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


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


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


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


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


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


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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