STATE OF MARYLAND
DEPARTMENT OF LABOR, LICENSING AND REGULATION
DIVISION OF UNEMPLOYMENT INSURANCE
REQUEST RECONSIDERATION OF OVERPAYMENT RECOUPMENT – WAIVER
The Request of Reconsideration of Overpayment Recoupment must be made within thirty (30) days from the date of the
original overpayment notice, unless the claimant can show cause for failure to meet the 30 day requirement.
The Department of Labor, Licensing and Regulation may waive recovery of an Unemployment Insurance (UI)
overpayment when the claimant is found to be without fault and lacks the ability to pay now and in the foreseeable future
or is a part of a household that is below the federal minimum poverty level and likely to remain there for the foreseeable
future.
Current HHS Poverty Guidelines
Persons in Family 48 Contiguous
States and D.C.
Alaska Hawaii
1
$
12,490.00
$1
5,600.00 $14,380.00
2
$16,910.00 $21,130.00 $19,460.00
3
$21,330.00 $26,660.00 $24,540.00
4
$25,750.00 $32,190.00 $29,620.00
5
$30,170.00 $37,720.00 $34,700.00
6
$34,590.00 $43,250.00 $39,780.00
7
$39,010.00 $48,780.00 $44,860.00
8
$43,430.00 $54,310.00 $49,940.00
Fo
r each additional
person above 8, add:
$4,420.00 $5,530.00 $5,080.00
If you m
eet the above criteria, please complete the following to request a waiver of your UI overpayment.
Claimant’s
Name
S.S. No.
Street Address
City, State, Zip
Telephone
Number
Email Address