Attachment N - 2019 Opentext Documents List.xlsx

XLSX spreadsheet 31 KB Posted

Attached to
UI Modernization System
Solicitation number
RFP-758-2000000335-25
Issued by
Elliott County, Kentucky

About this file

This is an attachment document listing OpenText-formatted documents for the Kentucky UI Modernization System (RFP 758 2000000335), a print system modernization project for the state of Kentucky's Department of Unemployment Insurance.

The document provides a comprehensive catalog of 350+ document templates used within Kentucky's unemployment insurance system, organized by functional category. The documents encompass multiple operational areas including tax administration notices (certificates of tax due, notices of contribution rates, account transfers, and lien-related communications), unemployment insurance determination and fact-finding reports (UI-408 forms with variations for personal reasons, health conditions, working conditions, and work refusal scenarios), special programs documentation (TAA-TRA assistance letters, DUA notifications, EUC determinations), employer communications (wage discrepancy letters, reserve account notifications, benefit charge notices), claimant notifications (overpayment notices, reinstatement letters, work search requirements), appeals documentation (referee decisions, hearing notices, withdrawal letters), account registration materials (acknowledgment letters, closure confirmations, refund documentation), and magnetic media formatted documents for electronic processing. The catalog represents the document portfolio required for modernizing Kentucky's print infrastructure to support the state's comprehensive unemployment insurance operations, claims administration, employer services, and benefit determination processes.

