Request help with Pandemic Unemployment Assistance (PUA)

Complete this form to provide my staff with information regarding issues with a Pandemic Unemployment Assistance (PUA) claim. 

If you are having issues with Unemployment Compensation (UC), Pandemic Emergency Unemployment Compensation (PEUC), Extended Benefits (EB), complete the UC assistance form at this link.

If your claim is under review, appeal, or adjudication my office cannot submit a legislative inquiry.

Last four digits of SSN *

Please reenter last four digits of your SSN to verify *

Claim effective date (MM/DD/YYYY) (This is found by accessing your PUA dashboard and clicking on 'Claim Summary') *

Does your PUA dashboard indicate any open issues? *

Have you successfully filed your weekly certifications for all available weeks? *

If you have successfully filed a weekly claim, are you still awaiting payment after 7 business days? If yes, list the date(s) of the week(s) you filed but did not receive payment and, if you worked during any of those weeks, your earnings for each week.

When you access the summary of your weekly certifications, please indicate which of these messages you see:

What weeks specifically do you see ‘In progress, pending, excessive earnings, or disqualified’? Please give us specific dates (MM/DD/YYYY) for weeks you are inquiring about.

Did you at any point open a claim for regular Unemployment Compensation? *