UC-61 (Rev 2026

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The document is an unemployment notice from the Connecticut Department of Labor, outlining the employer's responsibilities when an employee separates from their job. It includes instructions for providing necessary information to the separating employee, such as their last day worked, reason for unemployment, and any dismissal pay received. The form must be completed accurately and given to the employee at the time of separation.

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Click ‘Get Form’ to open the UC-61 (Rev) in the editor.
Begin by entering the Employer Connecticut Registration Number in Section A. If you're unsure, contact the Employer Status Unit for assistance.
Fill in your Company Name and Company Address in Sections B and C. Ensure that the address is accurate, as all notices will be sent here.
In Section D, input the Employee Name and their Social Security Number in Section E. Double-check these details for accuracy.
Complete Sections F through L by providing information such as Start Date, Last Day Worked, Year to Date Earnings, and Reason for Unemployment. Be specific about any dismissal pay received in Section M.
Finally, sign the form in the designated area and include your title, telephone number, and fax number before submitting it.

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