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Document Number: UCB-8219-E
Description: Use this form to notify the Department of Workforce Development, Unemployment Insurance Division (DWD/UI) of errors on its Wage Record File.
Comments: This form can be filled out on the computer as a fillable pdf. It should then be printed and mailed or faxed to:
DWD - UI Wage RecordThe Fax Number is (608) 266-8089. Include a CARES screen print showing the SSN mismatch.
Content Contact: UI Wage Staff, (608) 266-6877
Document Attachment: UCB-8219-E (pdf/119 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.