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Form Wvuc-D-82 - Notice To Employer/claimant Regarding Initial Claim/low Earnings Report

WVUC-D-82

Rev. 3-2004

WEST VIRGINIA BUREAU OF EMPLOYMENT PROGRAMS

UNEMPLOYMENT COMPENSATION DIVISION

Notice to Employer/Claimant Regarding Initial Claim/Low Earnings Report

A supply of blank Initial Claim/Low Earnings Reports, Forms WVUC-B-6-11, is enclosed for your

use. The instructions for completing the upper portion of this form are on the reverse side.

This Initial Claim/Low Earnings Report has been returned for the reason(s) checked below.

NOTE: See “Item #” for instruction.

Employer: Please make the corrections and return to address below.

Claimant: Please have employer make the necessary corrections and return to address

shown below.

Claimant’s name incomplete or in error. See Item 1.

Claimant’s Social Security Number omitted or in error. See Item 1.

Employer’s name omitted, incomplete, or erroneous. See Item 2.

Employer’s address omitted, incomplete, or erroneous. See Item 2.

Employer’s account number omitted or erroneous. See Item 2.

Week ending date is not a Saturday date. See Item 5.

Amount of earnings is in question. This should be gross earnings before any deductions

for taxes, insurance, etc. See Item 6.

Other Income not identified. Enter the type of pay (holiday pay, vacation pay, sick leave

pay, etc.) shown as Other Income in Item 7 on the Initial Claim/Low Earnings Report.

Signature of the employer or his representative was omitted.

Title of the individual signing the Initial Claim/Low Earnings Report was omitted.

Date Mailed or Hand-Delivered to Employee was omitted.

Other: ____________________________________________________________________

__________________________________________________________________________

Claimant: Please correct the area circled on the lower portion of the Initial Claim/Low Earnings

Report and return to the address below:

Please initial any erasures or corrections you make on an Initial Claim/Low Earnings Report.

(Local Office Address Stamp)

Form Wvuc-D-82 - Notice To Employer/claimant Regarding Initial Claim/low Earnings Report