Document Number: UCB-16871-E
Description: Use this form to submit your Unemployment Insurance Information Request.
Comments: Requests are completed in the order they are received and multiple submissions of the same requests only delay the response time. Special requests such as Rush, Urgent and ASAP will not be honored.
Content Contact: Benefit Operations Staff
UCB-16871-E (Electronic Version - pdf/221 KB)
UCB-16871 (Print Version - pdf/12 KB)
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