6349 form-2026

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The document is an Employer Report of Identity Theft form issued by the State of Michigan's Department of Talent and Economic Development. It allows employers to report fraudulent unemployment insurance claims filed by impostors. The form requires details about the employer, the suspected fraudulent claim, and the affected individual. Employers must affirm the accuracy of their report and can submit it through various methods, including online or by mail.

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Click ‘Get Form’ to open the 6349 form in the editor.
Begin by entering the Employer Name and Address in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the Letter ID, City, State, and Zip Code. This helps streamline communication regarding your report.
Provide the Last Four Digits of the affected individual's SSN. This is essential for verifying identity theft claims.
In the section regarding the affected individual, input their Name, Address, City, State, Zip Code, and Telephone Number. This information supports your claim.
Complete the report by signing and dating it. Include your printed name, direct contact number, job title, and email address.
If applicable, attach any affidavits or statements of identity theft provided by the affected individual before submitting.

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