UIA 1711
(Rev. 02-20) Authorized by
MCl 421.1 et seq.
STATE OF MICHIGAN
GRETCHEN WHITMER DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY JEFF DONOFRIO
GOVERNOR UNEMPLOYMENT INSURANCE AGENCY DIRECTOR
UNEMPLOYMENT COMPENSATION NOTICE TO EMPLOYEE
A claim for unemployment benefits begins the week it is filed. Therefore, you should file your claim during your first
week of unemployment.
You may file your new, additional, or reopened claim on the Unemployment Insurance Agency (UIA) website at
[Link]/uia. Sign in with MILogin to register or access your Michigan Web Account Manager (MiWAM).
Once your claim is filed, you must do the following:
1. Register for work by creating your profile at [Link]. Visit a Michigan Works! IN-PERSON. You
must complete both the online profile and go in-person to a Michigan Works! or your benefits will not be
paid.
2. Certify/Report for benefits biweekly online through your MiWAM account or by calling Michigan Automated
Response Voice Interactive Network (MARVIN) at 1-866-638-3993.
3. You must be able, available and seeking work to be eligible for benefit payment.
4. Each week, document and send UIA your work search activity for that week. You must look for work in each
week you certify for benefits.
D Waiver: If the box has been checked, the employer requested you receive a waiver from the registration
for and seeking work (RSW) requirements based on the information below:
Last day worked: Anticipated return to work date: _ _ _ _ __
Layoff reason: Lack of Work
If you have questions, contact UIA through your MiWAM account or by calling, 1-866-500-0017. For telephone or
Local Office hours of operation, visit [Link]/uia. TTY service is available at 1-866-366-0004.
To Be Completed by the Employer
Complete the following information in the spaces below. Each employee, when separated from your employment
should receive a completed copy of this form or an equivalent written notice. A $10.00 penalty for non-compliance
may be imposed by UIA.
Your 10-djgjt UIA Employer Account Number (EAN): _ _ _ _ _ _ _ _ _ _ __
Your i:d.i9.i1 Federal Identification Number: _ _ _ _ _ _ _ __
Employer's Name with Doing Business As (DBA) Name and complete mailing address of where wage and
separation information is available.
Name DBA
Employer's Address City. State. Zip Code
Name of Contact Person Telephone Number
Reason for Separation
Employers, direct any questions to the Office of Employer Ombudsman (OEO) through your MiWAM account at
[Link]/uia or call 1-855-484-2636. TTY service is available at 1-866-366-0004.
UIA is an equal opportunity employer/program.