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SIDES Standardized Exchange Formats
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State UI Agency Separation Information Request Format
State UI Agency Separation Information Request Format
3/8/2016 2:29 PM
State UI Agency Separation Information Request Format
12/20/2014
Separation Information Exchange
Employer or TPA Separation Information Request Format
Employer or TPA Separation Information Request Format
3/8/2016 2:36 PM
Employer or TPA Separation Information Request Format
12/20/2014
Separation Information Exchange
State UI Agency Earnings Verification Request Format - Note: Print outs are 8.5" x 14" (legal size)
State UI Agency Earnings Verification Request Format - Note: Print outs are 8.5" x 14" (legal size)
3/8/2016 3:23 PM
State UI Agency Earnings Verification Request Format - Note: Print outs are 8.5 x 14 (legal size)
1/21/2015
Earnings Verification Exchange
Employer or TPA Earnings Verification Response Format - Note: Print outs are 8.5" x 14" (legal size)
Employer or TPA Earnings Verification Response Format
3/8/2016 3:23 PM
Employer or TPA Earnings Verification Response Format - Note: Print outs are 8.5 x 14 (legal size)
1/21/2015
Earnings Verification Exchange
State UI Agency Monetary and Potential Charges Request Format - Note: Print outs are 8.5" x 14" (legal size)
State UI Agency Monetary and Potential Charges Request Format
3/8/2016 3:23 PM
State UI Agency Monetary and Potential Charges Request Format - Note: Print outs are 8.5 x 14 (legal size)
6/12/2013
Monetary and Potential Charges
Employer or TPA Monetary and Potential Charges Response Format - Note: Print outs are 8.5" x 14" (legal size)
Employer or TPA Monetary and Potential Charges Response Format
3/8/2016 3:23 PM
Employer or TPA Monetary and Potential Charges Response Format - Note: Print outs are 8.5 x 14 (legal size)
6/12/2013
Monetary and Potential Charges
State UI Agency Determination and Decision Request Format - Note: Print outs are 8.5" x 14" (legal size)
State UI Agency Determination and Decision Request Format
3/8/2016 3:24 PM
State UI Agency Determination and Decision Request Format - Note: Print outs are 8.5 x 14 (legal size)
9/29/2014
Determination and Decision
Employer or TPA Determination and Decision Response Format - Note: Print outs are 8.5" x 14" (legal size)
Employer or TPA Determination and Decision Response Format
3/8/2016 3:24 PM
Employer or TPA Determination and Decision Response Format - Note: Print outs are 8.5 x 14 (legal size)
9/29/2014
Determination and Decision
Benefit Charge Back to Employer (Draft)
Benefit Charge Back to Employer (Draft)
3/8/2016 2:54 PM
Benefit Charge Back to Employer (Draft)
6/9/2009
Benefit Charge Back to Employer
Compliance Details
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Send To other location
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