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Get Application For Revision - Illinois Department Of Employment Security - Ides Illinois

Ign and return this form to the Illinois Department of Employment Security office as instructed. Note: If additional space is needed, please make additional copies of this form. This state agency is requesting information that is necessary to accomplish the statutory purpose as outlined in 820 ILCS 405/100-3200. Disclosure of this information is voluntary. However, failure to disclose this information may affect the amount of your liability for contributions or payments in lieu of contributions.

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