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Claimant Wage and Liability Inquiry - DOL 2349C (485.85 KB)

Questionnaire completed by claimants to wage and liability investigations related to unemployment insurance benefits.This form is interactive and can be completed electronically and printed. The warning 'This form is not supported with the current version of Acrobat or Adobe Reader' is because Adobe Acrobat Reader is not set as the default PDF viewer for your browser. Change the browser default PDF viewer (https://helpx.adobe.com/acrobat/using/display-pdf-in-browser.html).

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IRS Form 1099-G for UI Payments

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