DIRECTOR

KIMBERLY L BLACK

***** ******* **

HIGHLAND PARK MI 48203

UIA 1575C

(Rev. 03-20)

GRETCHEN WHITMER

GOVERNOR

STATE OF MICHIGAN

DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY

UNEMPLOYMENT INSURANCE AGENCY

Authorized By

MCL 421.1 et seq.

SUSAN R. CORBIN l

Mail Date:

Letter ID:

November 3, 2021

L0114687823

CA710954-0

KIMBERLY L BLACK

CLM:

Name:

Electronic

MONETARY DETERMINATION

Plus Important Claim Information

KIMBERLY L BLACK,

Your claim for unemployment benefits was filed on November 01, 2021. Your monetary eligibility, as well as important information on returning to work and filing bi-weekly certifications, is explained below. Read this letter carefully and keep it for reference during your claim; you will be held accountable for the information. You are able to establish a claim for unemployment benefits. You earned enough wages during your base period and you meet the monetary requirements. Claim Summary

You must also meet other requirements to be eligible for benefits. For example: If you quit or were fired from your job, Unemployment Insurance Agency will request information from you and your employer about your separation. A determination will be made regarding your eligibility for benefits and this will be mailed separately.

Actively Search for Work Every Week

A primary component of your re-employment plan is to seek work with employers. This includes making at least two job contacts every week.

Keep a record of these activities, including (1) Date of Contact; (2) Name of employer; (3) Physical or online location of each employer; and (4) Method by which work was sought. You can submit these

• Your weekly benefit amount is $242.00.

• You claimed 0 dependents.

• You are eligible for up to 19.0 weeks of unemployed benefits.

• Your claim is valid for one year. Your benefit year begins October 24, 2021 and ends October 22, 2022.

• For all correspondence related to your claim, you requested to be contacted through your online account.

• You provided the following reasons for separation(s) from employment: Base Period Employers

Hours reduced or

Working Part time

ABO STAFFING SERVICES, INC - 16010 19 MILE RD CLINTON TOWNSHIP MI 48038-1141 - separating employer

Unreported AMAZON.COM SERVICES, INC. - base period employer Quit MANAGEMENT REGISTRY INC - base period employer l

1 UIA is an Equal Opportunity Employer/Program.

Auxiliary aids, services and other reasonable

accommodations are available upon request to

individuals with disabilities.

Sent via Go Green

UIA 1575C

(Rev. 03-20)

Letter ID: L0114687823

details when filing your bi-weekly certifications online or by submitting Form UIA 1583, Record of Work Search.These activities must be reported every month. These activities can be reported more frequently when filing your bi-weekly certifications online. Your work search is subject to audit and verification. Failure to conduct an active work search and report the details of this activity may prevent the payment of your unemployment benefits.

Monetary Eligibility

Based on the wages reported by your employer(s) from: October 01, 2020 to September 30, 2021, it is determined that you are eligible to establish a claim for unemployment benefits. Bi-Weekly Certification

You must certify your eligibility every two weeks to receive payment. To certify, log into your Michigan Web Account Manager (MiWAM) at www.michigan.gov/uia. Your first certification must be done anytime between November 14, 2021 and November 20, 2021 and then every two weeks thereafter. After your first certification, you must continue to certify bi-weekly. You can certify in your online account seven days a week and 24 hours a day. If you do not have a MiWAM account, you can create one online at www.michigan.gov/uia. If your claim has been denied, you should continue to certify while your protest is pending; otherwise, if the protest is resolved in your favor you cannot be paid for any weeks that you did not certify.

Bi-Weekly Certification Day and Time

You can also certify by phone by calling MARVIN (Michigan Automated Response Voice Interactive Network) at 1-866-***-****. If you certify using MARVIN, you must certify on your MARVIN scheduled certification day and time.

If certifying by phone, your filing day and time are found by using the last two digits of your Social Security Number. If you are unable to certify on your scheduled day and time, you may certify on either Thursday or Friday which are make-up days.

Inform UIA of Your Work Search Activities

You are required to actively seek work and report at least one weekly work search activity during your bi-weekly certification for benefits. Your benefits will not be paid until you report your work search activities to UIA. Report your work search activities during your bi-weekly certification online through your Michigan Web Account Manager (MiWAM) account which is the preferred and quickest method. You may also report your work search when you certify with MARVIN by calling 1-866-***-****. After completing the automated questions, you must stay on the line to be connected with an UIA agent and provide your work search information for each week. Example: If your Social Security Number is ***-**-****, the last two digits are 11. Number 11 is under Monday.

UIA 1575C

(Rev. 03-20)

Letter ID: L0114687823

Q4, 2020 Q1, 2021 Q2, 2021 Q3, 2021

Base Period

Totals

Oct-Dec,

2020

Jan-Mar,

2021

Apr-Jun,

2021

Jul-Sep,

2021

Employment Disagreement

You reported that you did not work for AMAZON.COM SERVICES, INC.. However, this employer has reported you did work there and the employer reported the wages you earned. These wages are not being used to establish your claim for benefits. The Agency is investigating this discrepancy. If you disagree with the wages reported by your employer(s), or if the employer did not report wages for a quarter in which you worked, you must complete Form UIA 1718, Unemployed Worker's Statement of Wages and return it, along with proof of earnings (W-2, check stubs, employer print out, etc.) to the address listed on the form.