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Print System

Attachment N - 2019 Opentext Documents List - RFP 758 2000000335
KEWES PRINT SYSTEMNOTES
002 Certificate of Tax Due
003 E_Claim_PO_Card
004 Notice of Contribution Rate_DUPLEX
005 Notice of Subjectivity
008 Notice of Cancellation of Duplicate Employer Account
009 Notice of Change
010 Notice of Change in Account Number
011 Notice of Change in Reporting Method
012 Notice of Cancellation of Active Account
013 Notice of Full Transfer of Account
014 Notice of partial Transfer of Account
015 Notice of Transfer of Bankrupt Account
016 Notice of Transfer of Predecessor Reserve Account
017 Notice of Non Liable Determination
018 Notice of Cancellation of Account Redetermined Non
019 Notice of Termination of Coverage
021 Notice of transfer of pred reserve account and pred delinquency
028 Closed Corporation Letter
029 Final Notice Before Seizure
031 Notice of Bank Levy
033 Notice of Assessment and Demand for Payment
034 - Notice of Assessment
034 - Notice of Assessment Page 2
035 Civil Suit Notice
036 Reinstatement Letter
037 Reinstatement Delinquency
040 Notice of Dishonored Check
041 Notice of Predecessor Delinquency
042 Revoked Charter
043 No Corporate Charter
046 Intercept Letter
047 Notification of Subcontractor Delinquency
048 Certificate of Partial Release of Lien
049 Application for Partial Payment Agreement
049 Application for Partial Payment Agreement page 2
050 Partial Payment Coupon - 1 Month Late
051 Partial Payment Coupon - Current
052 Partial Payment Agreement Statement
053 Partial Payment Coupon - One Month Late
054 Statement of Delinquency
055 Notice of Release of Lien
057 Notice of Tax Lien
058 Notice of assessment for pred delinquency and demand for payment
060 Temporary Injunction
061 Statement of Personal Exemption
062 Notice of Levy on Wages Salary and Other Income Page 1
062 Notice of Levy on Wages Salary and Other Income Page 2
065 - NOA non profit
065 - NOA non profit Page2
066 - NOA Interest
068 Notice of Release of Levy
070 Judgement Letter
071 Bankruptcy Cover Letter
072 Delinquent Report Assignment - not done
073 Notice of Failure to File Wage and Tax
074 Tax Withholding Letter
080 Collection Letter
081 Collection Appointment Letter
082 Delinquent Report Letter
083 Delinquent Report Appointment Letter
084 -Notice of Assessment for Rate Change
084 -Notice of Assessment for Rate Change Page2
085 Delinquent Report Automation Letter
093 Civil Suit Notice
098 Request for Federal Employer Information
152 Billing for Lien Recording Fee
153 Notice of Transfer Due to Corporate Charter Revocation
154 Employer Statements
155 3 Percent Letter
157 - Outstanding Debt Letter
199 - Income Tax Form - 1099
500 Notice of potential benefit charges voided
501 Employer Notification
502 Notice of potential benefit charges
518 and 818 Monetary Determination
519 Notice of Release of Lien
524 VRU Notification
525 Telephone Fact Finding
528 and 828 Invalid Monetary Determination and Reconsideration
530 Eligible for Interest
531 UI - 408 Fact-Finding Report Employer Statement Personal Reasons
532 UI - 408 Fact-Finding Report Claimant Statement Personal Reasons
533 UI - 408 Fact-Finding Report Employer Statement Health or Physical Conditions
534 UI - 408 Fact-Finding Report Claimant Statement Health or Physical Conditions
535 UI - 408 Fact-Finding Report Employer Statement Working Conditions
536 UI - 408 Fact-Finding Report Claimant Statement Working Conditions
537 UI - 408 Fact-Finding Report Employer Statement Prospect of Other Work
538 UI - 408 Fact-Finding Report Claimant Statement Prospect of Other Work
539 UI - 408 Fact-Finding Report Employer Statement reduction in workforce
540 UI - 408 Fact-Finding Report Claimant Statement reduction in workforce
541 UI - 408 Fact-Finding Report Employer Statement general
542 UI - 408 Fact-Finding Report Claimant Statement general
543 UI - 408 Fact-Finding Report Employer Statement strike of lockout
544 UI - 408 Fact-Finding Report Claimant Statement strike of lockout
