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Employer's Claim for Adjustment/Refund (UI-28)

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Last Revised: 1/23/2013

An employer may file a claim for adjustment/refund not later than three years after the date upon which any contributions,interest or penalties were paid erroneously.

A separate Form UI-28, Employer's Claim for Adjustment / Refund, must be submitted for each calendar year with respect to which a claim is filed.

If you are adjusting individual worker's wages not previously corrected, you must complete Form UI-28B, Employer's Correction Report of Wages Paid to Workers, and submit it with Form UI-28.