department of Employment Securities about any requests for unemployment benefits
that my worker may request. I also understand that ASIWorks, Inc. Is not the employer
of my worker(s) and is only responsible for providing documentation about my workers’
wages, withholdings and other payroll information.
Signature
___________________________________________
_______________
Participant/Authorized Representative
Date
___________________________________________
Print Participant Name
___________________________________________
Print Authorized Representative Name (if assigned)
Participant Address _____________________________________________________
City ______________________ County __________________ Ill. Zip _____________
Telephone No. (_____)________________________________