Claimant Forms and Publications
View our employer forms and publications| Document | Description/Purpose | Pages | Download |
|---|---|---|---|
| Request for Income Tax Witholding Report (1099G) (IA 1099G.1) | Use this, IA 1099G.1 form to request a statement of tax withholding from Unemployment Insurance Benefits received, IA 1099G. |
1 | Download |
| Extended Benefits Monthly Work Search Record (TC 343EB ) | Use this form to list all of the employers and unions you contact each week while claiming extended benefits. |
1 | Download |
| Work Search Record Form (TC 343EC) | Use this form to list all of the employers and unions you contact each week while claiming regular or emergency unemployment compensation benefits. | 1 | Download |
| Request for Alternate Base Period (TC403HA) | Use this form to request that your weekly benefit rate be calculated based on your alternate quarter wages. | 1 | Download |
| Request for Reconsideration (TC403HR ) | Use this form to correct and/or add wages not reflected on your Monetary Benefit Determination. | 1 | Download |
| Joint Enforcement Task Force on Employee Misclassification, Reporting Fraud and Other Violations (IA318.26) | Use this form if you believe an employer is committing fraud by misclassifying their workers or committing other violations. | 2 | Download |
| Document | Description/Purpose | Pages | Download |
|---|---|---|---|
| Modele të Përcaktimit të Përfitimit Monetar (T402B nëse kualifikoheni) (T402N nëse nuk kualifikoheni) (T402 Albanian) |
Modele të Përcaktimit të Përfitimit Monetar (T402B nëse kualifikoheni) |
2 | Download |
| قسيمة البريد الموثق (T402 Arabic) |
قسيمة البريد الموثق
استمارات ت حديد الإعانات المالية (T402B إذا كنت مؤهلاً) (T402N إذا لم تكن مؤهلاً)
|
2 | Download |
| আর্থিক সুবিধা নির্ধারণীর টেমম্লেট(উপযুক্ত বিবেচিত হলে টি ৪০২ বি) তবে (উপযুক্ত বিবেচিত না হলে টি ৪০২ এন) (T402 Bengali) | আর্থিক সুবিধা নির্ধারণীর টেমম্লেট(উপযুক্ত বিবেচিত হলে টি ৪০২ বি) তবে (উপযুক্ত বিবেচিত না হলে টি ৪০২ এন) |
2 | Download |
| 證明券 貨幣保險金裁決範本(合格請用T402B)(不合格請用T402N) 直接付款卡資訊 (T402 Chinese) | 證明券 貨幣保險金裁決範本(合格請用T402B)(不合格請用T402N) 直接付款卡資訊
|
2 | Download |
| Modèles de Détermination des allocations financières (T402B en cas d’éligibilité) (T402N en cas de non éligibilité) (T402 French) | Modèles de Détermination des allocations financières (T402B en cas d’éligibilité) (T402N en cas de non éligibilité) |
2 | Download |
| Fòmil Detèminasyon Alokasyon Finansyè (T402B si kalifye) (T402N si pa kalifye) (T402 Haitian-Creole) | Fòmil Detèminasyon Alokasyon Finansyè (T402B si kalifye) (T402N si pa kalifye) |
2 | Download |
| Modelli per la Determinazione dell’importo del sussidio (Monetary Amount Determination) (T402B se si qualifica) (T402N se non si qualifica) (T402 Italian) | Modelli per la Determinazione dell’importo del sussidio (Monetary Amount Determination) (T402B se si qualifica) (T402N se non si qualifica) |
2 | Download |
| 금전적 수혜금 결정(Monetary Benefit Determination) 안내서 (자격 시 T402B) (결격 시 T402N) (T402 Korean) | 금전적 수혜금 결정(Monetary Benefit Determination) 안내서 (자격 시 T402B) (결격 시 T402N) |
2 | Download |
| Przykłady Oszacowania Finansowego Świadczeń (T402B jeżeli się kwalifikujesz) (T402N jeżeli się nie kwalifikujesz) (T402 Polish) | Przykłady Oszacowania Finansowego Świadczeń (T402B jeżeli się kwalifikujesz) (T402N jeżeli się nie kwalifikujesz) |
2 | Download |
| Шаблоны для определения суммы денежного пособия (T402B при соответствии требованиям) (T402N при несоответствии) (T402 Russian) | Шаблоны для определения суммы денежного пособия (T402B при соответствии требованиям) (T402N при несоответствии) |
2 | Download |
| Récord de Búsqueda de Trabajo (TC 343EC Spanish) | Use este formulario para mantener una lista de todas las compañías y sindicatos con las que usted hace contacto cada semana mientras reclama beneficios de desempleo regulares o de emergencia. |
