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Get Virginia Employment Commission Initial Claim For Furloughed Federal Government Employees Form

VIRGINIA EMPLOYMENT COMMISSION Initial Claim for Furloughed Federal Government Employees FOR OFFICE USE ONLY Effective Date// LO ID W NH AI/AN B NH A/PI SOCIAL SECURITY - - NUMBER NAME// LAST FIRST M OCC CODEAREA LIVESCODE STREET NUMBER NUMBER STREET / ROUTE BOX MAILING DATES WORKED FROM //TO// OCCUPATION ETHNIC GROUP CAUCASIAN AFRICAN-AMERICAN ETC. TOTAL 18. REASON FOR SEPARATION FURLOUGH I UNDERSTAND THAT PENALTIES ARE PROVIDED BY LAW FOR AN .

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