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Get Unemployment Labor Form

New York State Department of Labor Unemployment Insurance Division Shared Work Continued Claim Waiting Week Certification Instructions on second page Claimant name print SSN If your name has changed since you last certified print your previous name Sunday Week Ending Date Part A Employee Statement Enter the date and answer the questions for the week claimed 1. After the employee completes Part A and returns the form to you complete Part B Emplo.

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