In the process of filing a claim you will be providing your SSN, Name, Address, Contact, and other Personally Identifiable Information (PII).
Please make sure you exit this application using the buttons provided and close all browser windows. Some mobile devices may not be compatible with this application.
ALERT : The browser you are using has an autofill feature that might fill in unwanted data in the fields. Please *check data in every field* before submitting.
I Understand and Agree.
Cancel & Exit
Browser Settings & Info
©2016 - Division of Employment Security
The Division of Employment Security is an Equal Opportunity Employer/Program