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Appeals

Form Number Form Title
DEO-A100 Office of Appeals Notice of Appeal
UCA Bulletin 6E Appeals Pamphlet

BPC

Form Number Form Title
UCO-408 Voluntary Payroll Deduction Voluntary Payroll Deduction Request

Claims

Form Number
Form Title
DEO-UC20A (rev. 09-11) Worksearch Records
   
DEO-UCW4VT (rev. 11-13) Income Tax Withholding Change Form

DUA

Form Number Form Title
ETA-81 (rev. 03-12) Disaster Unemployment Assistance Claim Application
   
ETA-81A (rev. 09-11) Supplement for Self-Employed Applicants
   
ETA-81 Supp (rev. 03-12) Disaster Unemployment Assistance Supplement
   
DUA-12 (rev. 03-12) Affidavit of Minor Family Members Earnings
   
DUA-6 (rev. 03-12) Affidavit of Scheduled Employment
   
DUA-10 (rev. 03-12) Affirmation of Employment
   
DUA-11 (rev. 03-12) Affirmation of Self-Employment
   
DUA-61 (rev. 03-12) Disaster Unemployment Assistance Weekly Claim Certification
   
DUA-2 (rev. 03-12) Disaster Unemployment Assistance Benefit Rights and Responsibilities
   
DUA-7 (rev. 03-12) Information on Disaster Unemployment Assistance and UC Benefits

STC

Form Number Form Title
UC Bulletin 8 STC Short Time Compensation (STC) Information for Employees

RAAC

Form Number Form Title
DEO-A100RAAC Reemployment Assistance Appeals Commission Request For Review

Other

Form Number Form Title
DEO-UCB-18 (rev. 03-12) Beneficiary Affidavit
   
DEO CARR-1 (rev. 3-2015) Certified Authorization for Release of Records
   
DEO Form UCB-39 (rev. 03-12) Affidavit Attesting to Forgery
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