60BB-3.029. Public Use Forms (Transferred)  


Effective on Sunday, November 27, 2011
  • 1(1) The following forms and instructions are used by the Agency for Workforce Innovation in its dealings with the public in the administration of the unemployment compensation program, and are incorporated by reference:

    34(a) AWI Form ERWC – “Employee’s or Employer’s Authorization and Request for Wage Records” (New 02/06), which is available at the Agency’s Internet site at 59http://www.floridajobs.org/unemployment/uc_emp_forms.html60.

    61(b) AWI Form AWA-01 – “Notarized Authorization for Release of Records” (Rev. 03/05), which is available at the Agency’s Internet site at 83http://www.floridajobs.org/unemployment/uc_emp_forms.html84.

    85(c) IB-1 – “Initial Interstate Claim” (Rev. 10/07), which may be found by going to the Agency’s Internet site at 105http://www.floridajob106s107.or108g109/unemployment/uc_claimbooklet.html 110and clicking on the “Florida Unemployment Compensation Claims Services/ Claim Book” link. 

    122(d) IB-1(S) – “Initial Interstate Claim” (Spanish version) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 144http://www.flori145d146ajobs.org/unemployment/uc_claimbooklet.html 147and clicking on the link beginning with the phrase “Haga clic aqui para acceder”.

    161(e) IB-1(C) – “Initial Interstate Claim” (Creole version) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 183http://www.flori184d185ajobs.org/unemployment/uc_claimbooklet.html 186and clicking on the link beginning with the phrase “Chwazi sa a pou”.

    199(f) AWI Form UC-310 – “Unemployment Compensation Application for Services” (Rev. 10/07) which may be found by going to the Agency’s Internet site at 223http://www.floridajobs.org/unemployment/uc_claimbooklet.html 224and clicking on the “Florida Unemployment Compensation Claims Services/ Claim Book” link.

    236(g) AWI Form UC-310(S) – “Unemployment Compensation Application for Services” (Spanish version) (Rev. 10/07) which may be found by going to the Agency’s Internet site at 262http://www.floridajobs.org/unemployment/uc263_264claimboo265k266let.html 267and clicking on the link beginning with the phrase “Haga clic aqui para acceder”.

    281(h) AWI Form UC-310(C) – “Unemployment Compensation Application for Services” (Creole version) (Rev. 10/07) which may be found by going to the Agency’s Internet site at 307http://www.floridajobs.org/unem308p309lo310y311men312t313/uc_claimbooklet.html 314and clicking on the link beginning with the phrase “Chwazi sa a pou”.

    327(i) AWI Form UC-310 Supplement (Rev. 10/07) which may be found by going to the Agency’s Internet site at 346http://www.flor347i348dajobs.org/une349m350ployme351n352t/uc353_354claimbooklet.html 355and clicking on the “Florida Unemployment Compensation Claims Services/Claim Book” link. 

    366(j) AWI Form UC-310(S) Supplement (Rev. 10/07) which may be found by going to the Agency’s Internet site at 385http://www.floridajobs.org/unemployment/uc_claimbooklet.html 386and clicking on the link beginning with the phrase “Haga clic aqui para acceder”.

    400(k) AWI Form UC-310(C) Supplement (Rev. 10/07) which may be found by going to the Agency’s Internet site at 419http://www.floridajobs.org/unemployment/uc_claimbooklet.html 420and clicking on the link beginning with the phrase “Chwazi sa a pou”.

    433(l) AWI Form UCB/STC-3 – “Short Time Compensation Plan Application” (Rev. 11/01).

    445(m) AWI Form UCB-9 (04/01).

    450(n) AWI Form UCB-11 – “Wage Transcript and Determination” (Rev. 01/08).

    461(o) AWI Form UCB-34 (09/01).

    466(p) AWI Form UCB-45 – “Notice of Determination” (Rev. 02/08).

    476(q) AWI Form UCB-60 – “Weekly Claim Certification” (Rev. 02/03).

    486(r) AWI Form UCB-121E (01/07).

    491(s) Employer Notification Letter (01/07).

    496(t) AWI Form UCB-200 “Unemployment Compensation Fact-Finding Statement” (06/08).

    505(u) AWI Form UCB-200LD “Labor Dispute” (06/08).

    512(v) AWI Form UCB-201 (06/08).

    517(w) AWI Form UCB-202 (06/08).

    522(x) AWI Form UCB-204 (06/08).

    527(y) AWI Form UCB-205 (06/08).

    532(z) AWI Form UCB-205SIF (06/08).

    537(aa) AWI Form UCB-206 “Reporting Requirements” (06/08).

    544(bb) AWI Form UCB-207 “Unemployment Compensation Fact-Finding Statement” (06/08).

