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LWD Home > Temporary Disability > Employer/Insurer > State Disability Benefits > Charge Notices (Form DS-7C) – State Plan Employer

Charge Notices (Form DS-7C) – State Plan Employer

The employer for whom the claimant last worked immediately prior to the onset of the disability will assume all the charges for all benefits paid to the claimant for that period of disability.

If you are the chargeable employer, you will receive a charge notice every time a benefit payment is issued to the claimant. That charge notice will include details for the period the claimant received benefits. You should compare your records to the charge notice to ensure that the claimant was not working or receiving wages for the same period that benefits were being paid.

If you discover a conflict or receive a charge notice for an individual who was not in your employ, please contact this agency immediately.

Our mailing address is:

Division of Temporary Disability Insurance
PO Box 387
Trenton, NJ 08625-0387

Our Fax number is:

(609) 984-4138

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