Sample Forms

Documentation is the key to winning a claim for unemployment benefits. 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.

Additionally, we created this Payroll Calculator to assist members in determining their excess and taxable wages.  Simply enter in employees wages and your rate.  The calculator will do the calculation for you each quarter.

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.