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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your personal information in the Claimant section, including your name and Social Security Number (SSN).
- For each week you are claiming, fill out the 'Week #' field and record the date of contact. Ensure you note the beginning and ending dates for that week.
- In the 'Company Contacted' section, list the name of the employer you reached out to.
- Select your contact method from options such as In person (I), Telephone (T), Email (E), Online (O), or Fax (F).
- Depending on your contact method, provide relevant details like physical address, telephone number, email address, website address, or fax number.
- Indicate the position you are seeking and summarize the results of your contact in the designated field.
- If applicable, attach any confirmation emails or numbers for online contacts directly within our platform.
- Finally, affirm that all information is accurate by signing and dating at the bottom of the form.
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