545 UI - 408 Fact-Finding Report Employer Statement Unsatisfactory Work
546 UI - 408 Fact-Finding Report Claimant Statement Unsatisfactory Work
547 UI - 408 Fact-Finding Report Employer Statement Substance Abuse
548 UI - 408 Fact-Finding Report Claimant Statement Substance Abuse
549 UI - 408 Fact-Finding Report Employer Statement Tardiness Absence
550 UI - 408 Fact-Finding Report Claimant Statement Tardiness Absence
551 UI - 408 Fact-Finding Report Employer Statement Violation of Rule
552 UI - 408 Fact-Finding Report Claimant Statement Violation of Rule
553 UI - 408 Fact-Finding Report Employer Statement General
554 UI - 408 Fact-Finding Report Claimant Statement General
555 UI - 408 Fact-Finding Report Employer Statement offer referral refusal
556 UI - 408 Fact-Finding Report Claimant Statement offer referral refusal
557 UI - 408 Fact-Finding Report employer Leave of Absence
558 UI - 408 Fact-Finding Report claimant Leave of Absence
559 UI - 408 Fact-Finding Report Claimant general available
560 UI - 408 Fact-Finding Report Claimant availability
561 UI - 408 Fact-Finding Report Claimant school training
562 UI - 408 Fact-Finding Report employer medical
563 UI - 408 Fact-Finding Report Claimant medical
564 UI - 408 Fact-Finding Report Claimant self employed
565 UI - 408 Fact-Finding Report Claimant corp officer
566 UI - 408 Fact-Finding Report Employer Lieu of Notice sev pay
567 UI - 408 Fact-Finding Report Claimant Lieu of Notice sev pay
568 UI - 408 Fact-Finding Report Employer deductible pensions
569 UI - 408 Fact-Finding Report Claimant deductible pensions
570 UI - 408 Fact-Finding Report Employer Pro athletes btw seasons
571 UI - 408 Fact-Finding Report Claimant Pro athletes btw seasons
572 UI - 408 Fact-Finding Report Employer Statement school employer
573 UI - 408 Fact-Finding Report claimant Statement school employee
574 UI - 408 Fact-Finding Report Claimant Statement Maritime Employment
575 UI - 408 Fact-Finding Report Claimant Statement illegal alien base period
576 UI - 408 Fact-Finding Report Employer Statement Vacation Pay
577 UI - 408 Fact-Finding Report Claimant Statement Vacation Pay
579 UI - 408 Fact-Finding Report Employer Statement general
580 UI - 408 Fact-Finding Report Claimant Statement general
582 UI - 408 Fact-Finding Report Employer Statement part time employed claimant
583 UI - 408 Fact-Finding Report Employer Statement full time employed claimant
584 UI - 408 Fact-Finding Report Claimant Statement full time employed claimant
585 UI - 408 Fact-Finding Report Claimant Statement Backdating Initial or Reopened Claim
586 UI - 408 Fact-Finding Report Claimant Statement Backdating continued claims
587 UI - 408 Fact-Finding Report Claimant Statement Benefit Entitlement Double Dip
588 UI - 408 Fact-Finding Report Claimant Statement Benefit Request to Cancel Claim
589 UI - 408i VQ Personal Reasons - Claimant
590 UI - 408i VQ Health or Physical Conditions - Claimant
591 UI - 408i VQ Working Conditions - Claimant
592 UI - 408i VQ Prospect of Other Work - Claimant
593 UI - 408i VQ Reduction in Workforce - Claimant
594 UI - 408i VQ General - Claimant
595 UI - 408i LD Strike of Lockout - Claimant
596 UI - 408i MC Unsatisfactory Work - Claimant
597 UI - 408i MC Substance Abuse - Claimant
598 UI - 408i MC Tardiness - Claimant
599 UI - 408i MC Violation of Rule - Claimant
600 UI - 408i MC General - Claimant
601 UI - 408i WR Offer Referral Refusal - Claimant
602 UI - 408i LA Leave of Absence - Claimant
603 UI - 408i AA General - Claimant
604 UI - 408i AA Availability - Claimant
605 UI - 408i AA Attending School Training - Claimant
606 UI - 408i AA Medical - Claimant
607 UI - 408i AA Self Employed Commission - Claimant
608 UI - 408i AA Corporate Officer - Claimant
609 UI - 408i DI Claimant in Lieu of Notice - Claimant
610 UI - 408i DI Pension - Claimant
611 UI - 408i PA Athletes Between Seasons - Claimant
612 UI - 408i SE School Employee - Claimant
613 UI - 408i Maritime - Claimant
614 - 401 - Claimant
