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How to Complete the Continued Claim Form Transcript - page 2 / 4





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Tip number two: Then mark the answers by completely filling in the box. It's hard for our scanners to read an X or a check mark.

Tip number three: Also be sure to answer every question. A lot of people skip a question and that requires us to send you another form to fill out which delays your benefits.

The first question asks if you were sick or injured during the dates listed at the top of the row. If your answer is "yes," mark the number of days you were sick or injured. The law requires you to be well enough to work every day in order to receive benefits, so we must reduce your benefits one-seventh for each day you cannot work.

The second question asks, “Was there any reason (other than sickness or injury) that you could not have accepted full-time work each workday?” You must remain ready and willing to accept work that matches your skills and background. If you do mark yes, then you could be determined ineligible to receive benefits for that week in which the conflict prevented you from being ready to accept a job.

For the third question, you must tell us if you looked for work during the dates listed at the top of the row. You can look for work in a number of ways such as over the phone or on the Internet. Follow the instructions you received on your Notice of Unemployment Insurance Award. And, if the box under question number three is marked with an "X,” like for those claiming FED ED extension benefits, then you must complete Section B on the back of the claim form and tell us some details about your work search. Union members should follow instructions provided by their union.

Question four asks if you've refused any work during the dates listed at the top of the row. If you did refuse work then you will be scheduled for a follow-up phone interview to determine your continued eligibility for benefits.

The next question refers to any school or training attended. Answer yes ONLY if you BEGAN attending school or training during the dates listed at the top of the form. After that, answer yes only when a new term begins or you start new classes during one of the weeks. Since attendance in school or training during your available work time may affect your eligibility for benefits, a phone interview will be scheduled to determine your continued eligibility.

Question six asks if you worked or earned money in the two-week period. If you did, then you have to complete sections "a" and "b" directly below. All hours worked and your gross wages (monies earned before taxes) must be reported in the week you actually worked, regardless of when the paycheck is received. All earnings must be reported, even if the source of income is something like Back Pay, Holiday Pay, Severance Pay, or Workers' Compensation.

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