Homepage Blank Illinois Ui 28 PDF Form
Article Guide

The Illinois UI-28 form serves as a critical tool for employers seeking refunds for overpayments made in unemployment insurance contributions. This form allows employers to request a refund either through direct deposit or a paper check, providing flexibility in how they receive their funds. To streamline the process, the Illinois Department of Employment Security (IDES) encourages submissions via the MyTax Illinois online platform, which simplifies the request procedure. Employers can easily navigate the website to find the "Request a Refund" link and follow the prompts to complete their submission. Additionally, the UI-28 form requires specific information, including the employer's name, account number, and details of the overpayment. Each claim must be submitted for a separate calendar year, and if adjustments to individual worker wages are necessary, another form, the UI-40C, must be included. Understanding the instructions for completing the UI-28 is essential, as incomplete information can lead to delays or denials of the refund request. Employers have three years from the date of the overpayment to apply for a refund, ensuring they have ample time to address any discrepancies in their contributions.

Document Preview

UI-28 Refund Request Form

IDES has updated your refund options. You can now receive your refund either through direct deposit or as a paper check.

The best way to submit your UI-28 Refund Request to IDES is online

through MyTax Illinois.

To submit your UI-28 Refund Request online:

Log on to the MyTax Illinois website at http://mytax.illinois.gov

Click on the Unemployment Insurance link

Click on the “Request a Refund” link under the “I Want To” section

It’s quick and easy to do

Other features available online at MyTax Illinois:

Submit your quarterly contribution and wage reports

Make all your payments easily and securely

View your tax letters and correspondence

Request interest and penalty waivers

View your new annual tax rates

Maintain Power of Attorney relationships

AND MUCH MORE

Visit our IDES Employer Update website, at www.ides.illinois.gov/MyTaxUI for additional information. Contact the IDES Employer Hotline at 1-800-247-4984 if you have any questions about MyTax Illinois or the UI 28 form.

Instructions for completing the UI-28 are on Page 2. The UI-28 Form is on Pages 3 and 4. Note, Page 4 is only required if you have elected to receive your refund via

Direct Deposit.

UI-28 Revised: May 2018

Page 1 of 4

INFORMATION AND GENERAL INSTRUCTIONS

If there is currently an overpayment on your account, you may apply the overpayment to contributions due in subsequent quarters or we will automatically apply it to any future underpayment. You may also apply for a refund online at mytax.illinois.gov or by completing this UI-28 form and faxing it to 217-557-1948 or mailing it to:

DEPARTMENT OF EMPLOYMENT SECURITY

REFUND UNIT, 10TH FLOOR

33 SOUTH STATE STREET

CHICAGO, ILLINOIS, 60603

You have three years from the date of the overpayment to use the credit or to request a refund, except in the case of an overpayment that occurred on or after January 1, 2015 and prior to the effective date of House Bill 2699 of the 100th General Assembly, in which case you have until June 30, 2018 or 3 years from the date of the overpayment, whichever is later.

A separate form UI-28, Refund Request Form, must be submitted for each calendar year with respect to which a claim is filed. If you are adjusting individual worker’s wages not previously corrected, you must complete Form UI-40C

“EMPLOYERS CORRECTION REPORT FOR THE QUARTERENDING - ,” and submit it with the Form UI-28. TheUI-40C form may be printed from the IDES website, www.ides.illinois.gov. Please be aware that correcting a wage report may affect an employer’s contribution rate for any year with respect to which such wages were included in the computation of the rate.

All claims for adjustments/refund are subject to field investigation and audit at the discretion of the Director.

INSTRUCTIONS FOR PREPARATION OF

FORM UI-28, REFUND REQUEST FORM

Enter your name and account number exactly as it appears on your contribution report. Enter your current address. However, entering an address on this form that is different than the address currently contained in our records will not be considered an official change of address request. If this is a new address, you must update your address with the Department in one of the following ways: through MyTax Illinois (mytax.illinois.gov), by mailing a UI-50A Notice of Change to the Department, or by calling, faxing or writing the Department and providing the same information as would be provided on the UI-50A.

ITEM A. BASIS OF CLAIM

Explain in detail the nature of the overpayment. State fully the facts which you believe entitle you to an adjustment/refund. If more space is required, continue on your own letterhead, which will then become a part of this claim. FAILURE TO GIVE COMPLETE INFORMATION WILL DELAY THE PROCESSING OF YOUR CLAIM AND MAY RESULT IN A DENIAL.

ITEM B. FOR THE YEAR

Enter the year applicable to your claim.

ITEM C. DESCRIPTION OF PAYMENTS

Each line represents a quarter, per year.

Enter the date of payment, original amount of payment and amount to be refunded.

