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Film Incentive Center
Government Forms
New Jersey

Request for Change in Withholding Status

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Use this form to have federal income tax (FIT) withheld from your Unemployment Insurance benefits, or to stop the withholding of taxes from your benefits.

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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