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Unemployment Benefit Forms for Download

Unemployment Benefit Forms

 
Name Format Size Description
Benefit Rights Information - Full Version Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 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 Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 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) Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 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) Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 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 Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 74 KB Form 4065-T Request for Transcript of Tax Return for individuals who are self-employed
Fraud Reporting Form for Unemployment Insurance Benefits Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 263 KB  
LWC - Certificate Of Attendance Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 105 KB Louisiana Workforce Commission - Certificate of Attendance for Unemployment Insurance while receiving training.
LWC - Form 130 Approved Training Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 23 KB LWC - 130 UI - Louisiana Workforce Commission Form for approved training while receiving Unemployment Insurance.
Medical Statement Request for Information Form New Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 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 Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 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 Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 44 KB LWC-858A
TRA Weekly Request for Allowances by Job Seeker Not in Training Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 289 KB LWC-858B
Unemployment Insurance Federal Tax Withholding Description: https://www.louisianaworks.net/hire/admin/gsipub/htmlarea/uploads/pdf-icon.png 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