1 | Download |
| Récord Mensual de Búsqueda de Trabajo durante los Beneficios Extendidos (TC 343 EB Spanish ) |
|
1 | Download |
| Kërkesa për Rikonsiderim (TC403HA Albanian) | Kërkesa për Rikonsiderim |
1 | Download |
| طلبات التماسات فترة أساسية بديلة (TC403HA Arabic) | طلبات التماسات فترة أساسية بديلة |
1 | Download |
| বিকল্প বেইস সময়ের জন্য অনুরোধ(টিসি ৪০৩ এইচএ) (TC403HA Bengali) | বিকল্প বেইস সময়ের জন্য অনুরোধ(টিসি ৪০৩ এইচএ) |
1 | Download |
| 替代基準期申請表 (TC403HA Chinese) | 替代基準期申請表 |
1 | Download |
| Demann pou yon Peryòd de Baz Altènatif (TC403 HA Haitian-Creole) | Demann pou yon Peryòd de Baz Altènatif |
1 | Download |
| Demande de période de base alternative (TC403HA French) | Demande de période de base alternative |
1 | Download |
| Richiesta di un periodo base alternativo (TC403HA Italian) | Richiesta di un periodo base alternativo |
1 | Download |
| 대체 기준 기간 요청서 (TC403HA Korean) | 대체 기준 기간 요청서 |
1 | Download |
| Wniosek o alternatywny okres bazowy (TC403HA Polish) | Wniosek o alternatywny okres bazowy |
1 | Download |
| Просьба назначить другой базовый период (TC403HA Russian) | Просьба назначить другой базовый период |
1 | Download |
| SEGURO POR DESEMPLEO - Solicitud Para Período Alterno (TC403HA Spanish) | SEGURO POR DESEMPLEO - Solicitud Para Período Alterno | 1 | Download |
| Kërkesa për Rikonsiderim (TC403HR) (TC403HR Albanian ) | Kërkesa për Rikonsiderim (TC403HR) |
1 | Download |
| طلبات إعادة النظر (TC403HR Arabic) | طلبات إعادة النظر |
1 | Download |
| পুনর্বিবেচনার জন্য অনুরোধ (TC403HR Bengali) | পুনর্বিবেচনার জন্য অনুরোধ |
1 | Download |
| 重新審議申請表 (TC403HR Chinese) | 新審議申請表 |
1 | Download |
| Demande de reconsidération (TC403HR French) | Demande de reconsidération |
1 | Download |
| Demann pou Rekonsiderasyon (TC403HR Haitian-Creole) | Demann pou Rekonsiderasyon |
1 | Download |
| Richiesta di revisione (TC403HR Italian) | Richiesta di revisione |
1 | Download |
| 재고 요청서 (TC403HR Korean) | 재고 요청서 |
1 | Download |
| Wniosek o ponowne rozpatrzenie (TC403HR Polish) | Wniosek o ponowne rozpatrzenie |
1 | Download |
| Просьба о пересмотре (TC403HR Russian) | Просьба о пересмотре |
1 | Download |
| SEGURO POR DESEMPLEO - Solicitud Para Reconsideración (TC403HR Spanish) | SEGURO POR DESEMPLEO - Solicitud Para Reconsideración | 1 | Download |
| Kupon i certifikimit me postë (TCC 406L Albanian) | Kupon i certifikimit me postë |
3 | Download |
| قسيمة البريد الموثق (TCC 406L Arabic) | قسيمة البريد الموثق |
3 | Download |
| ডাকযোগে প্রেরীত কূপন সত্যায়ন (TCC 406L Bengali) | ডাকযোগে প্রেরীত কূপন সত্যায়ন |
3 | Download |
| 直接付款卡資訊 (TCC 406L Chinese) | 直接付款卡資訊 |
3 | Download |
| Request for Rate Based on Weeks of Employment (LO403.5 ) | Use this form to request a weekly benefit rate based your average weekly wage. | 1 | Download |
| Kërkesa për Kursin bazuar në Javët e Punësimit (LO 403.5 Albanian) | Kërkesa për Kursin bazuar në Javët e Punësimit |
1 | Download |
| طلبات الأجر بناءً على الأعمال الأسبوعية (LO 403.5 Arabic) | طلبات الأجر بناءً على الأعمال الأسبوعية |
1 | Download |
| চাকুরিকালীন সপ্তাহের ভিত্তিতে হার নির্ধারণের জন্য অনুরোধ(এলও ৪০৩.৫ ) (LO 403.5 Bengali) | চাকুরিকালীন সপ্তাহের ভিত্তিতে হার নির্ধারণের জন্য অনুরোধ(এলও ৪০৩.৫ ) |
1 | Download |
| 基於就業週數的費率申請表 (LO 403.5 Chinese) | 基於就業週數的費率申請表 |
1 | Download |
| Demande de montant d’allocations basé sur les semaines de travail (LO 403.5 French) | Demande de montant d’allocations basé sur les semaines de travail |
1 | Download |
| Demann pou Montan Baze sou Semèn Travay (LO 403.5 Haitian-Creole) | Demann pou Montan Baze sou Semèn Travay |
1 | Download |
| Richiesta per sussidio basato sulle settimane di lavoro (LO 403.5 Italian) | Richiesta per sussidio basato sulle settimane di lavoro |
1 | Download |
| 주에 근거한 지급액 요청서 (LO 403.5 Korean) | 주에 근거한 지급액 요청서 |
