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Employer Information

DEPARTMENT OF LABOR & INDUSTRY OFFICE OF UNEMPLOYMENT COMPENSATION BENEFITS POLICY Employer Information THIS FORM PROVIDES THE EMPLOYEE WITH THE Employer S Information TO BE USED IF HE/SHE WISHES TO APPLY FOR UNEMPLOYMENT COMPENSATION BENEFITS. Employer : You must provide this completed form to separating employees and/or employees working reduced hours.

UC-1609 REV 04-20 (Page 1) INSTRUCTIONS FOR EMPLOYEES WHEN FILING AN APPLICATION FOR UNEMPLOYMENT COMPENSATION BENEFITS When to ile: If you have worked your full, regular hours for this work week, then ile on Sunday following : your last day of work. If your separation from your employer caused a change to your normal working hours

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