Total Amount of This Claim – Enter the total amount of claim for the calendar year. Amount shown in this item must equal the sum of the totals in the Amount to be Refunded column.

*** The UI-28 must be Signed with Official Title and Dated ***

UI-28 Revised: May 2018

Page 2 of 4

 

Refund Request Form (UI-28)

 

33 South State Street, Refund Unit, 10th Floor

Fax: 217-557-1948

Chicago, Illinois, 60603

UI Account Number

Employer Name

Mailing Address

City - State - Zip Code

A.BASIS FOR CLAIM. (If more space is required, attach additional sheets)

____________________________________________________________________________

B.FOR THE YEAR: _______ (Enter year applicable to this claim. Prepare a separate claim for each year)

C.DESCRIPTION OF PAYMENTS. Please list the payments for which a refund is requestedbelow:

DATE OF PAYMENT

ORIGINAL AMOUNT OF PAYMENT

AMOUNT TO BE REFUNDED

TOTAL AMOUNT OF THIS CLAIM:

Your refund may be sent to you either in the form of Direct Deposit or a Paper Check.

If you choose Direct Deposit, complete page 4 and return it with this page 3.

Payment Method (Select One):

 

Direct Deposit

 

Paper Check

I, the undersigned, certify that the information contained in this claim, including any other attachments, is true and correct to the best of my knowledge and belief, that I have authority to act on behalf of the abovenamed employer, and that no claim for this erroneous payment has previously been made.

Printed Name __________________________________

Signed by ____________________________________

Official Title __________________________________

Date

____________________________________

Note: This claim for refund must be signed by an owner, partner, officer or authorized agent within the employing enterprise. If signed by another person, a Power of Attorney must be on file. This state agency is requesting disclosure of information that is necessary to accomplish the statutory purpose as outlined under 820 ILCS 405/2201. Disclosure of this information is voluntary. However, failure to supply the information required by this form will result in your refund request being denied.

UI-28 Revised: May 2018

Page 3 of 4

Direct Deposit Authorization

(Complete and return with Page 3 only if electing Direct Deposit)

Employer Name:

Employer UI Account Number (7 Digits):

If Direct Deposit is Chosen, Please Provide the Employer’s Bank Information Below

Employer FEIN Number (9 Digits):

Bank Name:

____________________________________________

Bank Routing Number:

____________________________________________

Bank Account Number:

____________________________________________

Bank Account Number (Re-enter): ____________________________________________

Name on Bank Account:

____________________________________________

Type of Bank Account:

 

Business Checking

 

Checking

 

 

 

 

 

 

(Select Only One)

 

 

Business Savings

 

Savings

 

 

 

 

 

 

 

 

 

Printed Name __________________________________

Signed by ____________________________________

If you elected to receive a Paper Check, fax only Page 3 to the fax number below.

If you elected Direct Deposit, fax both Pages 3 and 4 (in that order)

to the fax number below.

Fax: 217-557-1948

UI-28 Revised: May 2018

Page 4 of 4

Form Specifications

Fact Name Fact Description
Form Purpose The UI-28 form is used to request a refund for overpayments made in unemployment insurance contributions.
Submission Method Applicants can submit the UI-28 form online through MyTax Illinois or by faxing or mailing the completed form.
Direct Deposit Option Refunds can be received via direct deposit or as a paper check, depending on the applicant's choice.
Governing Law The UI-28 form is governed by the Illinois Unemployment Insurance Act, specifically under 820 ILCS 405.
Deadline for Refund Requests Applicants have three years from the date of overpayment to request a refund, with specific exceptions for certain overpayments.
Separate Claims A separate UI-28 form must be submitted for each calendar year for which a refund is requested.
Contact Information For questions, individuals can contact the IDES Employer Hotline at 1-800-247-4984.
Signature Requirement The form must be signed by an owner, partner, officer, or authorized agent of the employing enterprise.

Illinois Ui 28: Usage Guidelines

Completing the Illinois UI-28 form requires careful attention to detail to ensure that your refund request is processed efficiently. Follow these steps to fill out the form correctly. After completing the form, you will need to submit it online or via fax or mail as specified in the instructions.

  1. Begin by entering your name and account number exactly as they appear on your contribution report.
  2. Provide your current address. If your address has changed, update it through MyTax Illinois or by submitting a UI-50A Notice of Change.
  3. In Item A, explain the nature of the overpayment in detail. Include all relevant facts that support your claim for an adjustment or refund. If more space is needed, attach additional sheets.
  4. In Item B, enter the year applicable to your claim.
  5. In Item C, list the payments for which you are requesting a refund. For each payment, provide the date of payment, original amount of payment, and amount to be refunded.
  6. Calculate the total amount of this claim for the calendar year. Ensure that this amount matches the sum of the amounts in the "Amount to be Refunded" column.
  7. Choose your payment method by selecting either Direct Deposit or Paper Check. If you choose Direct Deposit, complete the additional information on Page 4.
  8. Sign the form with your printed name, signature, official title, and date. Ensure that the claim is signed by an authorized individual.

