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You may file your claim by telephone toll-free at 1-866-500-0017 TTY customers use 1-866-366-0004 or file via the Internet at http //www. DO NOT SEND THIS FORM TO THE UNEMPLOYMENT INSURANCE AGENCY UIA. KEEP IT FOR YOUR RECORDS* PERSONAL INFORMATION Social Security Number Driver license number or state ID number Mailing address where you want information about your unemployment claim sent Telephone number If you do not have a phone give a number where a message can be left in case UIA staff need ...

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