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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
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Download Number Form Name Effective Date
UB-130A Work History 03/01/2018
UB-130A-S Experiencia de Trabajo 03/01/2018
UB-192 Employment Listing 05/01/2016
UB-192-S Employment Listing (Spanish) 05/01/2016
UB-194-FF Employer Verification or Requalifying Earnings 05/01/2016
UB-195-FF Affidavit as to Forged Endorsement 08/01/2017
UB-195-FF-S Affidavit as to Forged Endorsement (Spanish) 08/01/2017
UB-217-C-FFS Wage Protest (Spanish) 08/01/2016
UB-217-FF Wage/Employment Investigation Request 11/01/2016
UB-217C Wage Protest 05/01/2018

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