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  2. Forms Repository
  3. UCB-16871-E, Information Request

Information Request

Document Number: UCB-16871-E

Description: Use this form to submit your Unemployment Insurance Information Request.

Comments: Requests are completed in the order they are received and multiple submissions of the same requests only delay the response time. Special requests such as Rush, Urgent and ASAP will not be honored.

Content Contact: Benefit Operations Staff

Document Attachment: UCB-16871-E (Electronic Version - pdf/88 KB)

NOTE: When using Google Chrome, you may notice overlapping text when you select file, print. Deselect the 'fit to page' option and the text will no longer overlap.

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.

Contact Information

For questions about this form, or if you need this form in an alternate format, please see the Content Contact (listed to the left)

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