Submit the completed form by taking it to the career center where you filed your claim. Ensure all details are accurate and the form is signed and dated. For online submissions, use the provided online submission forms. For email or fax submissions, contact the career center for the appropriate email address or fax number. Physical submission addresses can be found on the career center’s website. For timely processing, submit by the specified deadlines for the claimed week.

The Weekly Claim Form for Unemployment Insurance should be submitted for each week you claim benefits. Deadlines will vary depending on the week claimed. Ensure timely submissions to avoid any delays in your benefits.

The purpose of the Weekly Claim Form for Unemployment Insurance is to provide a record of your work status, earnings, and job-seeking activities for a specific week. This form is essential for verifying your eligibility and maintaining accurate records of your unemployment benefits claims. The form requires claimants to certify their availability for work, provide details of any wages earned, and confirm whether they have refused any job offers. Accurate completion and timely submission of the form are crucial to ensure that there are no interruptions in receiving your unemployment benefits. By completing this form, you help unemployment agencies assess your eligibility and process your claims more efficiently. It also helps in identifying any discrepancies or issues that may arise during the claim process.

• 1. C.C. No.: A unique Claim Certification Number assigned to your case.
• 2. NAME: The claimant's full name.
• 3. BYE: Benefit Year End date.
• 4. Week Dates: The start and end dates of the week being claimed.
• 5. Work and Wages Details: Information about any work performed or wages earned during the week.
• 6. Employer's Name: The name of the employer if any work was performed.
• 7. Total Amount Earned: The total wages earned during the week.
• 8. Still Working Status: Indication of whether the claimant is still working.
• 9. Reason for Job Ending: Reason for job ending if the claimant is no longer working.
• 10. Social Security Number: The claimant's social security number.
• 11. Work Availability and Job-Seeking: Certification of the claimant's availability to work and job-seeking activities.
• 12. Claimant's Signature: The claimant's signature certifying the accuracy of the provided information.
• 13. Date: The date when the form was signed.

Failure to submit this form on time can result in delays or denial of your unemployment benefits. It is essential to ensure your submission is complete and accurate to avoid any issues.

• Delayed Benefits: Your unemployment benefits may be delayed if the form is not submitted on time.
• Denial of Benefits: Incomplete or inaccurate submissions can lead to denial of your unemployment benefits.

• 1. Claiming Weekly Benefits: Complete this form to claim your unemployment benefits for the specified week.
• 2. Reporting Work Status: Use this form to report your work status and availability for the week.