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Unemployment Insurance

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Benefits

Name Format Size Description
Agreement for Direct Deposit This document is a PDF. 57 KB LWC - 971W
Benefit Rights Information This document is a PDF. 138 KB Information mailed to persons when a new claim is filed for Unemployment Insurance (UI) benefits that explains their rights and responsibilities.
Direct Deposit Form & Instructions This document is a PDF. LWC-971W - Form used by UI claimants to request direct deposit of unemployment insurance benefit checks. May also be used to request changes to direct deposit or to discontinue the direct deposit of UI benefit checks.
Easy Call Instructions (Claimants) This document is a PDF. 74 KB Instructions for unemployment insurance claimants on using the interactive voice response system to file weekly claims for UI benefits
Eligibility Review Form This document is a PDF. 64 KB LWC-65W
Fraud Reporting Form for Unemployment Insurance Benefits This document is a PDF. 263 KB
Informacion De Beneficios Y Derechos This document is a PDF. 80 KB Información enviada por correo a la persona cuando aplica por el Seguro de Beneficios por Desempleo (UI) y que le explica su derechos y responsabilidades (versión en Español)
LWC - Certificate Of Attendance This document is a PDF. 43 KB Louisiana Workforce Commission - Certificate of Attendance for Unemployment Insurance while receiving training.
LWC - Form 130 Approved Training This document is a PDF. 23 KB LWC - 130 UI - Louisiana Workforce Commission Form for approved training while receiving Unemployment Insurance.
Medical Statement Request for Information Form New This document is a PDF. 38 KB LWC-562 (INTERNET) - Medical statement request for information form used to render an equitalble determination on your claim for benefits.
Notice of Potential Eligibility for Extended Benefits This document is a PDF. 55 KB
Rules for UI Appeals & Employment Security Law This document is a PDF. 73 KB Louisiana laws regulating the unemployment compensation system including Administrative Rules outlining the appeal process for unemployment claims
TRA Weekly Request for Allowances by Job Seeker in Training This document is a PDF. 44 KB LWC-858A
TRA Weekly Request for Allowances by Job Seeker Not in Training This document is a PDF. 289 KB LWC-858B
Unemployment Insurance Federal Tax Withholding This document is a PDF. 22 KB LWC-ES 494 - Unemployment Insurance Claimants Federal Income Tax Withholding Program
Workers' Claim Information for Unemployment Insurance This document is a PDF. 46 KB LWC-87W
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Wage & Tax

Name Format Size Description
2007 Ratio Rate Table This document is a PDF. 25 KB 2007 Ratio Rate Table
2008 Ratio Rate Table This document is a PDF. 35 KB 2008 Ratio Rate Table
2009 Ratio Rate Table This document is a PDF. 27 KB 2009 Ratio Rate Table
2010 Ratio Rate Table This document is a PDF. 31 KB 2010 Ratio Rate Table
2011 Ratio Rate Table This document is a PDF. 26 KB 2011 Ratio Rate Table
2012 Ratio Rate Table New This document is a PDF. 34 KB 2012 Ratio Rate Table
App. & Agreement for Partial Transfer of Exp. Rating Record This document is a PDF. 96 kb Mandatory Application for transfer of experience rating record on a partial succession.
Benefit Charge Protest This document is a PDF. 38 kb Employers Application to Review Benefit Charges (Benefit Charge Protest)
Domestic Employer’s Annual Wage & Tax Report This document is a PDF. 78 KB LWC ES5 - Form for employers electing to file wages for domestic employees on an annual basis
EFT - Authorization Agreement This document is a PDF. 61 KB Application for employers to begin filing unemployment tax payments electronically. It may be filled out online but must be mailed in.
EFT - Example of CCD Format This document is a PDF. 43 KB Example of a Tax Payment Addendum for ACH credit transmission in the required format
EFT - Tax Payment Addendum - ACH Credit This document is a PDF. 38 KB Required format for employers filing unemployment tax payments electronically using the credit function
Employer Application for LA Unemployment Account This document is a PDF. 76 KB LWC-ES1web - Form that every employing unit operating in Louisiana is required to complete and submit for an LA Unemployment Account.
Employer Handbook/Business Owners' Manual This document is a PDF. 432 KB A comprehensive guide for employers/business owners to Louisiana labor law, unemployment insurance, locally available services for businesses, and required registrations and posters
Employer's Excel Template for Filing Wage Report New This document is a PDF. 37 KB Excel template for employers who submit quarterly wage reports using excel file
Employer's Report of Change This document is a PDF. 55 KB LWC-ES4 - Employers Report of Change Form LWC ES4 A
Employer’s Quarterly Wage & Tax Report This document is a PDF. 142 KB LWC ES4 - Form for employers filing wages on a quarterly basis
Employer’s Quarterly Wage & Tax Report - Amendment Form This document is a PDF. 74 KB LWC ES51/WEB - Form for employers to complete when filing amendments to previously reported wages on the Quarterly Wage & Tax Report.
Employer’s Quarterly Wage & Tax Report - Continuation Sheet This document is a PDF. 58 KB LWC ES61 - Form for the listing of additional wages as an attachment to the Quarterly Wage & Tax Report.
Employer’s Quarterly Wage & Tax Report Amendment Form - Continuation Sheet This document is a PDF. 87 KB LWC ES51A - Form for listing additional wages as an attachment to the Quarterly Wage & Tax Report Amendment Form
Independent Contractors: Guidelines for Employers This document is a PDF. 52 kb Unemployment Tax guidelines For Employers: Independent Contractors
Instructions for Completing Quarterly Report of Wages Paid - Amendment Form HTML LWC-ES51/WEB
Instructions for Electronic Wage Upload New This document is a PDF. 138 KB Instructions for Electronic Wage Upload
Louisiana Unemployment Insurance Tax Rates This document is a PDF. In-depth information and schedules regarding UI tax rates
Professional Employer Organizations Registration Form & Surety Bond This document is a PDF. 61 KB PEO Registration form must be completed by all PEO companies
Registration for Domestic Wage Filing This document is a PDF. 26 KB Form for domestic services ONLY - used to elect to report and pay UI contributions either quarterly or annually
Request for Duplicate Unemployment Insurance Documents This document is a PDF. 58 KB Form for employer's use in requesting copies of previously mailed UI documents and/or copies of previously filed UI Tax documents for a charge
Request for Recertification This document is a PDF. 51 KB Form used to request a proof of credit which states the wages, rate and unemployment tax contributions made by an employer for a specific year and whether these contributions were paid before or after January 31 of a specific year
Separation Notice This document is a PDF. 99 KB LWC-77 - Separation Notice form employment
Separation Notice Instructions This document is a PDF. 92 KB LWC-77 - Instructions for the employer on how to complete the Separation Notice
Status Report This document is a PDF. 76 KB LWCES-1AB - Application for an Unemployment Insurance Account Number
Suta Dumping Powerpoint® 76 KB Power Point Presentation on Suta Dumping
Unemployment Insurance Tax Excess Wages This document is a PDF. 23 KB Example For Computing Excess And Taxable Wages
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Note: This revision date does not reflect the individual revision dates of the materials listed above, nor does it reflect the last time the listing was updated. Materials are updated on a regular basis and added to the list above as soon as they are made available.