DETR - Unemployment Insurance Benefits Forms

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Forms Sorted Alphabetically:

Forms Sorted Alphabetically
Affidavit Concerning Deceased or Incompetent Person Instructions for NUCS-4172	NUCS-4172
Affidavit of Identity	NUCS-4128ID
Claimant's Affidavit of Federal Civilian Services, Wages and Reason for Separation Instructions for ES-935	ES-935
Information For the Unemployed Worker	NUCS-4139
Medical Statement Instructions for NUCS-4194	NUCS-4194
Petition for Trade Adjustment Assistance Instructions for ETA-8560	ETA-8560
School Attendance Questionnaire	NUCS-4345
Stop Pay Order and Affidavit of Lost or Destroyed Warrant Instructions for NUCS-4360	NUCS-4360

Forms Sorted by Form Number:

Forms Sorted by Form Number
ES-935	Claimant's Affidavit of Federal Civilian Services, Wages and Reason for Separation Instructions for ES-935
ETA-8560	Petition for Trade Adjustment Assistance Instructions for ETA-8560
NUCS-4128ID	Affidavit of Identity
NUCS-4139	Information For the Unemployed Worker
NUCS-4172	Affidavit Concerning Deceased or Incompetent Person Instructions for NUCS-4172
NUCS-4194	Medical Statement Instructions for NUCS-4194
NUCS-4345	School Attendance Questionnaire
NUCS-4360	Stop Pay Order and Affidavit of Lost or Destroyed Warrant Instructions for NUCS-4360

Second Language Forms:

Spanish Language Forms
Solicitud de Asistencia Para Ajuste	ETA-9042A-1
Instrucciónes Y lnformación Para Hacer el reclamo	NUCS-4001SFI

Contact Information:

Nevada Department of Employment, Training & Rehabilitation
DETR
500 E. Third Street
Carson City, NV 89713

For questions specific to your claim, please contact:

Clark County only DETRUI-S@nvdetr.org
All other inquiries DETRUI-N@nvdetr.org

Department of Employment, Training and Rehabilitation
Employment Security Division
500 East Third Street
Carson City, Nevada 89713-0021

E-mail

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