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Technical Support Feedback and Problem Report


If you are experiencing technical difficulties with the Internet Initial Claim Application for Benefits or the Internet Continued Claims, please complete this form and we will research the problem.

NOTE:
This form is for technical support for the Internet Initial Claim or the Internet Continued Claim only. If you have a question about Unemployment Insurance, your claim for benefits, our online forms, etc., please use the Unemployment Insurance Inquiry form.

In order for us to identify the reasons for the difficulty, we need to collect information on your browser and your operating system. We do not use it for any purpose other than researching the solution to the problem.

Please leave your name and either an email address or a telephone number if you would like someone to get back to you.

Internet Claims Applications Technical Support Form
1. First Name:
2. Last Name:
3. Do you want to be contacted?  Yes       No
4. Email Address:
5. Telephone Number:
6. Please indicate if you are
having a problem with :
Initial Claim   or   
Continued Claim
7. Browser:
8. Operating System:
9. Please describe the problem in detail:
Please limit your entry to 1000 characters, including spaces.

 

 

Characters left:

  Do not provide your Social Security Number -- this form will not be seen by anyone who can answer specific claim questions
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