615 - 401 - MR Employer
616 - 401 - NMR Employer
617 - 401 - 10WK Employer
618 Request for Lien Release Fee
619 UI - 408i Contd Claim - Claimant
620 Eligibility Review
621 Notification of TAA-TRA Assistance Letter
622 UI - SSA Match Letter
623 Determination of TA-TRA Entitlement Letter
624 Determination of TA-TRA Non-Entitlement Letter
625 No Wages Other State Letter
626 Eligible for Combined Claim with STOP on KY Claim Letter
627 Combined Claim with STOP on KY Claim Letter
628 Eligible in Other State but Cannot Combine Claim in KY Letter
629 Wages Returned to Other State Claimant Does Not Have Wages From 2 States to Combine
630 Existing Claim in Other State With STOP Placed on KY Claim
631 KY Awaiting IB5 Notice
632 UI - 408 Fact-Finding Report Employer Statement Reduction in Hours Part-Time
633 UI - 408 Fact-Finding Report Claimant Statement Reduction in Hours Part-Time
634 UI - 408i Reduction in Hours Part-Time - Claimant
635 UI - 408 Fact-Finding Report Employer Statement Reassigned Military Spouse
636 UI - 408 Fact-Finding Report Claimant Statement Reassigned Military Spouse
637 UI - 408i Reassigned Military Spouse - Claimant
649 UI - 408 Fact-Finding Report Employer Statement FT to PT Disciplinary Action
650 UI - 408 Fact-Finding Report Claimant Statement FT to PT Disciplinary Action
651 UI - 408 Fact-Finding Report Employer Statement FT to PT Claimant Request
652 UI - 408 Fact-Finding Report Claimant Statement FT to PT Claimant Request
654 - TAA - HCTC Certification Letter
670 - Notice of Overpayment
671 - Notice of Overpayment Receipt
672 - Notice of Year End Repayment Receipt
673 - Notice of Benefit Overpayment Billing Statement
675 - NEW EUC LETTER
677 - EUC TIER 2 Deter
678 - Revenue Intercept
679 - EB LETTER
680 - EB Monetary
681- Pell Grant Letter
682 - EUC 09 Determination
683 - EUC 09 LETTER
684 - EUC Extension Backdate
685 - EB 09 Letter
686 TRA Monetary 2009
687 Direct Deposit Letter
688 DUA Monetary
689 ERI Location Update Letter
690 ERI Letter
691 Acknowledgmnt Letter
691 Acknowledgmnt Letter - Witness list
692 REA Letter
693 Employer Letter
694 State Withhold Ltr
695 Notice EB Phase Out
696 EUC-REA Notice
697 Add EUC Weeks
699 EUC Termination Letter
700 EUC Phase Out Letter
701 - ERI Able To Work
702 - ERI Available to Work
703 - ERI School Training
704 - ERI Seeking Work
705 - ERI Work Refusal
707 - Keep Letter
708 - Leasing
709 - Notice of Reinstatement
710 - Notice of New Employer for UI1
711 - Settlement Fund Letter
712 - UI Name Change
713 - UI Reports Request Form
714 - UI OMIT ITEM
715 - Church Owned
716 - UI3 Acknowledgement
745 UI - 408 Fact-Finding Report Employer Statement Suspension Unsatisfactory Work
746 UI - 408 Fact-Finding Report Claimant Statement Suspension Unsatisfactory Work
747 UI - 408 Fact-Finding Report Employer Statement Suspension Substance Abuse
748 UI - 408 Fact-Finding Report Claimant Statement Suspension Substance Abuse
749 UI - 408 Fact-Finding Report Employer Statement Suspension Attendance
750 UI - 408 Fact-Finding Report Claimant Statement Suspension Attendance
751 UI - 408 Fact-Finding Report Employer Statement Suspension Violation of Rule
752 UI - 408 Fact-Finding Report Claimant Statement Suspension Violation of Rule
753 UI - 408 Fact-Finding Report Employer Statement Suspension General
754 UI - 408 Fact-Finding Report Claimant Statement Suspension General
795 UI - 408i Suspension Suspension General - Claimant
796 UI - 408i Suspension Unsatisfactory Work - Claimant
797 UI - 408i Suspension Substance Abuse - Claimant
798 UI - 408i Suspension – Attendance - Claimant
799 UI - 408i Suspension Violation of Rule - Claimant
802 - Notice of potential benefit charges
803 - Notice of potential benefit charges
804 – Employer Pin Letter
805 - Employer Reserve Account
806 - Interest on Benefit Charges for Reimbursers
809 – Recertification Letter
810 - Wage Discrepancies Letters
811 - Missing Employment Letters
812 - Notice of Recoupment Lien
HD1 - 412 & 408S INFO
KEN UI - KEN Notification Letter

