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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Claimant Name and SSN in the designated fields. Ensure accuracy as this information is crucial for processing your claim.
- Indicate your willingness to accept full-time work by selecting 'YES' or 'NO'. If you select 'NO', provide an explanation in the space provided.
- Fill in the average hours worked per week over the last 18 months and specify the type of work you are seeking.
- Answer whether you have training or experience related to the job type, and if so, detail your experience.
- Select the days of the week you are available for at least eight hours of work. If fewer than five days are selected, provide an explanation.
- Complete sections regarding travel willingness, lowest acceptable wage, and list any job search activities performed last week.
- For any limitations affecting your availability, complete the relevant sections on incarceration, caregiving responsibilities, transportation issues, or personal reasons.
- Finally, certify that all information is correct by signing and dating the form before submission.
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