UC-15Q 2026

See details

4 out of 5

47 votes

The document UC-15Q is an information sheet related to substance abuse treatment and eligibility for unemployment benefits in Connecticut. It outlines the requirement for individuals with alcohol or substance dependency to demonstrate their ability to work and provide evidence of recovery efforts. The form must be completed by a knowledgeable third party, such as an AA/NA sponsor or counselor, to verify the individual's abstinence and participation in recovery programs. This information is crucial for determining eligibility for unemployment compensation.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out UC-15Q with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the UC-15Q in the editor.
Begin by entering the Case Number, Name, and Social Security Number (SS#) in the designated fields at the top of the form.
In the Certification section, provide your name and SSN#, then authorize the release of information by signing and dating the form.
For recovery efforts, specify the type of treatment (e.g., AA/NA meetings) and indicate when abstinence began. Fill in how often meetings are attended.
List all meeting dates and times attended, ensuring to include locations for each entry.
Answer whether there are any barriers preventing full-time work availability, providing explanations if necessary.
Finally, add any additional comments regarding recovery efforts before signing off with your title and date.

Start filling out your UC-15Q form online for free today!

Try more PDF tools