Unemployment Verification / Self-AttentionYour Name(Required) First Last Your Email Address(Required) Enter Email Confirm Email I do attest that I am currently: Employed. Please attach a copy of your recent paystub showing hours worked. Unemployed. Please attach a copy of your layoff or separation notice or printout from the Unemployment Office,. Unable to provide proof of unemployment through documentation from my previous employer or through the Employment Security Division. New to the workforce. Upload Necessary Documents(Required)Upload your recent paystub showing hours worked, proof of unemployment through documentation from my previous employer or through the Employment Security Division in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, jpg, Max. file size: 25 MB.Certification(Required)I certify that the information provided is true to the best of my knowledge. I understand that all information provided is subject to review and verification. I am also aware that I am subject to immediate termination if I am found ineligble after enrollment and may be prosecuted for fraud and/or perjury. I allow release of this information for verification purposes and understand that it will be used to determine eligibility. I also understand that if more than 45 days elapse from the date of application that a new application will be needed. I agree to the terms and conditions.Signature of Applicant(Required)Date(Required) MM slash DD slash YYYY Share This Twitter Facebook Email
