IS790C (6/22/99) Cover Sheet: Fill out & sign online

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Click ‘Get Form’ to open the IS790C Cover Sheet in the editor.
Begin by entering your Case Number, Social Security Number, and Employer Name in the designated fields at the top of the form.
Fill in your contact information, including Telephone Number and Fax Number, ensuring accuracy for communication purposes.
In the Claimant Separation Statement section, provide details about your employment duration, total gross earnings, and final rate of pay. Be sure to select the appropriate reason for separation.
If applicable, complete the Severance Pay section by detailing any severance received and its conditions. Attach any necessary documents directly within our platform.
Finally, review all entries for accuracy before signing at the bottom of page 4. Use our platform’s tools to ensure everything is correctly filled out.

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