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Report someone who claimed your UI benefits without your knowledge.
Your name:
Last 4 digits of your SSN:
Your address:
Your telephone number:
xxx-xxx-xxxx
Your date of birth (mm-dd-yyyy):
Your e-mail address (
optional
):
Name of the person who filed UI benefits without your knowledge:
Their telephone number:
xxx-xxx-xxxx
The last four digits of their SSN:
Their home address:
Their date of birth
(mm-dd-yyyy):
How did this person obtain your pin?
For what weeks did they file for benefits?
Provide a brief description of your concerns:
Submit