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1. Declaration Header: Statement identifying document as affidavit and affiant
2. Personal Information: Affiant's identifying information including name, address, SSN
3. Employment History: Details of most recent employment and reason for unemployment
4. Unemployment Statement: Declaration of current unemployment status and period
5. Verification Statement: Sworn statement of truth and accuracy
6. Signature Block: Affiant signature, date, and notary section
1. Job Search Activities: Documentation of job search efforts, used when required by state law
2. Income Declaration: Statement of other income sources, used when claiming partial benefits
3. COVID-19 Impact Statement: Statement regarding pandemic impact, used for pandemic-related claims
1. Job Search Log: Detailed record of job applications and employer contacts
2. Supporting Documentation: Copies of termination notice, pay stubs, or other relevant documents
3. State-Specific Forms: Additional forms required by specific state unemployment offices
Unemployment
Benefits
Unemployment Insurance
Base Period
Benefit Year
Weekly Benefit Amount
Wages
Employment
Last Employer
Job Search Activities
Suitable Work
Available for Work
Able to Work
Calendar Quarter
Work Search Requirements
Qualifying Wages
Separation from Employment
Good Cause
State Workforce Agency
Benefit Eligibility Period
Certification Period
Total Unemployment
Partial Unemployment
Regular Employment
Severance Pay
Other Income
False Statement
Perjury
Declaration of Truth
Statement of Unemployment Status
Employment History
Reason for Separation
Availability for Work
Income Declaration
Job Search Compliance
Receipt of Other Benefits
Notification of Changes
Acknowledgment of Rights
Penalties for False Statements
Privacy and Data Protection
Certification of Understanding
Information Release Authorization
State Law Compliance
Document Authentication
Contact Information
Benefit Eligibility
Prior Employment Verification
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