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PUA Overpayment Waiver Request

STATE OF MARYLANDDEPARTMENT OF LABORDIVISION OF UNEMPLOYMENT INSURANCEREQUEST FOR Waiver OF RECOUPMENT OF Overpayment OFFEDERAL PANDEMIC UNEMPLOYMENT INSURANCE BENEFITSThis Request for a Waiver of Overpayment Recovery ( Waiver ) of Pandemic Unemployment Assistance ( PUA ) andPandemic Unemployment Emergency Compensation ( PEUC ), federal pandemic unemployment compensation (FPUC),and/or Mixed Earner Unemployment Compensation (MEUC) benefits (collectively federal pandemic benefits ) must bemade within thirty (30) days from the date of the original Overpayment notice or the date on which the MarylandDepartment of Labor notified you of your right to Request a Waiver , whichever is later. You can show good cause forfailure to meet the 30-day Maryland Department of Labor has a separate Overpayment Waiver Request form for other unemployment insurance programs, including regular unemployment insurance, Unemployment Compensation for Ex-servicemembers ( UCX ), Unemployment Compensation for Federal Employees ( UCFE ), Work Sharing, and Extended assessing Waiver requests for federal pandemic benef

Ave r age M onthl y H ouse hol d Inc ome 1. Your C urre nt m ont hl y gross i nc om e : P l e ase prov i de c opi e s of y our t w o (2) most re c e nt pay st ubs. Your hi ghe st l e ve l of e duc a t i on or voc a t i ona l t ra i ni ng c om pl e t e d: 2. Your spouse ’s c urre nt m ont hl y gross i …

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