Unemployment benefits forms and publications


Forms for your claim

  • Job-search log (PDF, 59KB)
    Used for tracking your employer contacts and in-person workshops you attend to try to find a new job. (Also available as a fillable Word template.)
  • Earnings deduction chart (PDF, 109KB)
    Shows how much we deduct from your weekly benefits when you report earnings.
  • Unemployment Insurance Claim form (fillable PDF) 
    Used for submitting weekly certifications when unable to file missed weeks online or by phone.  Must be submitted within four weeks of your Effective Date of Claim, most recent reopen or last weekly claim. Print, complete, sign, and fax to UI Imaging 800-301-1796.
  • Unemployment Claim Appeal Request form (fillable PDF) 


Training programs


Publications


For videos, please visit our video library.


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