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Send state form 54244 via email, link, or fax. You can also download it, export it or print it out.
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Click ‘Get Form’ to open the Indiana Unemployment Application in our editor.
Begin by entering the claimant's name and Social Security Number in the designated fields. Ensure accuracy as this information is mandatory for processing.
Fill in the Benefit Year End date, followed by the claimant's street address, city, state, and ZIP code.
Next, input the Indiana SUTA (Employer Account Number) along with the employer's name and address details.
Indicate the employment period by entering the start and last day worked using the mm/dd/yyyy format.
Provide a brief statement of facts regarding separation. If applicable, select a reason for separation from the provided options.
If there are any additional documents to support your submission, check the box indicating attachments and specify the total number of pages.
Finally, enter your contact name, date, and signature before submitting via fax to UI Adjudications at 317-233-5499.
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