    553(cc) AWI Form UCB-208 “Voluntary Leaving” (06/08).

    560(dd) AWI Form UCB-209 “Employment Status” (06/08).

    567(ee) AWI Form UCB-209L (06/08).

    572(ff) AWI Form UCB-209S “Suspension” (06/08).

    578(gg) AWI Form UCB-211 “School Attendance/Training” (06/08).

    585(hh) AWI Form UCB-219 “Reemployment Services Eligibility Issues” (06/08).

    594(ii) AWI Form UCB-221 “Worker Profiling and Reemployment Services Assessment” (06/01).

    605(jj) AWI Form UCB-231 “Claimant’s Eligibility Review Questionnaire” (06/08).

    614(kk) AWI Form UCB-412 – “Determination Notice of Unemployment Claim Filed” (Rev. 07/11).

    627(ll) Form AWI-UCW4VT (Rev. 10/07), which may be found by going to the Agency’s Internet site at 644http://www.floridajobs.org/unemployment/uc_c645l646aimbooklet.html 647and clicking on the “Florida Unemployment Compensation Claims Services/Claim Book” link.

    658(mm) Form AWI-UCW4VFL (S) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 676http://www.floridajobs.org/unemployment/uc_claimbooklet.html 677and clicking on the link beginning with the phrase “Haga clic aqui para acceder”. 

    691(nn) Form AWI-UCW4VFL (C) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 709http://www.floridajobs.org/unemployment/uc_claimbooklet.html 710and clicking on the link beginning with the phrase “Chwazi sa a pou”.

    723(oo) Form AWI-UC20A (Rev. 10/07), which may be found by going to the Agency’s Internet site at 740http://www.floridajo741b742s.org/unemployment/uc_bri.html 743and clicking on the “Florida Unemployment Compensation Program/Benefit Rights” link.

    753(pp) Form AWI-UC20A (S) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 771http://www.floridajobs.org/unemployment/uc_bri.html 772and clicking on the link beginning with the phrase “Oprima aqui para recibir”.

    785(qq) Form AWI-UC20A (C) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 803http://www.floridajobs.org/unemployment/uc_bri.html 804and clicking on the link beginning with the phrase “Pou ou ka itilize”.

    817(rr) UC Bulletin 1E (Rev. 10/07), which may be found by going to the Agency’s Internet site at 835http://www.floridajobs.org/unemployment/uc_bri.html 836and clicking on the “Florida Unemployment Compensation Program/Benefit Rights” link.

    846(ss) UC Bulletin 1S (Rev. 10/07), which may be found by going to the Agency’s Internet site at 864http://www.floridajobs.865o866rg/unemployment/uc_bri.html 867and clicking on the link beginning with the phrase “Oprima aqui para recibir”.

    880(tt) UC Bulletin 1C (Rev. 10/07), which may be found by going to the Agency’s Internet site at 898http://www.flori899d900ajobs.or901g902/unemployment/uc_bri.html 903and clicking on the link beginning with the phrase “Pou ou ka itilize”.

    916(uu) UC100T (Rev. 10/07), which may be found by going to the Agency’s Internet site at 932http://www.floridajo933b934s.org/unemployment/uc_claimbooklet.html 935and clicking on the “Unemployment Compensation Claims Services/Claim Book” link.

    945(vv) UC100FL(S) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 961http://www.floridajobs.org/unemployment/uc_claimbooklet.html 962and clicking on the link beginning with the phrase “Haga clic aqui para acceder”.

    976(ww) UC100FL(C) (Rev. 10/07), which may be found by going to the Agency’s Internet site at 992http://www.floridajobs.org/993u994nemployment/uc_claimbooklet.html 995and clicking on the link beginning with the phrase “Chwazi sa a pou”.

    1008(xx) Online Internet Unemployment Compensation Claim Application (11/07), which is available at 1020www.fluidnow.com1021.

    1022(yy) Online Internet Unemployment Compensation Claim Application (Spanish version) (11/07), which is available at 1036www.fluidnow.com1037.

    1038(zz) AWI Form UCS-6061 “Independent Contractor Analysis” (Rev. 11/05).

    1047(2) These forms may be obtained by:

    1054(a) Writing to the Agency for Workforce Innovation, Unemployment Compensation Records Unit, P. O. Drawer 5750, 1070Tallahassee, 1071FL 107232314-57501073.

    1074(b) Faxing a request to the Agency’s UC Records Unit at (850) 921-3912.

    1087(c) Calling the UC Records Unit at (850) 921-3470.

    1096Rulemaking Authority 1098443.1317(1)(b) FS. 1100Law Implemented 1102443.171(5), 1103443.1715(1), 1104(2)(b)1. FS. History–New 6-4-06, Amended 8-14-08, 11-27-11.

     

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