Trade Act Forms
Formas de Ayuda De Ajuste Comercial
Advisory With the exception of forms in section A. Application Materials, all other forms should only be used under the direction of a Connecticut Department of Labor TAA representative.
A. Application Materials
B. Benefit Rights Information (BRI)
Participant’s Guide to TAA in Connecticut (PDF)
Spanish Participant’s Guide to TAA in Connecticut
Benefits Overview Acknowledgement Form (PDF)
Spanish Benefits Overview Acknowledgement Form
BRI Recorded Webinar
BRI PowerPoint Presentation
Spanish BRI PowerPoint Presentation
C. Case Management & Assessments
Suitable Employment Checklist
JS-54 Reemployment Assessment
DOL-128: Job Search Skills Assessment
DOL-118: Career Development Plan
DOL-128A (Job Search Skills Enhancement)
DOL-130 (Assessment Guide)
My Next Move Assessment - What do you want to do for a living?
14-02 Case Management Checklist
D. Training Related
Training Proposal
Checklist Training Plan
JS-52: Training Proposal for Worker
JS-52: Training Proposal for Provider
JS-52: Bona fide Training Application
TAA-4: Six Criteria for Approval
TAA-5: Breaks in Training
TAA-6: Income Support
TAA-7: Financial Aid
TAA-8: Labor Market Information
TAA-9: Course Outline with Benchmarks
JS 50: Comparison Worksheet
FERPA Form Disclosure Form
TAA-157: Training Responsibilities
Signatory Page
Other Training Related
Policy 14-03: Allowable Training-Related Purchases and Expenses
TAA-159: Reemployment Questions and Answers for Workers in TAA Training
JS-52B: Benchmarks Progress and Attendance
JS-53M: Training Modification
Training Modification Checklist
Request to Withdraw from TAA Training
Computer Request Form
E. TRA-Related Forms
Form TAA-3: Weekly Training Report/Request for Allowances by Worker in Training
Form TRA-1100: Weekly TRA Claim Form
Form TRA-1100: Weekly TRA Claim Form - Spanish
Form TRA-229: TRA Work Search Requirements
UC-230 Work Search Log Sheet
Weekly Job Search/Training Log
Form UC-570: Job Prospects Classification
TRA Request Forms
TRA-856: Request For Extension of Training Enrollment Deadline
TRA-89AD Request for Additional TRA for Worker in Training
TRA-90: Request For Completion TRA For Worker in Training
TRA Earnings Disregard
Form TRA-866: TRA Earnings Disregard
Form TRA-866A TRA Earnings Disregard/TRA Claims Log
Waiver Forms
Waiver Advisement Form
TRA Filing Option
TRA-865: Trade Readjustment Allowance Filing Option Advisory and Election
TRA-865A: Trade Readjustment Allowance Notice of Filing Option and Election
F. Reemployment Trade Adjustment Assistance (RTAA) Application
RTAA Fact Sheet
RTAA-1: Reemployment Trade Assistance (RTAA) Application
RTAA Submission Checklist
G. Job Search Allowances
Form TAA-861: Request for Job Search Allowance
Form TAA-861B: Job Search Request for Final Payment
TAA-861C: Job Search Fact Sheet
H. Relocation Allowances
Form TAA-860: Request For Relocation Allowances
Form TAA-860B: Relocation Allowance Upon Completion
Form TAA-860C: Relocation Allowance Process & Fact Sheet
I. Agency Vendor Forms
State of Connecticut Agency Vendor Form/SP-26NB and Request for Taxpayer Identification Number
Request For Taxpayer Identification Number and Certification (Form W-9)
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