HomeMy Public PortalAboutInformation on Employee's Unemployment Insurance CoverageForm 2553-A Rev. 10-6-15
Information on Employees’ Unemployment Insurance Coverage
Employer name Employer DUA ID #
Address
Employees of this business or organization are covered by Unemployment Insurance (UI), a program financed entirely by
Massachusetts employers. No deductions are made from your salary to cover the cost of your Unemployment Insurance benefits.
If you lose your job, you may be entitled to collect Unemployment Insurance. Outlined below is the information you need in order
to apply for Unemployment Insurance (UI) benefits. Before you file, your employer will give you a copy of the pamphlet: How to
Apply for Unemployment Insurance Benefits, provided by the Massachusetts Department of Unemployment Assistance (DUA).
You must be in the United States, its territories, or Canada when filing a claim or certifying for weekly UI benefits.
IMPORTANT: Massachusetts General Law, Chapter 151A, Section 62A requires that this notice be displayed at each site operated by an
employer, in a conspicuous place, where it is accessible to all employees. It must include the name and mailing address of the employer, and
the identification number assigned to the employer by the Department of Unemployment Assistance .
There are two ways to apply for UI Benefits:
Apply by Using UI Online
UI Online is a secure, easy-to-use, self-service system. You can apply for benefits, reopen an existing claim,
request weekly benefit payments, check your claim status, sign up for direct deposit, update your address,
and even file an appeal online. To apply for benefits using UI Online, go to www.mass.gov/dua, and select
UI Online for Claimants, and complete the required information to submit your application.
Apply by calling the TeleClaim Center
Unemployment Insurance services are available by telephone. You can apply for Unemployment Insurance
benefits, reopen a current claim, obtain up-to-date information on the status of your claim and benefit
payment, resolve problems, and sign up for direct deposit — all by telephone. To apply for benefits by
telephone, call the TeleClaim Center at 1-877-626-6800 from area codes 351, 413, 508, 774, and 978; or
1-617-626-6800 from any other area code. You will be asked to enter your Social Security Number and the
year you were born. You will then be connected to an agent who will take the information necessary to file
your claim.
www.mass.gov/dua
An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities.
For hearing-impaired relay services, call 711.
THE COMMONWEALTH OF MASSACHUSETTSEXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENTDEPARTMENT OF UNEMPLOYMENT ASSISTANCE
If the last digit of your Social Security Number is:Assigned day to call Teleclaim is:
0, 1 Monday
2, 3 Tuesday
4, 5, 6 Wednesday
7, 8, 9 Thursday
Any last digit Friday
Note: During peak periods from Monday through
Thursday, call scheduling may be implemented,
providing priority for callers based on the last
digit of their Social Security Number. This helps
ensure that you and others can get through to
the TeleClaim Center in a timely manner. Please
check the schedule on the right before calling.