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The Wooddale Office in Baton Rouge is temporarily closed. Workforce services can be received at 4523 Plank Road, Baton Rouge, LA 70805.
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Unemployment Benefit Forms for Download
Open Modal
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
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