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New Jersey

BPC-404 Summary of Account

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If you were overpaid benefits and need to pay them back to us, use this form to set up a monthly installment agreement for repayment.

Expiration Date

December 31, 2025

Updated Date

March 6, 2025

Related Forms

New Jersey

B-40 Affidavit for Claiming Benefits Due to a Deceased Person

Submit this form if you are the spouse, next of kin, or executor/administrator for a claimant who passed away before receiving benefits he or she was due. The completed form and any supporting documents can be emailed to CollateralClaims@dol.nj.gov [CollateralClaims@dol.nj.gov].

Unemployment Insurance
Updated 
03/2025
New Jersey

BPC-404 Summary of Account

If you were overpaid benefits and need to pay them back to us, use this form to set up a monthly installment agreement for repayment.

Unemployment Insurance
Updated 
03/2025

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