Example of UCT-14384-E, Reserve Fund Balance Statement Form

Sample Form

Form Summary

  1. Account No:
  2. Statement for Transactions Posted:
  3. Section A – Activity Affecting Your Reserve Fund Balance (RFB)
  4. Section B – Benefit Charges to Reserve Fund
  5. Section C – Adjustments to Benefit Claims

Claimants Who are Still Working for You

If a claimant works for you in any week for which (s)he is paid unemployment benefits, you will initially be charged for your share of the payment in Section B. However, if the employee earned gross wages during that week which are equal to or greater than the average weekly wage paid to the claimant in the same calendar quarter of the previous year, your account will automatically receive a credit for the charge in Section C. The credit may or may not appear on the same report as the charge. Please see “Situations When Liable Employers are Relieved of Charges” in “Part 4 – Calculating Your Liability for a Benefit Claim” of the Benefits Section for more detail of how the average weekly wage amount is determined.

Claimants Who Have Quit

Payments made to a claimant who quit working for you will not appear on this report if you have been notified that your account will not be charged for benefits based on work performed prior to the quit.

Sample Form

Sample Form UCT-14384-E, Page 1

Sample Form UCT-14384-E, Page 2