Employment Security Division
UI Claimant Forms
Forms Sorted Alphabetically |
|
|---|---|
| Affidavit Concerning Deceased or Incompetent Person | NUCS-4172 |
| Claimant's Affidavit of Federal Civilian Services, Wages and Research Separation - Instructions for ES-935 | ES-935 |
| Medical Statement - Instruction for NUCS-4194 | NUCS-4194 |
| Petition for Trade Adjustment Assistance (TAA) | ETA-9042 |
| School/Training Attendance Notification Form | NUCS-4345N |
| Work Search Record | NUCS-4482R |
| Sample of Completed Work Search Record | NUCS-4482R (Sample) |
Spanish Language Forms |
|
| Solicitud de Assistencia Para Ajuste (TAA) | ETA-9042A-1 |
| Registro de Busqueda de Trabajo | NUCS-4482R |
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NV Relay 711 or 800-326-6868
An equal opportunity employer/program.
Auxiliary aids and services available on request by individuals with disabilities
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