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How to fill out the Continued Claim Certification Form Online
This guide provides detailed instructions on how to properly fill out the Continued Claim Certification Form Online. This form is essential for users who are seeking shared work benefits in New York State and must be completed accurately to ensure timely processing of claims.
Follow the steps to fill out the Continued Claim Certification Form Online effectively.
- Click ‘Get Form’ button to obtain the Continued Claim Certification Form and open it in your preferred editor.
- In the top section of the form, provide your claimant name and Social Security Number (SSN). If your name has changed since your last certification, also include your previous name.
- Fill in the Sunday week ending date for your waiting week.
- Proceed to Part A – Employee Statement. For each week you are claiming benefits, answer the questions regarding your employment status.
- For question 1, indicate whether you worked more than 32 hours for your Shared Work employer. If yes, specify the number of hours.
- For question 2, respond to whether you would have been available for work if asked during your scheduled days off. If no, provide an explanation and the relevant dates.
- For question 3, indicate if you worked for any other employer during the claimed week. If yes, fill in the required details including employer's name, working dates, and gross earnings.
- Complete question 4 by entering the last date you performed work for any employer during the claimed week.
- Once completed, certify your claim by signing and dating the form, and providing your current address if it has changed.
- Submit the completed form to your employer for Part B to be filled out before it is sent to the Department of Labor.
Ensure you complete your Continued Claim Certification Form Online accurately to facilitate your claim for benefits.
When you receive a notification of 'certification received' on EDD, it means that your Continued Claim Certification Form Online has been successfully submitted and acknowledged. This status indicates that the EDD is processing your claim for that benefit period. It is essential to check your account regularly for updates regarding your claim approval. Utilizing uslegalforms can help ensure you avoid any errors that could impact your certification status.