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Governor Mike Braun

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Forms and Downloads

If you are a Claimant for Unemployment Insurance, the following items will be of most interest to you:

Claimant Request for Notice by Mail | State Form 56627 | Solicitud de Notificacion por Correro Postal de Parte del Solicitante En Español | State Form 57191
Claimant Handbook (in multiple languages)
Overpayment Waiver Request Application | State Form 52986 | Solicitud De Exención De Sobrepago En Español | State Form 57026
Indiana Voter Registration Application | State Form 50504 | Solicitud de registro para el votante de Indiana En Español | State Form 54509
Statement of Non-Receipt of Unemployment (UI) Benefits | State Form 57068
Small Estate Affidavit | State Form 54985

If you are an Employer, the following items will be of most interest to you:

Registration and Disclosure

Election to Pay Tax | State Form 24321
Indiana Business Locations | State Form 48812
SUTA Account Number Termination or Transfer Request | State Form 46800
SUTA Account Number Registration and Disclosure Statement | State Form 2837
Report for Seasonal Determination | State Form 15672

Electronic Reporting and Notification

Request for Waiver from E-Filing Quarterly Wage Reports | State Form 56625
Employer Request for Notice by Mail | State Form 56626
Request for Wage Transcripts Information

Protests and Appeals

Respond to SI request in ESS
Unemployment Insurance Protest (Employer) | State Form 54244 / DWD Form 640P
Tax Liability | State Form 55109 (PDF) | (Word)
Notice of Work Recall Refusal (Employer) | State Form 56951 (640WR)
Requirement C Waiver Corrective Action Plan | State Form 53034

Professional Employer Organization (PEO) Reporting

PEO Addition-Deletion | State Form 52099
PEO Status | State Form 52098

Quarterly Reporting and Correction

Quarterly Wage and Employment Correction Report | State Form 52671
Quarterly Wage and Employment Report | State Form 54256
Quarterly Wage Base Credit Request | State Form 56667

(Note: E-filing is required. Employers must have an approved e-filing waiver to use these forms.)

Unemployment Handbooks and Posters

If you don't see the form that you need, we suggest you visit the Indiana Archives and Records Administration State Forms Catalog.

Equal Opportunity is the Law. (La Igualdad De Oportunidad Es La Ley.)
DWD is an equal opportunity employer that administers equal opportunity programs. Free auxiliary aids and services are available upon request to individuals with disabilities (TDD/TTY Number: 1-800-743-3333). Free language interpretation and translation services are also available upon request.