Once the form is completed, it can be submitted online through MyTax Illinois or sent via fax or mail to the appropriate address. Make sure to keep a copy of the completed form for your records.

Your Questions, Answered

What is the Illinois UI-28 form?

The Illinois UI-28 form is a Refund Request Form used by employers to request a refund for any overpayments made towards unemployment insurance contributions. It allows employers to apply for a refund online or by submitting a completed form via fax or mail to the Illinois Department of Employment Security (IDES).

How can I submit the UI-28 Refund Request?

You can submit the UI-28 Refund Request online through MyTax Illinois for a quick and easy process. Simply log onto the MyTax Illinois website, navigate to the Unemployment Insurance section, and click on “Request a Refund.” Alternatively, you can complete the form and either fax it to 217-557-1948 or mail it to the IDES Refund Unit at their Chicago address.

What are the options for receiving my refund?

You have two options for receiving your refund: Direct Deposit or a Paper Check. If you choose Direct Deposit, you will need to complete an additional page of the UI-28 form that collects your bank information. If you prefer a Paper Check, you only need to submit the main page of the form.

How long do I have to request a refund for an overpayment?

You have three years from the date of the overpayment to either use the credit or request a refund. However, for overpayments that occurred between January 1, 2015, and the effective date of House Bill 2699, you have until June 30, 2018, or three years from the date of the overpayment, whichever is later.

What if I need to correct individual worker’s wages?

If you need to adjust individual worker’s wages that were not previously corrected, you must complete Form UI-40C, which is the Employer's Correction Report. This form must be submitted along with your UI-28 form to ensure that all necessary adjustments are made accurately.

What happens if I provide incomplete information on the UI-28 form?

Providing incomplete information can delay the processing of your claim and may even lead to a denial of your refund request. It’s crucial to fill out all sections of the form completely and accurately to avoid any issues.

Who needs to sign the UI-28 form?

The UI-28 form must be signed by an owner, partner, officer, or authorized agent of the employing enterprise. If someone else signs the form, a Power of Attorney must be on file to validate that person’s authority to act on behalf of the employer.

Common mistakes

  1. Incomplete Information: Failing to provide detailed explanations in the BASIS OF CLAIM section can lead to delays. It’s essential to fully outline the reasons for the refund request.

  2. Incorrect Year: Entering the wrong year in the FOR THE YEAR section is a common mistake. Each claim must correspond to the correct calendar year, requiring separate submissions for different years.

  3. Mismatch of Amounts: The total amount claimed must match the sum of the individual refund amounts listed. A discrepancy here can result in rejection of the claim.

  4. Failure to Sign: Neglecting to sign the form or provide an official title can lead to processing delays. The claim must be signed by an authorized individual associated with the employer.

  5. Incorrect Address: Providing an outdated address without updating it through the appropriate channels can complicate communication and affect the refund process.

  6. Direct Deposit Errors: If opting for direct deposit, ensure that all bank information is accurate. Mistakes in routing or account numbers can result in funds being sent to the wrong account.

Documents used along the form

The Illinois UI-28 form is used to request a refund for overpayments made to the unemployment insurance system. When submitting this form, there are several other documents that may be required or helpful in processing your request. Below is a list of these forms and documents, along with a brief description of each.

  • UI-40C - Employers Correction Report: This form is necessary for employers who need to correct individual worker's wages that were not previously reported accurately. It must be submitted alongside the UI-28 form.
  • UI-50A - Notice of Change: If there is a change in the employer's address, this form must be completed and submitted to officially update records with the Department of Employment Security.
  • MyTax Illinois Account Information: Employers should maintain their MyTax Illinois account for easy access to submit forms, view tax letters, and manage payments related to unemployment insurance.
  • Power of Attorney Documentation: If someone other than the employer is submitting the UI-28 form, a Power of Attorney must be on file to authorize that individual to act on behalf of the employer.
  • Quarterly Contribution and Wage Reports: These reports detail the contributions made by the employer during each quarter and may be referenced when processing the refund request.
  • IRS Form W-9: This form may be required for tax purposes, especially if the refund will be processed through direct deposit or if the employer has changed their business structure.
  • Supporting Documentation for Overpayment: Any additional documentation that supports the claim of overpayment should be included to expedite the review process.
  • Contact Information for IDES: Keeping the contact details for the Illinois Department of Employment Security handy can assist in resolving any questions or issues that may arise during the refund process.

These documents play an important role in ensuring that the refund request is processed smoothly and efficiently. It is advisable to have all necessary forms completed and submitted as required to avoid delays.

