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Get DEO UCB-231 2012

O your scheduled appointment and bring this document when you report for your eligibility assessment. If you indicated when claiming benefits that you received reemployment services in lieu of making the five required job contacts, please list the date(s) and location of the One Stop Career Center where services were provided. Name:________________________________ Contact Date(s) NAME, ADDRESS & PHONE NUMBER DATE OF EMPLOYER Social Security Number: XXX-XX-_____________ METHOD OF RESULTS CO.

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