1 | Download |
| Podanie o przyznanie stopy świadczeń w oparciu o tygodnie zatrudnienia (LO 403.5 Polish) | Podanie o przyznanie stopy świadczeń w oparciu o tygodnie zatrudnienia |
1 | Download |
| Просьба о назначении ставки на основе количества недель без работы (LO 403.5 Russian) | Просьба о назначении ставки на основе количества недель без работы |
1 | Download |
| Petición para la Tasa Basada en las Semanas de Trabajo (LO 403.5S) | Petición para la Tasa Basada en las Semanas de Trabajo | 4 | Download |
| Document | Description/Purpose | Pages | Download |
|---|---|---|---|
| Extended Benefits Expiration Letter (LO 319) | This letter provides information about the end of Emergency Unemployment Compensation (EUC) and Extended Benefits (EB). |
1 | Download |
| Eligibility for the Self-Employment Assistance Program (SEAP) (P52) | This factsheet gives a brief overview of who is eligible to participate in SEAP. |
1 | Download |
| Emergency Unemployment Compensation Self-Employment Assistance Program (EUC SEAP) Eligibility (P54) | This factsheet explains who is eligible to apply for EUC SEAP. | 1 | Download |
| Shared Work: What you should know about your employer's Shared Work Plan (SW 1.5) | This fact sheet describes what you should know about your employer's Shared Work Plan. | 2 | Download |
| Disaster Unemployment Assistance Due to Effects of Hurricane Sandy (P814) | This fact sheet describes Disaster Unemployment Assistance (DUA) and gives information about:
|
2 | Download |
| Determination of Jurisdiction (IA 116.3) | Determining Jurisdiction of Employment when services are performed in a number of states | 2 | Download |
| Independent Contractors (IA 318.14) | Independent Contractors | 2 | Download |
| Reporting Meals, Lodging, Tips and Other Forms of Remuneration (IA 318.15) | Reporting Meals, Lodging, Tips and Other Forms of Remuneration | 2 | Download |
| Unemployment Insurance Benefits & Training Attendance (LO 318.7) | UI benefits while you are in training. This publication has 2 pages. One is in English and the other page is in Spanish. | 2 | Download |
| Hearings Before Unemployment Insurance Administrative Law Judges. (TC 424A) | Hearings Before Unemployment Insurance Administrative Law Judges. | 2 | Download |
| Questions and Answers About Your Unemployment Insurance Benefits Hearing. (TC 424B) | Questions and Answers About Your Unemployment Insurance Benefits Hearing. | 2 | Download |
| List of Attorneys and Authorized Agents (LO 424.4) | A list of legal services organizations that provide free legal services in unemployment hearings for persons found financially eligible. | 2 | Download |
| Applying for Unemployment Insurance (UI) Benefits (P 800) | This fact sheet explains how to apply for unemployment insurance (UI) benefits. | 2 | Download |
| Do you help others apply or file for Unemployment Insurance? (P 808EN) | This fact sheet explains how you can help others apply for unemployment insurance (UI) benefits. |
2 | Download |
| 10 Things You Must Do When Filing for Unemployment Insurance (P 810) | A list of ten things to do when filing for Unemployment Insurance (English/Spanish). Also available as a poster (English). | 2 | Download |
| Work Search is Required to Collect UI Benefits (P812) | Explains how to go about looking for work while collecting unemployment insurance (English/Spanish). | 2 | Download |
| What is Unemployment Insurance Fraud? (P816) | Gives a brief overview of UI fraud and the consequences of committing fraud (English/Spanish). | 2 | Download |
| Unemployment Insurance Information for Claimants (TC 318.3) | A handbook that provides general information on eligibility for Unemployment Insurance benefits in New York State. | 32 | Download |
| Document | Description/Purpose | Pages | Download |
|---|---|---|---|
