Lb 0487 form-2026

1. Click ‘Get Form’ to open the lb 0487 form in the editor.
2. Begin by filling in the claimant's name, including first, middle or maiden, and last names in the designated fields.
3. Enter the mailing address, ensuring to include street, city, state, and zip code accurately.
4. Provide the social security number and date of birth in their respective fields. Make sure these details are correct as they are crucial for processing your claim.
5. Complete sections regarding contact information, including phone number and sex. Indicate if there are any changes to your address or phone number.
6. In the payroll information section, input details about hours worked and wages earned for each week covered by this report.
7. Fill out the worker’s statement section by answering questions about other earnings and retirement benefits.
8. Finally, review all entries for accuracy before signing and dating the form at the bottom.

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