Illinois Department of Employment Security Forms

This form is used for employers in Illinois to gather information regarding retirement/pension pay for their employees.

This Form is used for employers in Illinois to complete a questionnaire related to worker's compensation.

This form is used for requesting a reconsideration of an adjudicator's determination and, if applicable, appealing to the referee. It is specifically meant for employers in Illinois.

This form is used for employers in Illinois to complete a benefit charging questionnaire related to unemployment benefits.

This form is used for requesting a pre-hearing conference for appeals in Illinois.

This form is used for authorizing a BOR (bill of lading) in the state of Illinois. It is a document that grants permission to transport goods and specifies the terms of that transportation.

This Form is used for requesting transcripts from educational institutions in Illinois.

This Form is used for employers in Illinois to gather wage information for unemployed individuals.

This document is used for conducting a cross match questionnaire for inmates in Illinois. It helps with inmate management and security measures.

This form is used for collecting feedback and information about schools or training programs in Illinois.

This form is used for employers in Illinois to gather information about holiday pay for their employees. It is a questionnaire that helps employers determine the appropriate holiday pay for their employees.

This document is used to request a physician's report questionnaire in the state of Illinois.

This form is used for claiming holiday pay in Illinois. It is a questionnaire that helps gather information about the claimant's eligibility for holiday pay.

This Form is used for completing a questionnaire about earning for requalification purposes, specifically for employers located in Illinois.

This Form is used for claiming earnings for requalification in Illinois.

This form is used for employers in Illinois to complete a questionnaire when refusing work to an employee.

This form is used to notify individuals in Illinois about their eligibility to apply for Trade Adjustment Assistance benefits. It is also applicable for individuals residing outside of Illinois who are eligible for these benefits.

This Form is used for submitting a cover letter for alien registration documentation in the state of Illinois.

This form is used for claiming unemployment benefits in Illinois for individuals who are not actively seeking work. It includes a questionnaire to gather additional information about the claimant.

This form is used for unemployed individuals in Illinois to provide wage information for the purpose of filing a claim.

This form is used for employers in Illinois to report wages paid to each worker. It is a continuation sheet for the UI-40A Employer's Report of Wages Paid form.

This form is used for employers in Illinois to elect coverage for multi-state workers under the Illinois Unemployment Insurance Act.

This document is used for applying for a job in Illinois. It ensures that the employer provides equal opportunity to all applicants.

This form is used for household employers in Illinois who wish to elect to file their taxes annually.

This Form is used for correcting a social security number and changing names in the state of Illinois.

This Form is used for requesting authorization to access information under the Illinois Unemployment Insurance Act in the state of Illinois.

This Form is used for submitting a Mass Separation Notice in the state of Illinois. It is required for employers to notify the Illinois Department of Employment Security about significant layoffs or plant closures.

This form is used for obtaining a fidelity bond certification in the state of Illinois. It is a requirement for certain professions and industries to demonstrate financial responsibility and protect against acts of dishonesty or fraud.

This Form is used for voluntarily electing coverage under the Illinois Unemployment Insurance Act in Illinois. It allows individuals or employers to choose to be covered by unemployment insurance in the state.

This is an Illinois state form filed quarterly by each employer subject to the Illinois Unemployment Insurance Act. All employers are to file who have had one or more employees located in Illinois that worked any day during each of 20 or more weeks within a calendar year.

This form is used for filing an affidavit to terminate a legal matter in compliance with the specific administrative code section in Illinois.

This Form is used for reporting your work history when applying for unemployment insurance in the state of Illinois.

This document is a shared data agreement form used in Illinois. It outlines the purpose of the agreement and specifies the terms for sharing data between parties.

This form is used for applying for a partial transfer of experience and allocating benefit charge totals (claims) in the state of Illinois.

This document establishes a legal agreement between two parties in Illinois regarding a power of attorney.

This form is used for reporting cases of fraud in the state of Illinois.

This form is used for reporting multiple worksites in the state of Illinois.