| Expiración de los Beneficios Extendidos (EB) (LO 319S) | Esta carta tiene informacion sobre el fin de los beneficios Compensacion de Desempleo de Emergencia (EUC) y los Beneficios Extendidos (EB). |
1 | Download |
| Preguntas y Respuestas Sobre su Audiencia de los Beneficios del Seguro Por Desempleo (TC 424B.s) | Questions and Answers About Your Unemployment Insurance Benefits Hearing. Spanish | 2 | Download |
| Trabajo Compartido - Spanish (SW 1.5S) | Lo Que Usted Debe Saber Acerca Del Plan De Trabajo Compartido De Su Empleador |
2 | Download |
| Spanish- List of Attorneys and Authorized Agents (LO 424.4S) | Spanish version of the LO 424.4. |
2 | Download |
| Unemployment Insurance Benefits & Training Attendance (LO 318.7) | UI benefits while you are in training. This publication has 2 pages. One is in Spanish and the other page is in English. | 2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Albanian (P 800AL) | This is the Albanian language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. | 2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Arabic (P 800AR) | This is the Arabic language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Bengali (P 800BE) | This is the Bengali language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Chinese (Simplified) (P 800CHS) | This is the Simplified Chinese language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Chinese (Traditional) (P 800CHT) | This is the Traditional Chinese language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - French (P 800FR) | This is the French language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Haitian-Creole (P800HC) | This is the Haitian-Creole language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. | 2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Hindi (P 800HI) | This is the Hindi language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. | 2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Italian (P 800IT) | This is the Italian language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Japanese (P 800JP) | This is the Japanese language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Korean (P 800KO) | This is the Korean language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Polish (P 800PO) | This is the Polish language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Punjabi (P 800PA) | This is the Punjabi language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Russian (P 800RU) | This is the Russian language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Spanish (P 800SP) | This is the Spanish language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Urdu (P 800UR) | This is the Urdu language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Applying for Unemployment Insurance (UI) Benefits - Vietnamese (P 800VT) | This is the Vietnamese language version of the fact sheet explaining how to apply for unemployment insurance (UI) benefits. |
2 | Download |
| Do you help others apply or file for Unemployment Insurance? - Spanish (P 808SP) | This is the Spanish language version of the fact sheet that gives information about helping others apply or file for unemployment insurance. | 2 | Download |
| 10 Things You Must Do When Filing for Unemployment Insurance (P 810) | A list of ten things to do when filing for Unemployment Insurance (English/Spanish). Also available as a poster (Spanish). | 2 | Download |
| Work Search is Required to Collect Unemployment Insurance Benefits (P 812) | Explains how to go about looking for work while collecting unemployment insurance (English/Spanish). | 2 | Download |
| What is Unemployment Insurance Fraud? (P 816) | Gives a brief overview of UI fraud and the consequences of committing fraud (English/Spanish). | 2 | Download |
