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Get Unemployed Status Affidavit
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How to fill out the Unemployed Status Affidavit online
Completing the Unemployed Status Affidavit online is a straightforward process that helps document your current employment situation. This guide will walk you through the necessary steps to ensure accuracy and completeness in your submission.
Follow the steps to fill out the Unemployed Status Affidavit correctly.
- Press the ‘Get Form’ button to obtain the Unemployed Status Affidavit and open it for editing.
- Enter your full name in the designated space at the top of the form.
- Indicate your current employment status by checking the appropriate box for 'I am currently unemployed.' Select 'YES' or 'NO' as applicable.
- If you work on a seasonal basis, please indicate 'YES' or 'NO' in the adjacent section.
- Report any benefit income you receive by checking 'YES' or 'NO' in that section. This includes unemployment, disability, or workers compensation.
- Complete the statement regarding how long you have been unemployed, filling in the number of years and months in the blanks provided.
- In the next section, enter the hourly wage from your last job and detail the average number of hours you worked weekly.
- Choose one of the three sections (A, B, or C) that best describes your situation and complete the relevant fields accordingly. For Section A, state you do not anticipate employment in the next twelve months. For Section B, detail anticipated employment and expected earnings, citing supporting documentation as needed. For Section C, fill in the employer details and anticipated start date for your new job.
- Affirm the truthfulness of the information provided by signing and dating the form at the end.
- Finally, make sure to save your changes, and select the appropriate option to download, print, or share the form as needed.
Complete your Unemployed Status Affidavit online now to ensure smooth processing of your application.
I [print name],___________________________________________, state that I am currently unemployed but am aware of an employment start date of___________________________ at $_______________ per _____________________. I [print name],___________________________________________, state that I am currently unemployed.
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