Unemployment Insurance

• Benefits
• Wage & Tax

Please visit the Downloads Main Menu to view information about the file formats used and where to download the applications needed to view these formats.

Benefits

Name	Format	Size	Description
Agreement for Direct Deposit		57 KB	LWC - 971W
Benefit Rights Information		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			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)		74 KB	Instructions for unemployment insurance claimants on using the interactive voice response system to file weekly claims for UI benefits
Eligibility Review Form		64 KB	LWC-65W
Fraud Reporting Form for Unemployment Insurance Benefits		263 KB
Informacion De Beneficios Y Derechos		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		43 KB	Louisiana Workforce Commission - Certificate of Attendance for Unemployment Insurance while receiving training.
LWC - Form 130 Approved Training		23 KB	LWC - 130 UI - Louisiana Workforce Commission Form for approved training while receiving Unemployment Insurance.
Medical Statement Request for Information Form New		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		55 KB
Rules for UI Appeals & Employment Security Law		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		44 KB	LWC-858A
TRA Weekly Request for Allowances by Job Seeker Not in Training		289 KB	LWC-858B
Unemployment Insurance Federal Tax Withholding		22 KB	LWC-ES 494 - Unemployment Insurance Claimants Federal Income Tax Withholding Program
Workers' Claim Information for Unemployment Insurance		46 KB	LWC-87W

Wage & Tax

Name	Format	Size	Description
2007 Ratio Rate Table		25 KB	2007 Ratio Rate Table
2008 Ratio Rate Table		35 KB	2008 Ratio Rate Table
2009 Ratio Rate Table		27 KB	2009 Ratio Rate Table
2010 Ratio Rate Table		31 KB	2010 Ratio Rate Table
2011 Ratio Rate Table		26 KB	2011 Ratio Rate Table
2012 Ratio Rate Table New		34 KB	2012 Ratio Rate Table
App. & Agreement for Partial Transfer of Exp. Rating Record		96 kb	Mandatory Application for transfer of experience rating record on a partial succession.
Benefit Charge Protest		38 kb	Employers Application to Review Benefit Charges (Benefit Charge Protest)
Domestic Employer’s Annual Wage & Tax Report		78 KB	LWC ES5 - Form for employers electing to file wages for domestic employees on an annual basis
EFT - Authorization Agreement		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		43 KB	Example of a Tax Payment Addendum for ACH credit transmission in the required format
EFT - Tax Payment Addendum - ACH Credit		38 KB	Required format for employers filing unemployment tax payments electronically using the credit function
Employer Application for LA Unemployment Account		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		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		37 KB	Excel template for employers who submit quarterly wage reports using excel file
Employer's Report of Change		55 KB	LWC-ES4 - Employers Report of Change Form LWC ES4 A
Employer’s Quarterly Wage & Tax Report		142 KB	LWC ES4 - Form for employers filing wages on a quarterly basis
Employer’s Quarterly Wage & Tax Report - Amendment Form		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		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		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		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		138 KB	Instructions for Electronic Wage Upload
Louisiana Unemployment Insurance Tax Rates			In-depth information and schedules regarding UI tax rates
Professional Employer Organizations Registration Form & Surety Bond		61 KB	PEO Registration form must be completed by all PEO companies
Registration for Domestic Wage Filing		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		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		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		99 KB	LWC-77 - Separation Notice form employment
Separation Notice Instructions		92 KB	LWC-77 - Instructions for the employer on how to complete the Separation Notice
Status Report		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		23 KB	Example For Computing Excess And Taxable Wages

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.