4Z

Attachment N - 2019 Opentext Documents List - RFP 758 2000000335
4ZNOTES
401 - 408_Backdating_of_Claim
402 - 408_Backdating_of_Benefits_Request
403 - 408_Benefit_Entitlement-Double_Dip
404 - 408_Unreported_Earnings
405 - 408_Removal_of_Disqualification-Ineligibility
406 - 408_Failure_to_Report
407 - 408_School_or_Training
408 - 408_Vacation_or_Holiday_Pay
409 - 408_Separation_Pay
411 - 408_Ability_to_Work-Medical Condition
412 - 408_Deductible_ Income_or_Pension
413 - 408_Request_to_Cancel_Claim
414 - 408_Blank_Form
415 - Pension
416 - Work Refusal
417 - Separation Pay (WIL/Severance)
418 - Work Refusal Employer
419 - Pension Employer
900 - Notification of Work Search Requirement
901 - Amended Claim Request
902 - Able, Available, and Seeking Work
903 - Federal Employment
906 - Immigration
907 - Work Registration for Interstate Claimants
908 - Military Wages
909 - Name Mismatch
910 - Reporting
910 - Rescheduling of Re-employment Workshop
911 - Termination of Duration Disqualification
912 - Removal of 5x5 (Double Dip)
913 - Removal of Indefinite Ineligibility (Focus Career)
914 - Termination of Indefinite Ineligibility
915 - UI800 Instructions Page 1 - Part A
915 - UI800 Page 2 - Part B and C
916 - Workers Compensation
917 - Claimant Not Claimed Benefits
918 - Disqualification Based on Other Separation
919 - Not 10 Week Employer
920 - Part-time, Employer Relieved
921 - Previously Adjudicated
922 - VQX
923 - Employer Protest- Blank
924 - Additional Information Requested
925 - Employer/Claimant Blank
926 - Fact Finding Investigation (attach UI-408)
927 - Offer of Employment
940 - DUA_TRA - DUA Application not completed
941 - DUA_TRA - DUA Exhausted UC
942 - DUA_TRA - DUA Last Payment
943 - DUA_TRA - DUA Need Proof of Income
944 - DUA_TRA - DUA No UI Filed
945 - DUA_TRA - DUA UI-EUC Eligible
946 - DUA_TRA - DUA Eligible UI at Quarter Change
947 - DUA_TRA - DUA Work Search Requirements
948 - DUA_TRA - DUA Setup-Need POC
949 - DUA_TRA - TRA Extension Affects Claim
950 - DUA_TRA - TRA Report to Office - Blank
951 - DUA_TRA - TRA Incomplete Check Request
952 - DUA_TRA - Remedial TRA
953 - DUA_TRA - TRA Letter of Potential Eligibility
954 - DUA_TRA - TRA Right to Elect TRA over UI
955 - DUA_TRA - TRA Report to Office
956 - Subpoena
957 - Sheriff Subpoena
958 - Subpoena Duces Tecum
959 - Sheriff Subpoena Duces Tecum
960 - Appeals - Subpoena Request Approved In Part
961 - Appeals - Subpoena Request Approved
963 - TAA - HCTC Certification
964 - Eligibility Review Form_ClassB
964 - Eligibility Review Form_ClassA
964 - Eligibility Review Form_ClassA-EmployerList
968 - E-Claim Amend Claim Form (Part B and Part C)
965 - Pay Order Form
966 - Reconsideration Request
968 - E-Claim Amend Claim Form (Part A)

4V

Attachment N - 2019 Opentext Documents List - RFP 758 2000000335
4V - 492NOTES
Determination Letter (492)
VOID Determination Letter (492)
With variations (attached document provided – Notice of Determination Mappping)

Appeals

Attachment N - 2019 Opentext Documents List - RFP 758 2000000335
APPEALSNOTES
Referee Decision Letter
Hearing notice
Untimely Letter
Withdrawal Letter

MagMed

Attachment N - 2019 Opentext Documents List - RFP 758 2000000335
MagMediaNOTES
MAGMED_MF_Employee
MAGMED_WF
MAGMED_MF_Employee_FLOW

Account Reg

Attachment N - 2019 Opentext Documents List - RFP 758 2000000335
Account RegistrationNOTES
AccountClose
AccountRefund
AccountrCloseConfirmation
AccountrRegConfirmation
Acknowledgmentletter
ClosedAcknowledgmentletter
NewLetterofGoodstanding
PDF_Passthrough
RefundAcknowledgmentletter
Successorletter_Flow
Sucessorletter

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