States across the nation continue to see an extraordinary number of claims filed as a result of identity theft. DES has become aware that some Arizona residents are receiving notices and benefit cards at their address with the names of individuals who do not reside at that location. This is the result of criminals attempting to obtain funds from the new federal Pandemic Unemployment Assistance (PUA) program by using randomly selected in-state addresses during the application process. More information regarding unemployment fraud can be found here. To report fraud, file a report online or call the DES Fraud Hotline at 1 (800) 251-2436.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 07/01/2019 |
|
WIA-1027B | WIOA Title IB Eligibility Checklist | 03/01/2016 |
|
WIO-1027A | WIOA Title IB Applicant Statement | 05/01/2019 |
|
WIO-1084A | WIOA Title I-B Adult and Dislocated Worker Incentive Approval Request Form | 12/01/2018 |
|
WIO-1079A | WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 | 04/01/2018 |
|
WIA-1017A | WIA Youth Program - Service Design and Program Delivery / Provider Identification | 02/01/2009 |
|
ETA-83 | Weekly Request for Assistance Disaster Relief Act of 1974 | 07/01/2018 |
|
UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits | 09/01/2020 |
|
UIB-1245A | Weekly Claim for Pandemic Unemployment Assistance (PUA) Benefits | 05/01/2020 |
|
CSE-1016A | Waiver of Paternity Affidavit (Eng/Span) | 06/01/2020 |
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