Pennsylvania Applicant Tracking Form

State:
Multi-State
Control #:
US-291EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used to track applicants during the interview process.

How to fill out Applicant Tracking Form?

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FAQ

Identity Identity can be verified by a driver's license, state identification card or another piece of identification. Social Security Number (SSN) A SSN must be provided for each person applying for Medical Assistance.

The Unemployment Compensation (UC ) program provides temporary income support if you lose your job through no fault of your own or if you are working less than your full-time hours. If you qualify, you will receive money for a limited time to help you meet expenses while you seek new employment.

PA 600 L (AS) 1/20. Page 1. Medical Assistance (Medicaid) Financial Eligibility Application. for Long Term Care, Supports and Services. You can also apply online at: .

You can check online at 'View Benefit Payments' to see if you have received a payment. Your claim is currently being reviewed and you will receive notification of any action you need to take to resolve the currently outstanding issues.

A new Pennsylvania law (Act 9 of 2020) requires Pennsylvania employers to provide notice to employees about unemployment compensation benefits at the time of separation from employment or when an employee's work hours are reduced.

Individual monthly income limit $1,426. Married couple monthly income limit $1,923. Individual resource limit $7,730. Married couple resource limit $11,600.

Application for Benefits (SNAP, Health Care, Cash Assistance) - PA 600. Application for Medical Assistance for Workers with Disabilities - PA 600WD.

To check on the status of a Workers' Compensation account, contact the Department of Labor and Industry by calling (717) 783-5421 or by e-mail at ra-li-bwc-helpline@pa.gov.

This form is used by NON-TPA's to change an employer's UC benefit's address. UC-1609 (PDF): Employer Information Form Size=153k You must provide this completed form to separating employees and/or employees working reduced hours. It provides accurate information for use when unemployment claims are filed.

To be eligible for Pennsylvania Medicaid, you must be a resident of the state of Pennsylvania, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

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Pennsylvania Applicant Tracking Form