Section 64 Notice to Base Period Employer of Claim Filed for Unemployment Benefits

• Library: Employer-Employee Law 2008 Forms

MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS

Division of Employment Security

NOTICE TO BASE PERIOD EMPLOYER OF CLAIM FILED FOR UNEMPLOYMENT BENEFITS

DATE MAILED: 11-28-06

BEN

EMPLOYER:

DIRECT INQUIRIES OR PROTEST TO
MO DIV OF EMPLOYMENT SECURITY
P 0 BOX 3915
JEFFERSON CITY MO 65102
FAX (573) 751-2009

CLAIMANT NAME:

SSN:

BENEFIT YEAR BEGINNING DATE: 11-19-06

The claimant named above has filed a claim for unemployment benefits. Our records show you reported paying wages to the claimant during the base period of the claim. The wages for each calendar quarter that our records show you reported are as follows: $8382.39 qtr 3/05, $9934.31 qtr 4/05 , $7708.13 qtr 1/06, $8692.29 qtr 2/06. Your account may be subject to charges for benefits that may be paid. You can identify the claimant by checking the social security number against your payroll records. If the claimant name on this notice does not...