Wage Record Correction

Document Number:  UCB-8219-E

Description:  Use this form to notify the Department of Workforce Development, Division of Unemployment Insurance (DWD/UI) of errors on its Wage Record File and/or its New Hire Record File.

Comments:  This form can be filled out on the computer as a fillable pdf.  It should then be printed and sent or faxed to Wage Balancing Unit, 201 E. Washington Ave., Room C300, P.O. Box 7962, Madison, WI 53707.  The Fax Number is (608) 266-8089.  Include a CARES screen print showing the SSN mismatch.

Content Contact:  Pam Ziarnik

Document Attachment:  UCB-8219-E (pdf/143 KB)

NOTE:  When using Google Chrome, you may notice overlapping text when you select file, print.  Deselect the 'fit to page' option and the text will no longer overlap.

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.

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