Facsimile - Formal Letter Requesting Voluntary Repayment of Title XII Advances
The Honorable Elizabeth H. Dole
Secretary of Labor
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, D.C. 20210
Dear Secretary Dole:
In accordance with the provisions of Section 1202(a) of the Social Security Act, I hereby request the transfer of $___________ from the account of the State of __________________ in the Unemployment Trust Fund to the Federal unemployment account, to be effective on ______________________________________.
This requested transfer of funds represents voluntary repayment (in full or partial repayment) of repayable Title XII advances made to the State of _________________________ during the period ______________________.