Appendix 9998. FORMS (16VAC5-60)


Latest version.
  • Continued Claim for Benefits -- First Payments, B-3FP (eff. 11/92).

    Benefits, Rights, and Responsibilities -- Instructions for Person on Temporary Layoff, B-19.

    Verification of Offer of Continuing Employment, B-25.

    Request for Reconsideration of Monetary Determination, B-28.

    Request for Name/Address/Telephone Number Changes, B-41.

    Work Search Requirement, B-76.

    Continued Claim for Benefits, VEC-B-3 (rev. 7/93).

    Notice of Exhaustion, VEC-B-3a (rev. 8/88).

    Claim Correction Notice, VEC-B-5M (rev. 9/87).

    Appointment Notice, VEC-B-6M (rev. 1/83).

    Claim for Benefits, VEC-B-10 (rev. 10/93).

    Employer's Report of Separation and Wage Information, B-10SEP (rev. 7/93).

    Eligibility Review Interview Notice, VEC-B-11D (rev. 7/88).

    Record of Contacts for Employment, VEC-B-11E.

    Request for Physician's Certificate of Health, VEC-B-14 (rev. 2/76).

    Notice to Workers, VEC-B-29 (rev. 10/93).

    Monetary Determination, VEC-B-30 (rev. 6/90).

    Notice of Benefit Liability, VEC-B-30R (rev. 4/93).

    Statement of Partial Unemployment, VEC-B-31 (rev. 5/96).

    Notification of Claim Filed for Benefits, VEC-B-32 (rev. 9/91).

    Unemployment Insurance Handbook for Claimants (rev. 1992). (Although issued for informational purposes only, this booklet contains some interpretative material.)

    Claimant's Request for Training Approval, VEC-B-60.7 (rev. 11/94).

    Notice to Trade Readjustment Allowance Claimants Concerning Training, VEC-B-72 (rev. 10/87).

    Training Certification, VEC-TB-1 (eff. 1/1/72).

    Notice of Child Support Intercept, VEC-CSI-1 (rev. 7/93).

    Request for Gross Wages, VEC-BPC-45A (eff. 12/86).

    Wage Verification Request, VEC-BPC-65 (rev. 6/90).

    Cross Match, VEC-BPC-65A (rev. 6/90).

    Billing Statement, VEC-BPC-89 (rev. 5/93).

    Consent of Disclosure, VEC-CD-1 (eff. 1/89).

    Affidavit of DUA, DUA-1 (rev. 5/78).

    Affidavit of Earnings, DUA-2 (rev. 10/76).

    Weekly Request for DUA, DUA-3 (rev. 10/76).

    Notice of Overpayment, DUA-4 (rev. 10/76).

    Release Authorization, RA-1 (rev. 11/92).

    Election of Regular TAA or NAFTA-TAA By Worker, VEC-NAFTA/TAA-1.

    Entitlement Determinations to NAFTA Transitional Adjustment Assistance (NAFTA-NAA)/Trade Readjustment Allowances (TRA) Trade Act of 1974, As Amended September 1994, ETA 8-57A.

    Request for Verification of Work Search, VEC-B-78 (rev. 11/94). (This form had been numbered as VEC-B-72; the number is being changed to eliminate duplicate numbers.)