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Claimant Forms and Publications

View our employer forms and publications

Forms (English)
Document Description/Purpose Pages Download
Summary of Unemployment Insurance Reforms for Claimants (TC411)

This document provides a summary of Unemployment Insurance reforms.

2 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
Work Search Record Form (WS5)

Use this form to list all of the employers and unions you contact each week while claiming regular or emergency unemployment compensation benefits.

2 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
Forms (Other Languages)
Document Description/Purpose Pages Download
Sinopsis de Tópicos Seleccionados de la reforma del Seguro por Desempleo para los Reclamantes (TC411S)

Sinopsis de Tópicos Seleccionados de la reforma del Seguro por  Desempleo para los Reclamantes.

2 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)
(T402N nëse nuk 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 T402B) (결격 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 (WS 5S 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.

2 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
Publications (English)
Document Description/Purpose Pages Download
UI Reform for Claimants (p823)

This Fact Sheet talks about changes the Unemployment Insurance program.

2 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
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:
  • Who is eligible
  • How to apply for DUA
  • Where to go for more information
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.  1 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
Publications (Other Languages)
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 318.7S)

UI benefits while you are in training. Spanish version. 

1 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
Industry Specific Guides (English)
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
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
Industry Specific Guides (Other Languages)
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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