Similar forms

The Illinois UI-28 form serves a specific purpose related to refund requests for unemployment insurance overpayments. However, it shares similarities with several other forms that are used in various contexts for similar purposes. Here are six documents that are comparable to the UI-28 form:

  • Form 941 - Employer's Quarterly Federal Tax Return: Like the UI-28, Form 941 is used to report taxes withheld from employee wages. Employers file this form quarterly to reconcile their payroll tax liabilities, similar to how the UI-28 reconciles overpayments in unemployment insurance.
  • Form 940 - Employer's Annual Federal Unemployment (FUTA) Tax Return: This form is also related to unemployment insurance, as it reports the annual FUTA tax owed by employers. Both forms require detailed information about payments and overpayments, emphasizing accuracy in reporting.
  • Form W-2 - Wage and Tax Statement: Employers use this form to report annual wages paid and taxes withheld for each employee. Similar to the UI-28, it necessitates precise data entry and is crucial for tax reporting and potential refunds.
  • Form 1099 - Miscellaneous Income: This form is used to report various types of income other than wages, salaries, and tips. Like the UI-28, it involves reporting amounts that may lead to refunds or adjustments in tax liabilities.
  • Form UI-40C - Employer's Correction Report: This form is specifically designed for making corrections to previously submitted wage reports. It is directly linked to the UI-28 in that it addresses adjustments related to unemployment insurance contributions.
  • Form UI-50A - Notice of Change: This form is used to officially notify the Department of Employment Security of any changes in an employer's information. Similar to the UI-28, it requires accurate information and can affect future contributions and refunds.

Understanding these forms can help employers navigate their responsibilities effectively. Each serves a unique purpose but shares the common goal of ensuring accurate reporting and facilitating any necessary adjustments or refunds.

Dos and Don'ts

When filling out the Illinois UI-28 form, there are important guidelines to follow. Here’s a list of things you should and shouldn’t do:

  • Do ensure accuracy: Enter your name and account number exactly as they appear on your contribution report.
  • Do provide detailed information: Clearly explain the nature of the overpayment in Item A to avoid delays.
  • Do submit on time: You have three years from the date of the overpayment to request a refund.
  • Do sign and date the form: Ensure the form is signed by an authorized person within your organization.
  • Don't forget to attach necessary documents: If you need more space for your explanation, attach additional sheets.
  • Don't use an outdated address: If your address has changed, update it with the Department separately.
  • Don't leave out required information: Incomplete forms may lead to denial of your refund request.
  • Don't ignore the submission method: If you choose Direct Deposit, complete and return the additional page.

Misconceptions

Understanding the Illinois UI-28 form is crucial for employers seeking refunds for overpayments. However, several misconceptions can lead to confusion and delays in processing. Here are eight common misunderstandings:

  • Direct deposit is mandatory. Many believe they must choose direct deposit for refunds. In reality, you can opt for a paper check instead.
  • Only online submissions are accepted. While submitting online via MyTax Illinois is encouraged for its convenience, you can still fax or mail the UI-28 form.
  • Refund requests can be combined for multiple years. Each year requires a separate UI-28 form. You cannot combine claims for different calendar years.
  • There is no deadline for requesting refunds. You have three years from the overpayment date to submit your request. Failing to act within this timeframe may result in losing your right to a refund.
  • Incorrectly filled forms will be processed anyway. Incomplete or inaccurate information can delay your claim or lead to a denial. Providing thorough and accurate details is essential.
  • Only the original payment amount is refundable. You can request a refund for any overpayment, not just the original amount. Be sure to detail all applicable payments.
  • Changing your address on the UI-28 updates your records. If your address has changed, you must update it separately with the Department of Employment Security. The UI-28 form does not serve as an address change request.
  • Refunds will be issued automatically. Refunds require a formal request through the UI-28 form. They will not be processed without your explicit application.

By dispelling these misconceptions, employers can navigate the refund process more effectively and avoid unnecessary complications. Taking prompt action and ensuring accuracy can make all the difference in receiving your refund in a timely manner.

Key takeaways

Key Takeaways for Filling Out and Using the Illinois UI-28 Form

  • The UI-28 form is used to request a refund for overpayments made to the Illinois Department of Employment Security (IDES).
  • You can submit your request online through MyTax Illinois, which is the quickest method.
  • If you choose direct deposit for your refund, you must complete Page 4 of the UI-28 form.
  • Provide detailed information about the overpayment in Item A to avoid delays in processing your claim.
  • Each calendar year requires a separate UI-28 form for refund requests.
  • Ensure that the total amount requested matches the sum of the amounts listed for refund.
  • Submit your completed form via fax or mail to the designated IDES address for processing.

For additional assistance, you can contact the IDES Employer Hotline at 1-800-247-4984.