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  2. Forms Repository
  3. UCL-17500-E, Standard Affidavit Form

Standard Affidavit Form

Document Number: UCL-17500-E

Description: This form is provided to parties to UI appeal hearings for their use per statutory requirement.

Comments: Information on how to complete the form and where to send it is included in the second page of the form.

Content Contact: UI BOLA

Document Attachment: UCL-17500-E (pdf/143 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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