| Unemployment Insurance Information for Claimants (Albanian) (TC 318.3-Albanian) | A handbook that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
63 | Download |
| Unemployment Insurance Information for Claimants(Arabic) (TC 318.3-Arabic) | A handbook that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
63 | Download |
| Unemployment Insurance Information for Claimants (Bengali) (TC 318.3-Bengali) | A handbook that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
64 | Download |
| Unemployment Insurance Information for Claimants (Chinese) (TC 318.3-Chinese) | A handbook that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
63 | Download |
| Unemployment Insurance Information for Claimants (French) (TC 318.3-French) | A handbook that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
63 | Download |
| Unemployment Insurance Information for Claimants (Italian) (TC 318.3-Italian) | A handbook that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
63 | Download |
| Unemployment Insurance Information for Claimants (Russian) (TC 318.3-Russian) | A handbook written in Russian that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
64 | Download |
| Unemployment Insurance Information for Claimants (Haitian Creole) (TC 318.3-Haitian Creole) | A handbook written in Haitian Creole that provides general information on eligibility for Unemployment Insurance benefits in New York State. | 64 | Download |
| Unemployment Insurance Information for Claimants (Polish) (TC 318.3-Polish) | A handbook written in Polish that provides general information on eligibility for Unemployment Insurance benefits in New York State. | 64 | Download |
| Unemployment Insurance Information for Claimants (Korean) (TC 318.3-Korean) | A handbook written in Korean that provides general information on eligibility for Unemployment Insurance benefits in New York State. | 63 | Download |
| Unemployment Insurance Information for Claimants (Spanish) (TC 318.4) | A handbook written in Spanish that provides general information on eligibility for Unemployment Insurance benefits in New York State. |
33 | Download |
| Document | Description/Purpose | Pages | Download |
|---|---|---|---|
| Agricultural Employment (IA 318.11) | Agricultural Employment | 2 | Download |
| Organized Camps (IA 318.16) | Organized Camps | 1 | Download |
| Performing Artists (IA 318.17) | Performing Artists | 7 | Download |
| Insurance Sales Industry (IA 318.18) | Insurance Sales Industry | 6 | Download |
| Newspaper and Shopping Guide Publishing Industry (IA 318.19) | Newspaper and Shopping Guide Publishing Industry | 4 | Download |
| Translating and Interpreting Industry (IA 318.20) | Translating and Interpreting Industry | 7 | Download |
| Tour Guide Industry (IA 318.21) | Tour Guide Industry | 4 | Download |
| Van Operators In The Moving Industry (IA 318.22) | Van Operators In The Moving Industry | 4 | Download |
| Magazine publishing industry (IA 318.23) | Magazine publishing industry |
4 | Download |
| Messenger Courier Industry (IA 318.24) | Messenger Courier Industry |
12 | Download |
| Guidelines for the Landman Industry (IA 318.25) | Guidelines for the Landman Industry | 2 | Download |
| Householder's Guide for Unemployment Insurance (IA 318.D) | Householder's Guide for Unemployment Insurance | 4 | Download |
| Indian Tribes (IOA 318IT) | Indian Tribes | 3 | Download |
| New York State Construction Industry Fair Play Act poster (P 738E) | How to know if a construction worker is an employee or an independent contractor. | 2 | Download |
| Document | Description/Purpose | Pages | Download |
|---|---|---|---|
| New York State Construction Industry Fair Play Act poster, in Spanish (P 738S) | How to know if a construction worker is an employee or an independent contractor, in Spanish. | 2 | Download |
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