Sample Forms

Documentation is the key to winning a claim for unemployment benefits. Therefore, we provide sample forms to assist our members in documenting incidents or events that may occur in the workplace.

Listed below are three sample forms that can be used to document and issue either a disciplinary warning, conduct an exit interview or document a request for a leave of absence. Depending on the separation reason, these forms could then be used as proof if a claim is ever filed for unemployment benefits.

Members are not required to use these forms and they are only provided as a convenience to assist members who may not have a formal documentation process in place.

If you have any suggestions or ideas for other sample forms, please contact the Administrator via e-mail or at 800-968-9675.