Alternate base period 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information, including your last name, first name, middle initial, address, city, state, zip code, claim effective/start date, and the last four digits of your Social Security number. Ensure all entries are clear and legible.
3. In Step 1, provide details about the last completed calendar quarter prior to your claim effective/start date. Enter the start and end dates clearly.
4. For Step 2, list your wage information. Include employer names and quarterly gross wages for up to three employers. If you have more than three employers, attach an additional page as needed.
5. In Step 3, acknowledge that the information provided is true by signing and dating the form. Remember that using the Alternate Base Period means these wages cannot be used for future claims.
6. Finally, follow the return instructions carefully. You can submit via mail or fax as indicated on the form.

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