Unemployment Inquiries

What are you contacting us about today?

I am an individual

seeking, receiving, or asking about unemployment benefits for myself

I am an employer or business representative

asking about tax accounts, employee claims, or business services

First Name

Last Name

Phone Number

Enter 10-digit phone number separated by hyphens (555-555-5555).

Are you completing this form for yourself or on behalf of someone else?

I am completing this for myself

I am completing this on behalf of someone else

First Name

Last Name

Relationship to Individual

Do you have an active appeal number?

Yes

Appeal Number

What issue or topic are you contacting us about?

First Name

Last Name

Enter the name of the individual completing this form in the field above.

Job Title / Role

Enter the title of the individual completing this form (e.g. HR Manager, Payroll Specialist, Business Owner, Legal Representative) in the field above.

Phone Number

Enter 10-digit phone number separated by hyphens (555-555-5555).

Name of Employer

Legal employer / business name

9-Digit Federal Employer Identification Number (FEIN) of Employer

Is this inquiry about a specific employee/claimant?

Yes

First Name

Last Name

What issue or topic are you contacting us about?

Description of Issue

Please briefly explain your issue or question. Do not include any full social security numbers or sensitive banking details.

Unemployment Inquiries

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