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UI Assistance Form
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Rep. Jon Plumer - 42nd District
UI Assistance Form
UI Constituent Assistance Form
Full Name of Claimant
*
Last name, First Name, Middle Initial
Phone Number
*
Email Address
*
Address
*
Date of Initial UI Application
*
Date of Birth
*
Status of Application
*
Please explain the status of your case, including how long you have been waiting, if you have heard anything, if you are trying to file the initial claim, if you are in appeal, or anything else that could be helpful for the filing of your case.
Reason for inquiry
*
You can't get through by phone, you have unanswered questions, etc.
Last four digits of Social Security number
*
Press Releases
Blue Books Are Back!
9/8/2023
Returning the Surplus to Taxpayers
9/1/2023
Not Forgetting Local Roads
8/25/2023
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