Department of Economic Opportunity

Step 1 of 4: Repaying Your Unemployment Benefit Overpayment

Please enter your reemployment assistance benefits overpayment details then click the "Continue" button for Step 2 of 3.

All bolded fields are required.

Claimant's Social Security Number:
   
Claimant's Date of Birth:
   
Claimant's First Name:
   
Claimant's Last Name:
   
Claimant's Address 1:
   
Claimant's Address 2:
 
Claimant's City:
   
Claimant's State:
   
Claimant's Zip Code:
   
Claimant's Email Address:
   
Claimant's Phone Number:
   
Please enter repayment amount:
 
   

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.