Self-Employment Assistance Program Unit Harriman State Office Campus Building 12, Room 226 Albany, NY 12240-0001 The Self-Employment Assistance Program (SEAP) Individual Services Verification Form Instructions: The purpose of this form is to verify your attendance at the workshops/classes listed on your Individual Services Plan. Please make additional copies of this form for each class you attend. Your instructor must sign this form. Submit this form online at: www.labor.ny.gov/signin. 1. Log i.

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How to fill out the NY ES 161.4 online

The NY ES 161.4 form, also known as the Individual Services Verification Form, is a crucial document required for participants in the Self-Employment Assistance Program. This guide provides step-by-step instructions to help you fill out the form accurately and submit it online.

Follow the steps to fill out the NY ES 161.4 form online

  1. Press the ‘Get Form’ button to access the NY ES 161.4 document and open it in your editor.
  2. Begin by entering your name at the top of the form, ensuring that it is spelled correctly.
  3. Fill in the last four digits of your Social Security number in the designated field.
  4. Provide the name of your school or agency, along with its phone number, including the area code.
  5. Indicate the specific workshop or class you attended in the appropriate section.
  6. Record the dates of your attendance as well as the total number of hours spent in the workshop or class.
  7. Have your instructor sign the form in the designated area to verify your attendance. Their name and title should also be provided.
  8. Sign and date the form at the bottom as the participant to certify your attendance.
  9. Review your completed form for accuracy and clarity before proceeding to submit it online.
  10. Submit the form online by logging into your online services account and following the submission instructions provided.

Complete your forms online today for a smooth submission process.

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