UIA Collections Declaration

I, , am over the age of 18 and am competent to testify to the facts in this declaration. I make this declaration based on personal knowledge and experience and, if sworn as a witness, could and would testify competently to the facts set forth below.

I am offering this declaration of my own free will and because I have been impacted by the Michigan Unemployment Insurance Agency's collection activity. I understand that whether I am able to join the case as a class member will depend on later decision(s) of the Court.




The Agency's collection activity has caused personal hardship.

I declare under the penalties of perjury that this declaration has been examined by me and that its contents are true to the best of my information, knowledge, and belief.


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Signature Certificate
Document name: UIA Collections Declaration
lock iconUnique Document ID: dfda861d9fc4444ef9e79bbb7e50a0fe014bb9e0
Timestamp Audit
July 17, 2022 4:41 pm ESTUIA Collections Declaration Uploaded by David Blanchard - info@bwlawonline.com IP