Utah Unemployment Insurance Notice to Workers Mandatory

09-22E-0312	
UTAH DEPARTMENT OF WORKFORCE SERVICES	
UNEMPLOYMENT INSURANCE	
NOTICE TO WORKERS	
Your work is covered under the provisions of the Utah Employment Security Act for	
unemployment insurance purposes, unless specifically exempted by the Act.	
Unemployment insurance specifically provides payments to qualified worke\
rs who are unemployed through no fault of their own and are able, availa\
ble, 
and seeking full-time work. It is not 	public assistance	, Social Security, or a disability payment. Benefits are based upon your previous earning\
s—not on 	
economic need. The funds to pay unemployment benefits are paid by your employer.  No deductions are made from your wages.	
FILING FOR UNEMPLOYMENT INSURANCE BENEFITS	
To receive unemployment benefits you may file your claim online at 	jobs.utah.gov,	 select “Unemployment Benefits,” then choose “File New or Reopen 	
Claims.” You may also call the Claims Center at: Salt Lake/South Davis Counties – (801) 526-4400; Weber/North Davis Counties – (801) 612-0877; 
Utah County – (801) 375-4067; elsewhere in Utah and out-of-state – (888) 848-0688. No benefits will be paid for weeks prior to the week in which you 
file your claim. You should, therefore, file immediately after becoming unemployed or when your work hours are reduced to less than full-time. 	
FILING AFTER RECEIVING WORKER’S COMPENSATION BENEFITS	
If you are separated from employment due to a work-related illness or injury for which you have received Worker’s Compensation, your rights to unem	-	
ployment benefits may be preserved for up to THREE YEARS from the date of your injury. In order to use wages earned prior to such an injury or ill	-	
ness, you must file a claim for unemployment benefits within 90 DAYS of your doctor’s release to full time work.	
SEPARATION INFORMATION	
At the time you are separated from your job, you should request information as to the reasons for your separation. You do not need to have a separation 
notice to file a claim. Both you and your employer will be requested to provide statements explaining the reason for your separation.	
WAGES DETERMINE BENEFIT AMOUNT	
The amount of your unemployment benefits will be determined from your wa\
ges in covered employment.  “Wages” are all payments for personal services 
performed such as salaries, commissions, bonuses, tips, and the cash val\
ue of goods and services received for services performed.  Tips received but not 
reported to your employer generally cannot be used to determine your une\
mployment benefits.	
SELF-EMPLOYMENT	
If you are classified as “self-employed” (independent contractor), you may want to discuss this with your employer and have your status reviewed by 
DWS. Work performed in “self employment” cannot be used for unemployment benefits. You are “self-employed” if your work is performed without 
direction and control and you are in your own established business. This generally means you are properly licensed in business, perform similar services 
for others, maintain proper accounting records and business reports, pay self-employment taxes, and provide for insurance.	
ONLINE SERVICES	
Access our web site 	jobs.utah.gov	 to search for jobs, find out about available programs, and obtain econo\
mic information.	
NO FEE EMPLOYMENT SERVICES	
DWS services are available on our web site at 	jobs.utah.gov/employer	 or by going to any of our Employment Centers listed below. Employment servic	-	
es include job referrals, career counseling, workshops, employer recruitment, Veterans’ services, labor market information, and job training/internships. 
Supportive services include food stamps, financial assistance, medical assistance, childcare assistance, unemployment assistance, emergency assistance, 
referrals to community, and other resources. Our Job Connection Rooms provide Internet access along with Information Specialists to assist you in 
accessing services and resources. Fax and copy machines are also available. 	
jobs.utah.gov	
INFORMATION FOR EMPLOYERS	
Utah law requires that each employee’s wages must be reported each quarter with the regular quarterly contribution (tax) report. All wage and separation 
information and correspondence must include your unemployment insurance registration number. You must also maintain and make available records of 
wages and separation information on all workers for at least four (4) calendar years.
