Michigan Information about Unemployment Benefits Poster Required

UNEMPLOYMENT COMPENSATION NOTICE TO EMPLOYEE
Keep This Form
Please ensure that you read both sides of this form prior to filing a claim for unemployment benefits.  If 
you become unemployed, this information may help to determine your unemployment benefit entitlement.   
When to file a claim for unemployment benefits
:
A claim for unemployment benefits begins the week it is filed.  Therefore, you should file your claim for benefits during your first 
week of unemployment.
To receive unemployment benefits, you must both be eligible and qualified. You must:
• File a claim, and report for benefits as directed by the Unemployment Insurance  Agency (UIA). 
• Register for work each time a new, additional or re-opened claim is filed as directed by the UIA. 
• Have sufficient earnings in the past 18 months. 
• Be able to work. 
• Be available for work. You must immediately inform the UIA and all base period employers of any changes to your contact 
information (mailing address and telephone number) and respond to all UIA requests to update your contact information.
• If  directed  by  the  UIA,  appear  at  a  specified  location  provided  in  a  mailed  notice  for  an  evaluation  of  your  eligibility  for 
unemployment benefits. 
• If  requested  by  the  UIA,  provide  a  statement  of  wages  (wage  affidavit)  for  purposes  of  calculating  your  unemployment 
benefits as state law requires that you produce evidence of those wages (pay stubs, W -2, employer payroll records, etc.). 
• Be actively engaged in seeking work. 
• Conduct a systematic and sustained work search effort and provide proof of those efforts by submitting your work search 
efforts as directed by the UIA. 
To file a claim for benefits, you will need the following:
1. This form and any similar forms you received from any employer in the past 18 months, or pay stubs with employer 
name, employer payroll record, or W-2 Form.
2. Your Social Security number, complete mailing address (zip code), telephone number, and county of residence.
3. Your driver’s license or state identification card.
4. Your Alien Registration Number and the expiration date of your work authorization if you are not a citizen or national of 
the United States.
5. Name(s) of employer(s), date(s) of employment, and reason for separation from each employer you worked for in the 
past 18 months.
6. Information from your financial institution if you choose to have your benefits directly deposited into your checking or 
savings account.
Filing Claims by Telephone
Day and Time to File Claims by Telephone
If the last two digits of your Social Security Number are:
                      00  through  15     Monday            8:00 a.m. - 12:30 p.m.,\
 ET
                  16  through  33     Monday          12:30 p.m. -  4:30 p.m., \
ET
                  34  through  48     Tuesday            8:00 a.m. - 12:30 p.m., ET
                  49  through  66     Tuesday          12:30 p.m. - 4:30 p.m., ET
                  67  through  81     W ednesday       8:00 a.m. - 12:30 p.m., ET
                  82  through  99     Wednesday     12:30 p.m. -  4:30 p.m., ET
If you miss your assigned day and time, claims are accepted on Thursday or Friday from 8:00 a.m. - 4:30 p.m. ET.
UIA 1711                                                                                                                                                                                                                                      Authorized by(Rev. 03-17)                                                                                                                                                                                                                         MCL 421.1, et seq.
Bruce Noll
Unemployment Insurance
Acting Director
State of Michigan
TALENT INVESTMENT AGENCY Unemployment Insurance
3024 W. Grand Blvd., Detroit, MI 48202 www.michigan.gov/uia
Rick Snyder
State of Michigan Governor

UIA 1711 
(Rev. 03-17)
Reverse Side
To Be Completed by the Employer 
Rule R 421.204 of the Michigan Administrative Rules requires that a completed copy of this form, or an equivalent 
written notice, be given to each employee before, or when he/she is separated from your employ.  A  $10.00 penalty 
for  non-compliance  with  this  rule  may  be  imposed  by  the  UIA.  Please complete  the  following  information  in  the 
spaces below.
Your 10-digit
 UIA Account Number: 
Your 9-digit Federal Identification Number:
Employer’s Name with Doing  Business As  (DBA),  and  complete  mailing  address  where  wage  and separation 
information is available for the worker listed on this form.
 __________________________________________  _______________________________________
Name DBA
 __________________________________________  _______________________________________
Address for Employment                       City , State, Zip Code  
 __________________________________________  _______________________________________
Name of Contact Person Telephone Number
________________________________________________________________________\
_____________
       Reason for Separation
        Employers with questions may contact the Office of Employer Ombudsman (OEO) at 1-855-484-2636, 
        or [email protected].
Filing Claims on the Internet
You may file your new, additional, or reopened claim on the UIA website at  www.michigan.gov/uia.  Select “Michigan Web 
Account Manager (MiWAM)” logo to sign up for a web account with UIA .  You do not have to have a MiWAM account to file 
a claim.  However, if you do have a MiWAM account, first login, click on the “Claimant Services” tab and select the “File a 
claim” link under the filing options.  You may file your claim through the Internet if ALL of the following requirements are met:
• You have worked under only one Social Security number.
• You have not filed a claim for unemployment benefits against another state during the past 1 2 months.
Before filing online, ensure you have the information from Items 1 through 6 (listed above), a pen or pencil, and paper to 
make notes of information you will receive from the UIA.  You can write the information you need on this form so that it is 
available when you file your claim.
The Internet Filed Claim system is available 24 hours a day, 7 days a week, regardless of the last two digits of your Social 
Security number.
If you have a problem or question about your claim, you can call the UIA  at 1-866-500-0017 (TTY
  customers use 1-866-
366-0004).  UIA staff is available to assist you from 8:00 a.m. to 4:30 p.m., ET, Monday through Friday. 
TIA is an Equal Opportunity Employer/Program.