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  • Safari - Jan 9, 2019 at 8:16 AM

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    Jose
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    The document is a form for unemployment benefits certification for two weeks in December/January. It asks about holiday pay, work status, availability for work, job search activities, pensions, school/training, workers compensation, and contact information. For both weeks, the respondent reported $0 income, no work, being able and available for work, actively looking for work but declining offers. They also reported no change in dependency, pensions, schooling, or contact details.

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    Rodor

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    The document is a form for unemployment benefits certification for two weeks in December/January. It asks about holiday pay, work status, availability for work, job search activities, pensions, school/training, workers compensation, and contact information. For both weeks, the respondent reported $0 income, no work, being able and available for work, actively looking for work but declining offers. They also reported no change in dependency, pensions, schooling, or contact details.

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    © All Rights Reserved
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    20 Ansichten1 Seite

    Safari - Jan 9, 2019 at 8:16 AM

    Hochgeladen von

    Jose
    The document is a form for unemployment benefits certification for two weeks in December/January. It asks about holiday pay, work status, availability for work, job search activities, pensions, school/training, workers compensation, and contact information. For both weeks, the respondent reported $0 income, no work, being able and available for work, actively looking for work but declining offers. They also reported no change in dependency, pensions, schooling, or contact details.

    Copyright:

    © All Rights Reserved
    Als PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 1

    You must enter the total amount of holiday pay, before deductions.

    Enter the total


    Sun. 12/23 - Sat. 12/29 $0.00
    amount of holiday pay for the week of Sunday through Saturday.
    Sun. 12/30 - Sat. 01/05 $0.00

    Did you work


    Did you work? Sun. 12/23 - Sat. 12/29 NO
    Sun. 12/30 - Sat. 01/05 NO
    You must enter the total amount of gross wages you earned for the week of Sunday
    Sun. 12/23 - Sat. 12/29 $0.00
    through Saturday
    Sun. 12/30 - Sat. 01/05 $0.00

    Were you laid off, fired, did you quit, were you involved in a labor dispute or are you still
    Sun. 12/23 - Sat. 12/29 N/A
    working? Please identify.
    Sun. 12/30 - Sat. 01/05 N/A

    Dependency
    Has your dependency status changed during this certification period? Sun. 12/23 - Sat. 12/29 NO
    Sun. 12/30 - Sat. 01/05 NO

    Able and Available


    Were you able to work and available for work each day during your normal work week? Sun. 12/23 - Sat. 12/29 YES
    Sun. 12/30 - Sat. 01/05 YES
    You must select the number of days you were unable to work and/or unavailable for work
    Sun. 12/23 - Sat. 12/29 N/A
    during your normal work week for the period of Sunday through Saturday.
    Sun. 12/30 - Sat. 01/05 N/A

    Did you actively look for work? Sun. 12/23 - Sat. 12/29 YES
    Sun. 12/30 - Sat. 01/05 YES

    Did you refuse any offers of work? Sun. 12/23 - Sat. 12/29 NO
    Sun. 12/30 - Sat. 01/05 NO

    Pension
    Other than Social Security, are you receiving or have you applied for a retirement or
    Sun. 12/23 - Sat. 12/29 NO
    disability pension?
    Sun. 12/30 - Sat. 01/05 NO

    Has the amount of your retirement or disability pension changed? Sun. 12/23 - Sat. 12/29 N/A

    Has the amount of your retirement or disability pension changed? Sun. 12/30 - Sat. 01/05 N/A

    School/Training
    Did you attend school or receive training? Sun. 12/23 - Sat. 12/29 NO
    Sun. 12/30 - Sat. 01/05 NO

    Worker's Compensation
    Do you have a current workers' compensation claim or do you expect to receive
    Sun. 12/23 - Sat. 12/29 NO
    workers' compensation for a temporary disability?
    Sun. 12/30 - Sat. 01/05 NO

    Name/Address Change
    Did your name or address change? NO

    Telephone Number Change


    Did your primary telephone number change? NO

    Enter your ten digit telephone number beginning with the area code. N/A

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