Form lb 0487-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Claimant Information section. Enter the claimant's name, Social Security Number, mailing address, and contact details. Ensure all fields are completed accurately.
  3. Proceed to the Payroll Information section. Input the week ending date, hours worked, gross wages, and any voluntary loss or holiday pay. Remember that this information must reflect a Saturday date.
  4. In the Worker’s Statement section, indicate if you were available for full-time work and answer questions regarding additional employment or retirement income.
  5. Finally, review all entries for completeness and accuracy before signing and dating the form. Use our platform's features to easily edit any mistakes.

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2014 4.8 Satisfied (178 Votes)
2010 4 Satisfied (52 Votes)
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