unemployment ONLINE aSSISTANCE CENTER
Report Unauthorized Change

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EXTREMELY IMPORTANT NOTE REGARDING THE ENTRY OF CONFIDENTIAL INFORMATION:
The form below requires confidential information. Therefore, it is vital for you to close your browser completely after submitting this form. This will prevent others from accessing the information you have entered. To close your browser, click the "x" in the top right-hand corner of the browser window.
 
IMPORTANT NOTE: Verify you completed the form and all information is accurate and matches your filed claim before you submit it.
 

You have accessed this page because you received a letter stating that you accessed or changed your unemployment benefits payment method or your address and you are certifying that you did not authorize this change.

* - Denotes required field

I certify 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. 

*I AGREE
 


* Full Name  

* SSN     (format = ######### - no dashes please)

* Mother's Maiden Name (for verification purposes):   

* Date of Birth (for verification purposes):    (MM/DD/YYYY)

Email Address: (to contact you only for confirmation)  

Contact Phone    

Based on the letter I received, I am reporting that (select one only): 

I did not access or change my unemployment payment benefits method 

I did not change my address on my unemployment claim 

  

VERY IMPORTANT NOTE: If the form instructs you to make changes AFTER pressing the "Submit" button, return to the form by pressing the "Back" button on your computer. This will retain the information you've already entered. If you press the "Return to the Form" link at the bottom of the page, you will lose all of the information you've previously entered.