Middle) PETITION NO. FORM ETA 858A ELECTRONIC (REV.09/12) OPR: TRA/TAA TRAINING WEEK Beginning Week Ending Date SOCIAL SECURITY NO. MAILING ADDRESS (No., Street, City or County, State, Zip Code) 1. 2. 3. A. TRADE READJUSTMENT ALLOWANCE (To be completed by worker) YES NO EXPLAIN ALL “YES” ANSWERS HAVE YOU PREVIOUSLY RECEIVED A TRADE READJUSTMENT NAME OF PROGRAM DATE ALLOWANCE OR ANY OTHER TRAINING ALLOWANCE FOR THE RECEIVED AMOUNT TRAINING WEEK SHOWN ABOVE (e.g., PELL GRANT, WIA)? REC.
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How to fill out the AL ETA 858A online
The AL ETA 858A is an essential form for individuals seeking Trade Adjustment Assistance under the Trade Adjustment Extension Act of 2011. This guide will provide you with a straightforward, step-by-step approach to completing the form online.
Follow the steps to successfully complete the AL ETA 858A form.
- Press the ‘Get Form’ button to obtain the form and open it in the editor.
- Enter your full name in the ‘Worker Name’ section, ensuring the last name is followed by the first and middle names as applicable.
- Input the unique petition number associated with your application.
- Indicate the training week by providing the start and end dates in the respective fields.
- Provide your social security number in the designated area.
- Complete the mailing address section, including street address, city, state, and zip code.
- In Section A, answer the questions regarding previous allowances, claims filed, and work during the training week. Ensure to explain 'yes' answers where required.
- In Section B, confirm your authorization for deductions and certify that the information provided is accurate by signing and dating the form.
- Section C requires the training facility to assess your progress and attendance. They must complete this section including any necessary justifications for unsatisfactory progress.
- In Section D, the training official must verify the information, sign, and date the form.
- Once all sections are complete, you may save your changes, download the form, or print it for your records.
Get started today and complete your AL ETA 858A online.
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