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WEEKLY EARNINGS CALCULATION WORKSHEET

State of MichiganTalent Investment AgencyUnemployment Insuranc EARNINGS CALCULATION WORKSHEETUIA 1541(Rev. 08-15)Authorized byMCL 42102, et BeginningWeek EndingYour Hourly Rate of PayMultiplied ByHours You WorkedEqualsAmount You Earned This WeekPlusAmount of Special PaymentsEqualsWeekly EARNINGS & Amount You Report to MARVINE xample:Week 15-31-20156-6-2015$ $ +$ $ 1x=+=Week 2x=+=Week 3x=+=Week 4x=+=Week 5x=+=Week 6x=+=Week 7x=+=Week 8x=+=Week 9x=+=Week 10x=+=Week 11x=+=Week 12x=+=Week 13x=+=Week 14x=+=Week 15x=+=Week 16x=+=Week 17x=+=Week 18x=+=Week 19x=+=Week 20x=+=NOTE: If you work full-time in a week, you are not eligible for unemployment benefits. special payments are bonuses, tips, vacation & holiday pay, severance pay (excluding sub pay), back pay awards, commissions, wage continuation pay, awards & prizes, etc.

State of Michigan Talent Investment Agency Unemployment Insuranc Agency www.michigan.gov/uia WEEKLY EARNINGS CALCULATION WORKSHEET UIA 1541 (Rev. 08-15)

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Transcription of WEEKLY EARNINGS CALCULATION WORKSHEET

1 State of MichiganTalent Investment AgencyUnemployment Insuranc EARNINGS CALCULATION WORKSHEETUIA 1541(Rev. 08-15)Authorized byMCL 42102, et BeginningWeek EndingYour Hourly Rate of PayMultiplied ByHours You WorkedEqualsAmount You Earned This WeekPlusAmount of Special PaymentsEqualsWeekly EARNINGS & Amount You Report to MARVINE xample:Week 15-31-20156-6-2015$ $ +$ $ 1x=+=Week 2x=+=Week 3x=+=Week 4x=+=Week 5x=+=Week 6x=+=Week 7x=+=Week 8x=+=Week 9x=+=Week 10x=+=Week 11x=+=Week 12x=+=Week 13x=+=Week 14x=+=Week 15x=+=Week 16x=+=Week 17x=+=Week 18x=+=Week 19x=+=Week 20x=+=NOTE: If you work full-time in a week, you are not eligible for unemployment benefits. special payments are bonuses, tips, vacation & holiday pay, severance pay (excluding sub pay), back pay awards, commissions, wage continuation pay, awards & prizes, etc.

2 If you have questions regarding special payments, please call the Unemployment Insurance Agency at 1-866-500-0017. TTY customers use is an equal opportunity Employer/Program.


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