Self Employment Assistance Program Unit Harriman State Office Campus Building 12, Room 222 Albany, NY 122400001 www.labor.ny.govThe Reemployment Assistance Program (SEA) Individual Services Verification.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the NY ES 161.4 online

Completing the NY ES 161.4 form online is a straightforward process that allows users to verify their attendance in workshops or classes as part of the Self-Employment Assistance Program. This guide will provide clear, step-by-step instructions to ensure you fill out the form accurately.

Follow the steps to complete the NY ES 161.4 form online.

  1. Click the ‘Get Form’ button to access the NY ES 161.4 form and open it in your editing tool.
  2. Begin by entering your name in the designated field. This should be your full legal name as it appears on identification documents.
  3. In the field for the last four digits of your Social Security number, enter those specific numbers accurately.
  4. Next, fill in the name of the school or agency that conducted the workshop or class you attended.
  5. Provide the school or agency phone number, including the area code, in the appropriate section.
  6. Indicate the workshop or class you attended by writing its full title in the relevant space.
  7. Fill out the dates of attendance. If you attended multiple sessions, clearly outline each date.
  8. Complete the ‘Total Number of Hours’ field with the accurate cumulative duration of your attendance.
  9. Have your instructor sign the form to verify your attendance. Their title should also be noted.
  10. Finally, as the participant, you are required to sign the form and add the date of your signature.
  11. Once all fields are completed, review your entries for accuracy. You can save your changes, download, print, or share the form as needed.

Complete your NY ES 161.4 form online to ensure you continue to receive your SEAP benefits.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

The Self-Employment Assistance Program Individual...

Submit this form online at: www.labor.ny.gov/signin, fax it to (518) 402-6586 or by mail...

Learn more
N.Y. Comp. Codes R. & Regs. Tit. 20 § 161.4 |...

N.Y. Comp. Codes R. & Regs. Tit. 20 § 161.4 - Conditions for change of certain New York...

Learn more
Case 18-E-0130 - NYSDPS-DMM: Matter Master

Indicated Utilities Petition Seeking Minor Amendments to DLM Program Procurement. Opens in...

Learn more
Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get NY ES 161.4