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Documents

  • UI Job Refusal and Failed Pre-Employment Drug Screening Form (PDF, 84.33 KB)
    Use this form to report a job refusal, failure to report to work, or a failed pre-employment drug screening test.
  • UI Suspected Fraud and Abuse Reporting Form (PDF, 43.65 KB)
    Use this form to report unemployment benefit fraud and abuse.
  • UI Suspected Fraud and Identity Theft Form (PDF, 52.05 KB)
    Use this form to report that you suspect someone has used your Social Security Number to work, file a claim, and/or receive UI benefits
  • UI Weekly Certification Form - DOL-421 (PDF, 79.47 KB)
    Claimants who are unable to certify by phone or internet can print, complete, and submit this form.
  • UI Weekly Certification Form - DOL-421SP (Formulario de certificación de UI semanales) (PDF, 82.93 KB)
    Los reclamantes que no están en condiciones de certificar por teléfono o por internet puede imprimir, completar y enviar este formulario.
  • UI Weekly Work Search Record (Búsqueda de registros semanales de trabajo) DOL-SP-2798 (PDF, 984.92 KB)
    Imprima y use este formulario para registrar todas las actividades de Búsqueda de empleo semanal. Los registros de Búsqueda de trabajo pueden ser solicitados como verificación.
  • UI Weekly Work Search Record - DOL 2798 (PDF, 222.2 KB)
    Print and use this form to record all weekly job search activity. Work search records may be requested for verification.
  • UI Weekly Work Search Requirements Frequently Asked Questions (PDF, 116.5 KB)
    Frequently Asked Questions (FAQs) regarding UI weekly work search requirements.
  • Unemployment Compensation Language Statement-Multilingual DOL-4609 (PDF, 231.89 KB)
    Provides instructions in multiple languages for claimants requiring interpreter services.
  • Unemployment Insurance Initial Claims (PDF, 207.59 KB)
    Monthly data on the total number of initial claims filed including previous month, previous year, and net change -- statewide, by county, Metropolitan Statistical Area (MSA), Regional Commission (RC), and Local Workforce Development Area (LWDA).

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