Continued claim certification form online 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and Social Security Number (SSN) at the top of the form. If your name has changed, include your previous name as well.
3. In Part A, answer the questions regarding your work hours for the week claimed. Indicate if you worked more than 32 hours and provide details if applicable.
4. Complete each question in Part A carefully, ensuring you provide accurate information about any additional employment and your availability for work.
5. Sign and date the certification statement at the bottom of Part A, confirming that all information is true and complete.
6. If applicable, provide your new address below your signature before submitting the form to your employer for completion of Part B.

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