Free Delaware Uc 400 PDF Template Fill Out Form Here

Free Delaware Uc 400 PDF Template

The Delaware UC-400 form is an application for rehire credit, used by employers to request credit for rehiring an employee. This form must be submitted to the Delaware Department of Labor within ninety days after the end of the claimant's benefit year. It is essential to complete the form accurately and include all required information to ensure timely processing.

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Outline

The Delaware UC-400 form plays a crucial role for employers looking to apply for rehire credits within the state's unemployment insurance system. Designed specifically for this purpose, the form allows employers to request credit for rehiring employees who have previously claimed unemployment benefits. To ensure a smooth application process, it is essential to follow the instructions carefully, as outlined on the form. Employers must submit their completed applications within a strict ninety-day window following the end of the claimant's benefit year, which is determined by the date of claim listed on the Benefit Wage Charge Notice (form UC-12). If the application is not filed within this timeframe, it will be denied, regardless of the circumstances. The UC-400 requires specific information, including the employer's account number, company name, and details about the rehired employee, such as their Social Security number and rehire date. A signature and date from an authorized employer representative are also necessary for processing. By adhering to these guidelines, employers can successfully navigate the rehire credit application process and potentially reduce their unemployment insurance costs.

Preview - Delaware Uc 400 Form

Delaware Department of Labor

UC-400

Division of Unemployment Insurance

Document 60-06/96/01/03

PO Box 9953

 

Wilmington, DE 19809-0953

 

APPLICATION FOR REHIRE CREDIT

It is important that you read all instructions (including those on the reverse side) before completing this form. If you have any questions please call our office at (302) 761-8482 between 8:00 a.m. and 4:30 p.m. and ask to speak to a Benefit Accounting Specialist

A COMPLETED " Application for Rehire Credit" must be received by the Department of Labor within the ninety (90) day period following a claimant's benefit year ending date. A benefit year ends one year from the DATE OF CLAIM shown on the "Benefit Wage Charge Notice" (form UC-12). No rehire credit can be applied for prior to the end of the claimant's benefit year. Applications for rehire credit not filed within the specified time period will be denied.

Credit for rehiring an employee may be approved ONLY if the written application is complete, is sent within the specified time period, and the employee was rehired by you.

PLEASE COMPLETE THE FOLLOWING.

Applications cannot be processed without a signature, date and account number.

 

 

(PLEASE PRINT OR TYPE)

 

 

 

 

 

 

 

 

 

 

 

 

Account Number

Company Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trading as Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

Telephone Number

 

 

 

 

 

City

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Authorized Signature

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title (please print)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To ensure prompt and accurate processing, verify all Social Security numbers and dates of claim against your files before mailing this form.

Social Security #

Name

Date of Claim

Rehire Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form Details

Fact Name Details
Governing Law The UC-400 form is governed by Delaware's Unemployment Insurance Law, specifically Title 19 of the Delaware Code.
Purpose of the Form This form is used to apply for a rehire credit, which may reduce an employer's unemployment insurance costs when they rehire a former employee.
Submission Deadline Employers must submit the completed UC-400 form within 90 days following the end of the claimant's benefit year.
Application Completeness To be processed, the application must be complete, including a signature, date, and account number. Incomplete applications will not be accepted.
Contact Information For questions, employers can contact the Delaware Department of Labor at (302) 761-8482, available from 8:00 a.m. to 4:30 p.m.
Importance of Accuracy Employers should verify all Social Security numbers and claim dates against their records to ensure prompt processing of the application.
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