Penalties

It is against state law to intentionally make false statements or conceal material information to gain or avoid the payment of benefits. You may have to repay up to 1.5 times the amount of benefits received. Benefits will be stopped, and any remaining benefits will be lost. You may also be subject to criminal prosecution. If prosecuted, you may be required to pay court costs and fines, face jail time, perform community service or any combination of these.

Protest Rights

If you disagree with this determination you have the right to protest requesting a redetermination. Your protest must be received within 30 calendar days from the mail date of this redetermination. If your protest is filed after the deadline, you must include the reason your protest is late in your statement. You can also attach copies of any documents that support your protest.

You can submit your protest online at www.michigan.gov/uia through your Michigan Web Account Manager

(MiWAM) and upload documents. If you wish to protest in writing, complete Form UIA 1733, Protest of a Determination. This form is located on the website under the Forms link. Include your name, case number and social security number or Michigan Identification Number (MIN) on documents submitted with your protest. Fax the completed Form UIA 1733 and any supporting documents to 1-517-***-**** or mail to Unemployment Insurance Agency, P.O. Box 169, Grand Rapids, MI 49501-0169. If you fax or mail your protest, it must be signed.

Your protest must be received no later than December 03, 2021 or this determination becomes final. ABO STAFFING

SERVICES, INC - 16010

19 MILE RD CLINTON

TOWNSHIP MI

48038-1141

$0.00 $295.74 $5,920.64 $2,948.67 $9,165.05

AMAZON.COM

SERVICES, INC.

$0.00 $0.00 $0.00 $0.00 $0.00

MANAGEMENT

REGISTRY INC

$0.00 $0.00 $0.00 $1,790.25 $1,790.25

$0.00 $295.74 $5,920.64 $4,738.92 $10,955.30

UIA 1575C

(Rev. 03-20)

Letter ID: L0114687823

Preferred Method of Correspondence

Immediately notify us of any changes to your address and/or telephone number. This is an important part of being available for work. You can update your method of correspondence, address, or telephone number using your MiWAM account.

Contacting Us

There are several ways to contact us with questions regarding your claim. ONLINE: Visit www.michigan.gov/uia and log into your MiWAM account. BY PHONE: Call 1-866-***-****, Monday through Friday, 8:00 AM until 4:30 PM Eastern Time, and select the option to speak to UI Customer Service. TTY customers use 1-866-***-****. IN PERSON: Visit your local Unemployment Insurance Problem Resolution Office (PRO) Monday through Friday, 8:00 AM until 4:00 PM Eastern Time. To find the nearest PRO, go to the website under UIA Quick Links for a list of locations.

IN WRITING: Fax correspondence to 1-517-***-**** or mail to Unemployment Insurance Agency, P.O. Box 169, Grand Rapids, MI 49501-0169. Include the date, your name, Social Security number, and signature on all correspondence. Retain a copy for yourself. Print and keep the confirmation that your Fax was received. Additional information, including a copy of UIA 1901 Handbook for Unemployed Workers and forms can be found online at www.michigan.gov/uia. Here you can also find information on calculating your weekly benefit amount and number of weeks allowed.

Your information, including but not limited to Social Security Number and Driver’s License Number, may be verified through computer matching programs.

If there is a question regarding the identity of the claim filer, UIA may conduct fact finding by contacting the filer at the number provided on the claim. If there is no immediate response, the claimant will have 48 hours to return the call. If no response is received, a determination regarding identity will be made based on the information available.

If your address changes it is important to update it with Unemployment Insurance Agency. UIA 1575C

(Rev. 03-20)

Letter ID: L0114687823

English

IMPORTANT! This document(s) contains important information about your unemployment compensation rights, responsibilities and/or benefits. It is critical that you understand the information in this document. IMMEDIATELY: If needed, call 1-866-***-**** for assistance in the translation and understanding of the information in the document(s) you have received.

Spanish

IMPORTANTE! Este documento (s) contiene información importante sobre sus derechos, responsabilidades y / o beneficios de compensación de desempleo. Es fundamental que comprenda la información de este documento. INMEDIATAMENTE: Si es necesario, llame al 1-866-***-**** para obtener ayuda en la traducción y comprensión de la información en el (los) documento (s) que ha recibido. Arabic

Albanian

• E RËNDËSISHME! Ky dokument përmban informacione të rëndësishme për të drejtat, përgjegjësitë dhe / ose përfitimet e kompensimit të papunësisë. Është e rëndësishme që ju të kuptoni informacionin në këtë dokument.

• MENJËHERË: Nëse është e nevojshme, telefononi 1-866-***-**** për ndihmë në përkthimin dhe kuptimin e informacionit në dokumentet që keni marrë.

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