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Click ‘Get Form’ to open the DE 428T form in the editor.
Begin by reviewing the PREDECESSOR ACCOUNT NUMBER field if applicable. This will indicate any previous business account transfers.
Fill in the CLAIMANT’S NAME and SOCIAL SECURITY NUMBER (SSN) fields accurately, as these are crucial for identifying the claimants associated with your reserve account.
Enter the CLAIM DATE, which is essential for establishing when benefits were claimed.
Review the EMPLOYER CHARGE section to understand your prorated share of benefits paid. If there’s a MINUS (-) sign, it indicates a credit to your account.
If you disagree with any charges, prepare a written protest using the suggested format provided at the end of the document and submit it within 60 days.
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