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DEPARTMENT OF EMPLOYMENT, TRAINING AND REHABILITATION Employment Security Division MEDICAL STATEMENT To: Date: Please Respond By: SSN: To Claimant: Please take this form to your physician for completion.

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When can benefit payments be denied? Voluntarily leaving work without good cause. ... Being discharged for misconduct connected with work. ... Not being able to work or available for work. ... Refusing an offer of suitable work. Knowingly making false statements to obtain benefit payments.

Go to My HomePage • Go to JobConnect • File weekly claim • Reactivate my UI Claim • Appeal Information • Benefits Held – Provide Additional Information (If you see this link, you should click on it and answer any questions the system may ask in order to prevent a possible delay in the processing of your claim.)

You can check the status of your claim online through the Claimant Self Service (CSS) portal at UI.NV.gov or call the Telephone Claim Centers during the week Monday through Friday 8:00am-5:00pm by choosing option #3.

If you make a false statement or representation, knowing it is false, or knowingly fail to disclose a material fact in order to obtain unemployment benefits, you can be disqualified from receiving unemployment benefits.

Benefit payment information is available using the Claimant Self Service (CSS) portal at UI.NV.gov or using the automated telephone system. You will typically receive payment for an eligible week within two business days of filing your weekly claim.

To receive unemployment benefits an unemployed person must: 1. File a claim online or with the Nevada Telephone Claim Center. 2. Be physically able to work.

Names, addresses, phone numbers, and dates of employment for your last two employers (if you've had more than one employer) Social Security number. If you are not a U.S. citizen, an Alien registration number. If you were active duty military for any part of the past 18 months, a DD Form 214.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232