Department of Economic Opportunity
Step 1 of 4: Repaying Your Unemployment Benefit Overpayment
Please enter your reemployment assistance benefits overpayment details then click the
button for Step 2 of 4.
Credit Card Holder Information
Social Security Number (Claimant):
Date of Birth:(Claimant, mm/dd/yyyy):
Street Address 1:
Street Address 2:
Please enter repayment amount(No $ Sign):
If you are not the claimant, please check this box.
PRIVACY ACT STATEMENT
Information you provide to this department is voluntary and confidential but is required to process your claim. Pursuant to the Internal Revenue Code of 1986, the Social Security Act, 42 U.S.C. 1320b-7(a)1, and s. 443.091(1)(h), F.S., disclosure of your Social Security number is mandatory. Social Security numbers will be used by the Department to report the benefits you receive to the Internal Revenue Service as potential taxable income. In accordance with the Federal Deficit Reduction Act, an amendment to the Federal Social Security Act, and 5 U.S.C. 552a(o)(1)(D), information you provide is subject to verification through computer matching programs and information about your wages and claim may be provided to other federal, state and local agencies or their contractors for verification of eligibility under other government programs to ensure benefits have been properly paid and for statistical and research purposes.
© 2016 State of Florida, Department of Economic Opportunity |