I filed a claim for unemployment because of a temporary shutdown due to
COVID-19 however my employer decided to pay me. I would like to cancel my
claim for unemployment.
Before submitting this form please verify that all required information is
fully completed and that all information matches what you would have
provided to the Department of Labor when you originally filed your claim.
By submitting this form, you are
requesting that we cancel the unemployment claim you filed because
of a COVID-19 temporary shutdown, because your employer has decided
to pay you.
* - Denotes
that I am the claimant indicated below. I understand that the law
provides penalties for making false statements or any
misrepresentation to obtain unemployment benefits.
* Full Name:
(format = ######### - no dashes please)
* Mother's Maiden Name (for
* Date of Birth (for
Email Address: (to contact you
only for confirmation)
Address (or Town/State):
I understand that I will be liable to
repay any benefits that have already been paid to me.
I further understand that if I become
unemployed in the future, I may file another claim for benefits
by going to www.filectu.com and clicking the blue button.