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UC-1692 Election Or Re-election of Reimbursement This form is the agreement an employer must complete to elect reimbursable coverage.

UC-1692 Election Or Re-election of Reimbursement This form is the agreement an employer must complete to elect reimbursable coverage.

Issuing agency: Pennsylvania Unemployment Compensation · PA

Document edition
11-18
Official source last checked
Nov 06, 2026
PDF
2 pages · 0 native fillable fields

About uc-1692

UC-1692 Election Or Re-election of Reimbursement This form is the agreement an employer must complete to elect reimbursable coverage., issued by Pennsylvania Unemployment Compensation.

Edition shown on the document: 11-18.

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