Notice to Protest Benefit Charges. Chargeable Employers 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Employer Information section. Enter your Employer Name/DBA, Phone Number, Address, Account Number, and FEIN accurately.
  3. Next, provide Claimant/Claim Information. Fill in the Notice of Claim Reply Due Date, Claimant SSN, Suffix, Claim ID Number, Last Name, Middle Initial, First Name, and any Other Last Name.
  4. Select one of the options regarding your employment of the claimant and complete all related fields. For example, if you did not employ the claimant for 30 days, enter the Start Date and End Date along with Total Number of Days Worked.
  5. If applicable, provide details about leased employees by identifying the leasing agency's name and address.
  6. Finally, certify that the information is true by printing your name, signing it, adding your title and contact information before saving or submitting the form.

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For the purposes of this article, know that the tax is based on the employers taxable payroll, the amount the employer has paid into the UI system, and unemployment claims against the employers account (called benefit charges).
To file a claim for unemployment insurance, you may contact the UI Call Center @ 1-866-783-5567 or you may file online.
Extended Base Period: A period of time longer than the regular base period, generally starting prior to the start of the regular base period.
Louisiana Unemployment Rate is at 4.50%, compared to 4.60% last month and 4.20% last year. This is lower than the long term average of 6.77%.
(4) Base period means the first four of the last five complete calendar quarters immediately preceding the first day of an individuals benefit year. (5) Benefits means the money payments payable to an individual, as provided in this Chapter, with respect to his unemployment.