| Misconduct Questionnaire - Claimant (Form ADJ001FC) | 782888 | | | 9/27/2011 3:21:41 PM | State of Illinois Department of Employment Security www.ides.illinois.gov Claimant Information Si usted necesita un intérprete, póngase en contacto con su oficina local | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 4426 | 255 | | | | | | 0 | https://www2.illinois.gov/ides | 9/27/2011 3:21:41 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Retirement/Pension Pay Questionnaire - Claimant (Form ADJ006FC) | 782894 | | | 9/28/2011 1:24:42 PM | Retirement/Pension Pay Questionnaire - Claimant ADJ006FC Page 1 of 1 QU27CE Si usted necesita un intérprete, póngase en contacto con su oficina local | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 2983 | 227 | | | | | | 0 | https://www2.illinois.gov/ides | 9/28/2011 1:24:42 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Intervening Employment Questionnaire – Claimant (Form ADJ033FC) | 784666 | | | 9/28/2011 9:15:31 AM | State of Illinois Department of Employment Security www.ides.illinois.gov Claimant Information Si usted necesita un intérprete, póngase en contacto con su oficina local | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 55043 | 8297 | | | | | | 0 | https://www2.illinois.gov/ides | 9/28/2011 9:15:31 AM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Athlete or Ancillary Personnel Between Sports Seasons Questionnaire - Claimant (Form ADJ021FC) | 788287 | | | 9/27/2011 3:52:34 PM | Si usted necesita un intérprete, póngase en contacto con su oficina local Under Section 613 of the Illinois Unemployment Insurance Act, an individual shall be ineligible for | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 54511 | 8246 | | | | | | 0 | https://www2.illinois.gov/ides | 9/27/2011 3:52:34 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Trade Readjustment Allowance Questionnaire - Claimant (Form ADJ018FC) | 782906 | | | 10/5/2011 1:54:24 PM | State of Illinois Department of Employment Security www.ides.illinois.gov Claimant Information Si usted necesita un intérprete, póngase en contacto con su oficina local | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 646 | 32 | | | | | | 0 | https://www2.illinois.gov/ides | 10/5/2011 1:54:24 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Independent Contractor Questionnaire - Claimant (ADJ020FC) | 782907 | | | 2/22/2017 2:39:31 PM | Independent Contractor Questionnaire - Claimant Claimant Information: Last Name Did your employer set your wages and Did you receive one of the following forms from your employer | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 17711 | 228 | | | | | | 0 | https://www2.illinois.gov/ides | 2/22/2017 2:39:31 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Voluntary Leave Questionnaire - Employers (Form ADJ002FE) | 788348 | | | 9/27/2011 3:29:33 PM | will be used for the purpose of determining the claimant’s eligibility for benefits Did the claimant take any steps before leaving to explain or resolve the situation | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 4786 | 289 | | | | | | 0 | https://www2.illinois.gov/ides | 9/27/2011 3:29:33 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Academic Personnel Questionnaire for Employers (Form ADJ004FE) | 782893 | | | 9/27/2012 3:54:22 PM | Had the claimant been employed by an academic institution during a prior year or term In previous years, did the claimant’s employment end with the end of the academic year or | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 253 | 26 | | | | | | 0 | https://www2.illinois.gov/ides | 9/27/2012 3:54:22 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Interstate Intercept Claimant Agreement Statement (Form BPC039L) | 788307 | | | 8/25/2010 3:26:39 PM | Si usted necesita un intérprete, póngase en contacto con su oficina local I understand that the Unemployment Insurance Claim I filed against the State of Illinois was filed in | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 136 | 0 | | | | | | 0 | https://www2.illinois.gov/ides | 8/25/2010 3:26:39 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
| Misconduct Questionnaire - Employer (Form ADJ001FE) | 782889 | | | 9/27/2011 3:26:28 PM | However, failure to return this form may result in erroneous payment of Unemployment Was the claimant aware that he/she could be discharged for not complying with the rule or | STS_ListItem_DocumentLibrary | | | https://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx | 841 | 51 | | | | | | 0 | https://www2.illinois.gov/ides | 9/27/2011 3:26:28 PM | pdf | False | | pdf | | 15 | 15 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js |
