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State Representative James Edming
Constituent Services
UI Constituent Claim Assistance Form
UI Constituent Claim Assistance Form
Due to the large number of contacts we receive, we are only able to provide assistance to constituents of the 87th Assembly District. If you are not sure who represents you in the Legislature, you can find out by entering your address at http://maps.legis.wisconsin.gov/.
First Name *
Please enter your full first name
Middle Initial
* DWD says that adding this information to a claimant's inquiry helps UI staff more quickly confirm the identity of the claimant in their system.
Last Name *
Please enter your last name
Date of Birth
mm/dd/yyyy * DWD says that adding this information to a claimant's inquiry helps UI staff more quickly confirm the identity of the claimant in their system.
Last Four Digits of SSN
* DWD says that adding this information to a claimant's inquiry helps UI staff more quickly confirm the identity of the claimant in their system.
Phone Number Used for UI Claim *
(XXX) XXX-XXXX
Email *
If none, enter none
Street Address *
In the 87th Assembly District
City *
Please enter your city
State *
Wisconsin
Other
Type of UI Benefit Applied For *
Unemployment Insurance (UI)
Pandemic Unemployment Assistance (PUA)
Other
Date of Application*
mm/dd/yyyy
Status of Your Claim *
Please explain the status of your claim, including how long you have been waiting, if you have heard anything, and any additional information that could be helpful regarding your claim.