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The Self-Employment Assistance Program Individual Services Verification Form (ES 161 4) 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name and the last four digits of your Social Security Number in the designated fields.
- Fill in the School/Agency name and their phone number, ensuring all information is accurate for verification purposes.
- Specify the workshop or class you attended, along with the dates of attendance and total number of hours completed.
- Ensure that your instructor fills in their name/title and provides a signature to validate your attendance.
- Finally, sign the form as a participant and include the date to confirm your attendance.
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Related links
Individual Services Verification Form-Self Employment Assistance Program (SEAP) ES161.4. An official website of New York State.
1. An individual participating in the SEA Program (activities and services which assist an individual in establishing a business and becoming self-employed)Read more