Unemployment Insurance Tax Refund Request Form - Idaho Department Of Labor

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Idaho Department of Labor
Unemployment Insurance Tax Refund Request
Employer Name:
Employer Account Number:
I, _______________________________________, am the owner or representative of employer named above. I
request a refund of the credit balance on our unemployment insurance tax account.
Generally, for a refund to be approved the money that caused the credit must have been paid at least 21 days
prior and the credit must be larger than your average quarterly tax due.
I am certain that the credit balance is accurate and should be refunded.
I am uncertain how the credit balance came about. 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, and the check resulting in the credit
balance has cleared the bank.
___________________________________________________
____________________
Signature of Owner or Representative
Date
___________________________
Phone Number
Return completed and signed form to the UI Compliance Bureau by fax:
(208) 334-6301
Or mail to:
UI Compliance Bureau
Idaho Department of Labor
317 W Main Street
Boise, ID 83735-0760
If you have questions regarding your credit, contact the UI Compliance Bureau at (208) 332-3576 or toll free at
(800) 448-2977.

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