Unemployment Assistance Form

Please fill out the form below, which will be sent to our office. This information will be necessary for us to work with the Unemployment Insurance Agency to address your issues or questions.

When an individual files a claim for unemployment insurance, they will receive a written Monetary Determination letter. If you receive this letter (Form UIA 1575C) and you have not applied for unemployment benefits, or the name on the form is not yours, you may be a victim of identity theft. If this happens, contact the UIA immediately online.

To report identity theft, go to Michigan.gov/UIA and scroll down to the Report Identity Theft link.

To report fraud, go to Michigan.gov/UIA and scroll down to the Report Fraud link.

You can also report fraud or identity theft by calling the UIA Customer Service Hotline at 1-866-500-0017. However, please note that due to increased call volumes, filing online will be much faster than calling the hotline.

More tips on how to prevent unemployment identity theft in Michigan are available online