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Vec b 31 2026

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The document is a Statement of Partial Unemployment from the Virginia Employment Commission, intended for employers to report wages and absences of workers who have worked less than full-time and earned less than their weekly benefit amount. It includes sections for recording gross wages, holiday/vacation pay, dates absent, and other employment details. Employers must complete and provide this statement to affected workers, who are then responsible for submitting it to the Virginia Employment Commission to claim partial unemployment benefits.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the worker's name and social security number in the designated fields at the top of the form.
For each week, fill in the dates worked, specifying from Sunday to Saturday. Record gross wages and any holiday/vacation pay separately.
In the 'DATES ABSENT' section, list any days the worker was available but did not work, along with reasons for absence if known.
Complete the 'OTHER EMPLOYMENT AND WAGES' section if applicable, detailing any other employers and wages earned during the claimed weeks.
Finally, ensure that both the employer and worker sections are signed and dated before submitting to avoid delays in payment.

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