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Labor Dispute - Employer Contact form
Employers or third-party agents must complete this form as soon as possible to receive a secure email that will allow them to submit a list of employees involved in the labor dispute.
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* Indicates required question
Company Name
*
Your answer
Company FEIN
*
Your answer
Employer UI Account Number
Your answer
Work Email Address
*
Your answer
Work Email Address - please retype
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Your title
*
Your answer
Do you have any questions? (Optional)
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This form was created inside of State of Maryland.
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