When an unemployment claim is filed by a former employee, the Department of Workforce Services will send Form 606 “Notice of Claim Filed.” This 
notice will provide an opportunity for you to report details of the reason for the claimant’s separation and, in some cases, to request relief of potential 
charges. 	You will also receive a Form 65 “Employer Notice of Potential Liability” showing any wages from your firm being used on the claim and your 	
firm’s potential benefit costs.
If you have classified or contemplate classifying any of your workers as “self-employed” (independent contractors), notify the Department in order that a 
proper determination of status can be made. By doing this, you may avoid unpaid contributions (tax) liabilities, interest, and penalties.
Additional information is available in the “Employer Handbook” which you can access on the Internet at 	jobs.utah.gov/employer.	
In accordance with Section 35A-4-406(1)(b) of the Utah Employment Security Act, this notice must be permanently posted by each employer at suitable points (on bul	-	
letin boards, near time clocks, etc.) in each work place and establishment.
Beaver	 ..................................	875 North Main	 ..................................	(435) 438-3580	
Blanding	 ...............................	544 North 100 East	 ............................	(435) 678-1400	
Brigham City	 ........................	1050 Medical Drive	 ...........................	(435) 734-4060	
Cedar City	 ............................	176 East 200 North	 ............................	(435) 865-6530	
Clearfield	 ..............................	1290 East 1450 South	 ........................	(855) 222-7531 	
Delta	 .....................................	44 South 350 East	 ..............................	(435) 864-3860	
Emery County	 ......................	550 West Hwy 29	 ...............................	(435) 381-6100	
Heber City	 ............................	69 North 600 West, Ste. C	 .................	(435) 654-6520	
Junction	 ................................	550 North Main	 ..................................	(435) 577-2443	
Kanab	 ...................................	468 East 300 South	 ............................	(435) 644-8910	
Lehi	  ......................................	557 W. State Street	 .............................	(801) 753-4500	
Loa	 .......................................	18 South Main	 ....................................	(435) 836-2406	
Logan	 ...................................	180 North 100 West	  ...........................	(435) 792-0300	
Manti	 ....................................	55 South Main #3	 ..............................	(435) 835-0720	
Midvale 	  ...............................	7292 South State St	 ............................	(801) 567-3800	
Moab	 ....................................	457 Kane Creek Blvd.	 .......................	(435) 719-2600	
Nephi	 ....................................	625 North Main	 ..................................	(435) 623-1927	
Ogden 	 ..................................	480 27th Street	 ...................................	(801) 626-3100	
Panguitch	 
..............................	665 North Main	 ..................................	(435) 676-1410	
Park City	 ..............................	1960 Sidewinder Dr., Ste. 202	 ...........	(435) 649-8451	
Price	 .....................................	475 West Price River Dr. #300	 ..........	(435) 636-2300	
Provo	 ....................................	1550 North 200 West	  .........................	(801) 342-2600	
Richfield	 ...............................	115 East 100 South	 ............................	(435) 893-0000	
Roosevelt	 
..............................	140 West 425 South 330-13	  ...............	(435) 722-6500	
Roy	 .......................................	1951 West 5400 South	  .......................	(801) 626-3100	
Salt Lake Metro	 ...................	720 South 200 East	 ............................	(801) 536-7000	
Salt Lake So County	 ............	5735 South Redwood Rd.	 ..................	(801) 269-4700	
South Davis	 ..........................	763 West 700 South W. Cross	.............	(801) 626-3100	
Spanish Fork	 ........................	1185 North Chappel Drive	 .................	(801) 794-6600	
St. George	 ............................	162 North 400 East Bldg. B	  ..............	(435) 674-5627	
Tooele	 ...................................	305 North Main, Ste. 100	 ..................	(435) 833-7310	
Vernal	 ...................................	1050 West Market Dr.	 ........................	(435) 781-4100	
West Valley	 ..........................	2750 South 5600 West Ste. A	 ...............	(801) 840-4400	
STATE EMPLOYMENT CENTERS	
Equal Opportunity Employer/Program 	Auxiliary aids and services are available upon request to individuals with disabilities by calling (801) 526-9240. Ind\
ividuals with speech and/or hearing impairments may call Relay Utah by dialing 711. 	Spanish Relay Utah: 1-888-346-3162