Dol 5158pua 2026

See details

4.8 out of 5

41 votes

The document is a request form from the Georgia Department of Labor for individuals seeking weekly Pandemic Unemployment Assistance (PUA) payments. It collects applicant information, assesses their work availability and earnings, and requires certification of unemployment reasons related to COVID-19. The form emphasizes the importance of truthful reporting and outlines potential penalties for misrepresentation.

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 dol 5158pua 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 dol 5158pua in the editor.
Begin by filling out the Applicant Information section. Enter your first name, middle name, last name, and the last four digits of your Social Security Number. Provide your mailing address, including street, city, apartment/unit number, state, and zip code.
In the Applicant’s Request section, answer questions regarding your work availability and any earnings. For each question, select 'YES' or 'NO' and provide explanations where necessary.
Complete the Certification section by selecting the reason for your unemployment due to COVID-19. Ensure you sign and date the form at the bottom to certify that all information is accurate.

Start using our platform today to fill out your dol 5158pua form easily and for free!

See more dol 5158pua versions

We've got more versions of the dol 5158pua form. Select the right dol 5158pua version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (41 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does pua mean in unemployment?

WHAT IS PANDEMIC UNEMPLOYMENT ASSISTANCE? The Pandemic Unemployment Assistance (PUA) program provides temporary benefits to workers (including self-employed, independent contractors, and gig workers) who have lost work for certain COVID-19 related reasons.

Why did I get a PUA redetermination letter?

If you filed for PUA during the pandemic and are now receiving a redetermination, it could be due to a variety of reasons such as clarifications needed on your income or employment situation, or the state may have re-examined their initial determination.

What disqualifies you for unemployment in GA?

Find your Employer Registration Number on any previously filed quarterly tax return (Form NYS-45). Your UI contribution rate appears on Form IA 97 Notice of Unemployment Insurance Rate that you receive from the New York Department of Labor each year. Call the NY Department of Labor at 888-899-8810.