Unfortunately, the passage of this bill was beyond the deadline to include worker contributions for Family Leave Insurance (FLI) on form NJ-2450, "Employee s Claim for Credit", for 2009. While a worker, who is employed by two or more employers during calendar year 2009, may file a NJ-2450 for excess worker contributions for unemployment (UI), disability (DI) and workforce (WF), the worker will not be able to include excess worker contributions for FLI. To claim a credit for excess worker contributions for FLI, the worker must file a UC-9A, Employee Claim for Refund of Excess Contributions, 2009, with the New Jersey Department of Labor.

INSTRUCTIONS: FILING A 2009 REFUND REQUEST FOR EXCESS FLI CONTRIBUTIONS

A worker who received wages from two or more employers subject to the New Jersey Unemployment Compensation and Temporary Disability laws, and contributed more than the maximum of $26.01 for FLI during the calendar year 2009, must file a UC-9A to receive a refund of the excess FLI contributions. If form 2450 has been filed for excess UI, DI and WF contributions for 2009, then do not include the contributions for UI, DI and WF on form UC-9A.

1. Download and complete form UC-9A (2009)

2. Make copies of W-2 wage statements. In the absence of W-2 wage statements, form UC-52 (2009), Employer Certification of Wages and Deductions must be submitted

3. Mail completed UC-9A and supporting documentation to:

Division of Employer Accounts

Worker Refund Unit 2009

PO Box 910

Trenton NJ 08625-0910

Please note: No refund will be issued prior to August 30, 2010.

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