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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and Social Security Number (SSN) at the top of the form. This information is essential for identifying your unemployment claim.
Fill in the UI Week Number and the dates for the week you are reporting, from Sunday to Saturday. Accurate date entry is crucial for proper record-keeping.
For each employer contact, enter the date of contact, position applied for, employer name, address or website, and the person contacted along with their phone number. This detailed information helps maintain a clear record of your job search efforts.
Indicate the method of contact (e.g., email, phone) and summarize the result of each interaction. This will provide a comprehensive overview of your job search activities.
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