HiRE - Unemployment Benefit Forms for Download

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Unemployment Benefit Forms for Download

Unemployment Benefit Forms

Name	Format	Size	Description
Benefit Rights Information - Full Version		252 KB	Full version of Benefit Rights Information handbook, which explains the rights and responsibilities of persons who file a new claim for Unemployment Insurance (UI) benefits.
Benefit Rights Information – Abbreviated Version		470 KB	Abbreviated version of the Benefits Rights Information document. This information is mailed to persons when a new claim is filed for Unemployment Insurance (UI) benefits and explains their rights and responsibilities.
Benefit Rights Information - Pandemic Unemployment Assistance (PUA)		455 KB	Benefit Rights Information for Pandemic Unemployment Assistance (PUA), which explains the rights and responsibilities of persons who file a new claim for Pandemic Unemployment Assistance (PUA) benefits.
Easy Call Instructions (Claimants)		74 KB	Instructions for unemployment insurance claimants on using the interactive voice response system to file weekly claims for UI benefits
Form 4506-T Request for Transcript of Tax Return		74 KB	Form 4065-T Request for Transcript of Tax Return for individuals who are self-employed
Fraud Reporting Form for Unemployment Insurance Benefits		263 KB
LWC - Certificate Of Attendance		105 KB	Louisiana Workforce Commission - Certificate of Attendance for Unemployment Insurance while receiving training.
LWC - Form 130 Approved Training		23 KB	LWC - 130 UI - Louisiana Workforce Commission Form for approved training while receiving Unemployment Insurance.
Medical Statement Request for Information Form New		38 KB	LWC-562 (INTERNET) - Medical statement request for information form used to render an equitalble determination on your claim for benefits.
Rules for UI Appeals & Employment Security Law		73 KB	Louisiana laws regulating the unemployment compensation system including Administrative Rules outlining the appeal process for unemployment claims
TRA Weekly Request for Allowances by Job Seeker in Training		44 KB	LWC-858A
TRA Weekly Request for Allowances by Job Seeker Not in Training		289 KB	LWC-858B
Unemployment Insurance Federal Tax Withholding		22 KB	LWC-ES 494 - Unemployment Insurance Claimants Federal Income Tax Withholding Program
Benefit Rights Information - Pandemic Unemployment Assistance (PUA)		456 KB	Important Information Concerning Your Pandemic Unemployment Assistance Claim