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Misconduct Questionnaire - Claimant (Form ADJ001FC)7828889/27/2011 3:21:41 PMState 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx44262550https://www2.illinois.gov/ides9/27/2011 3:21:41 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Retirement/Pension Pay Questionnaire - Claimant (Form ADJ006FC)7828949/28/2011 1:24:42 PMRetirement/Pension Pay Questionnaire - Claimant ADJ006FC Page 1 of 1 QU27CE Si usted necesita un intérprete, póngase en contacto con su oficina local STS_ListItem_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx29832270https://www2.illinois.gov/ides9/28/2011 1:24:42 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Intervening Employment Questionnaire – Claimant (Form ADJ033FC)7846669/28/2011 9:15:31 AMState 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx5504382970https://www2.illinois.gov/ides9/28/2011 9:15:31 AMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Athlete or Ancillary Personnel Between Sports Seasons Questionnaire - Claimant (Form ADJ021FC)7882879/27/2011 3:52:34 PMSi 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx5451182460https://www2.illinois.gov/ides9/27/2011 3:52:34 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Trade Readjustment Allowance Questionnaire - Claimant (Form ADJ018FC)78290610/5/2011 1:54:24 PMState 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx646320https://www2.illinois.gov/ides10/5/2011 1:54:24 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Independent Contractor Questionnaire - Claimant (ADJ020FC)7829072/22/2017 2:39:31 PMIndependent 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx177112280https://www2.illinois.gov/ides2/22/2017 2:39:31 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Voluntary Leave Questionnaire - Employers (Form ADJ002FE)7883489/27/2011 3:29:33 PMwill 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx47862890https://www2.illinois.gov/ides9/27/2011 3:29:33 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Academic Personnel Questionnaire for Employers (Form ADJ004FE)7828939/27/2012 3:54:22 PMHad 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx253260https://www2.illinois.gov/ides9/27/2012 3:54:22 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Interstate Intercept Claimant Agreement Statement (Form BPC039L)7883078/25/2010 3:26:39 PMSi 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx13600https://www2.illinois.gov/ides8/25/2010 3:26:39 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js
Misconduct Questionnaire - Employer (Form ADJ001FE)7828899/27/2011 3:26:28 PMHowever, 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_DocumentLibraryhttps://www2.illinois.gov/ides/IDES Forms and Publications/Forms/AllItems.aspx841510https://www2.illinois.gov/ides9/27/2011 3:26:28 PMpdfFalsepdf1515~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_PDF.js

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