UI / DE 1516-CLT

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UNEMPLOYMENT INSURANCE BENEFIT ACCURACY MEASUREMENT REQUEST FOR ADDITIONAL INFORMATION

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SSA Number:
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Batch Number:
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The Benefit Accuracy Measurement (BAM) Unit needs the following additional information and/or clarification in order to complete the BAM Audit of your Unemployment Insurance claim.

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Please respond within ten (10) days from the date of this document by calling Blank Line__________  at  Blank Line__________ for assistance.
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BAM Analyst #
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DE 1516-CLT (BAM) Rev. 1 (12-23) (INTRANET)