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You can download a copy of the waiver form here - Michigan ...

You can download a copy of the waiver form here - Michigan ... 2026

You can download a copy of the waiver form here - Michigan ... Preview on Page 1

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The document is a form from the State of Michigan's Unemployment Insurance Agency, titled 'Statement of Identity Theft.' It allows individuals to declare that they did not file for unemployment benefits using their identity and request the withdrawal of any claims made in their name. The form requires personal information, a certification of truthfulness, and provides instructions for submission.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field at the top of the form.
Fill in your Claim Number and Date in the respective fields to ensure accurate identification.
Provide your Social Security Number (SSN) in the specified area.
Check the boxes confirming that you did not file a claim, certify for benefits, or receive funds related to this claim.
In the Contact Information section, enter your address, telephone number, and email address for communication purposes.
Sign and date the form at the bottom to certify that all information provided is true and correct.

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