PA UC Handbook
PA UC Handbook
Compensation Handbook
Statements in this handbook are intended for informational purposes only. If there is a confict between information in
this booklet and the provisions of the Pennsylvania Unemployment Compensation (UC) Law, the Law prevails.
Auxiliary aids and services are available upon request to individuals with disabilities.
Equal Opportunity Employer/Program.
UCP-1 REV 10-22
TABLE OF CONTENTS
ABOUT THIS HANDBOOK 2
PURPOSE OF THE CLAIMANT HANDBOOK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
CONTACT INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
LANGUAGE ASSISTANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMOUNT OF UC BENEFITS 5
WAITING WEEK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
DEDUCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
UC FRAUD 12
EXAMPLES OF UC FRAUD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
PENALTIES FOR UC FRAUD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
WHAT WE DO TO STOP UC FRAUD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
REPORT SUSPECTED FRAUD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
APPEAL RIGHTS 13
HOW TO SUBMIT AN APPEAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
THE APPEAL PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
REMAINING ELIGIBLE DURING YOUR APPEAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
APPENDICES 14
APPENDIX A – LOGGING INTO UNEMPLOYMENT COMPENSATION (UC) BENEFIT SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
PASSWORD RESET. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
USERNAME RETRIEVAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
FORGOT USERNAME AND PASSWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
APPENDIX B – GLOSSARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
APPENDIX C – SAMPLE WORK SEARCH LOG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
APPENDIX D - LEGAL DISCLOSURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
CONTACT INFORMATION
There are many ways to contact us:
Go to our Website
Visit: [Link] for additional information including answers to Frequently Asked Questions (FAQs).
Call Us
888-313-7284
Monday - Friday from 8 AM – 4 PM EST
Email Us
uchelp@[Link]
UC Live Chat
Visit: [Link]/Chat and select the chat icon on the right-side of your screen to register for live chat services.
Monday - Friday from 8 am - 4 pm EST.
LANGUAGE ASSISTANCE
Free services are available to assist you if you do not speak English. For assistance in a language other than English, please call 888-313-7284.
Hay servicios gratuitos disponibles para ayudarlo si no habla inglés. Para obtener asistencia en un idioma que no sea inglés, llame al 888-313-7284.
Our agency will review your claim to determine if you qualify for benefits. We will not be able to tell anyone in advance if they will be eligible for a
claim. We look at these three criteria after you open your claim:
1. How much did you work in the 18 months before filing a claim?
You must be financially eligible and have earned enough wages and have enough weeks of work in your employment history
prior to filing a claim. If you did not earn enough wages and work enough weeks, you will not be eligible for benefits.
2. Why are you no longer working for your past employer?
The reason you are no longer employed or working reduced hours helps determine whether you can receive UC benefits. Below
are some examples of separation reasons that may qualify or disqualify you from receiving benefits.
You may receive benefits if you: You may not receive benefits if you:
ü Were laid off or your hours were reduced because your X Left your job for personal reasons unrelated to work
employer did not have enough work for you X Were terminated for misconduct
ü Left your last job and can show it was for good cause X Are not legally authorized to work in the United States
related to the job (such as unsafe working conditions) X Are self-employed
ü You were discharged from your job for reasons that are
not considered willful misconduct
ü Register for reemployment services with PA CareerLink®
online at [Link] within 30 days of
filing your claim for UC benefits
A department representative may contact you and/or your employer to discuss the reason for your separation from work.
If you or your employer disagree on the reason for your unemployment you will be given a chance to explain your side of the
story via a phone call. If benefits are denied, you will receive a written determination, which you can appeal.
3. Are you able and available to work?
To qualify for UC benefits you must be:
• Actively looking for work
• Mentally and physically able to work
• Legally authorized to work in the United States
• Available to accept work (for example, you do not have personal responsibilities that would prevent you from working)
If you are eligible for UC benefits, you may receive your payment:
• Through direct deposit – This option puts money directly into your checking account.
o If you received UC benefits by direct deposit within 12 months of filing your current claim/application, and your bank account is still active,
direct deposit will carry over to your current UC claim.
o If the bank account you previously used was closed or you need to make changes, you should request to stop direct deposit. If you stop
direct deposit, you will be switched to a debit card, unless you provide new bank information.
• On a debit card – This option provides you with a debit card from the commonwealth’s chosen debit card provider. You can make purchases,
get cash, and pay bills everywhere debit is accepted.
o If you do not have a direct deposit account on file, you will automatically be issued a debit card. You may switch to direct deposit if that
is your preferred payment method.
Debit cards are initially mailed to you so that you are ready when benefits are paid. There will be no money on the debit card until you have been
determined eligible for benefits, file your weekly claims, and the benefits are paid to you.
Please visit Direct Deposit of UC Benefits at [Link]/DirectDeposit or Payment Options at [Link]/DebitCard to access online forms,
find instructions and learn more. If you have any questions about your payment method, please call the Pennsylvania Treasury, at 877-869-1956.
AMOUNT OF UC BENEFITS
After you file a claim for UC benefits, you will receive a Monetary Determination, or Notice of Financial Determination (Form UC-44F), in the mail.
The Notice of Financial Determination explains:
• The amount of benefits you are eligible to receive, if you become approved, and how that amount was calculated
• The number of full weeks you will be eligible for benefits. If you report earnings and collect partial benefits, the number of weeks will be
extended -- not to exceed 52 weeks.
• Information about how to file an appeal or request a monetary reconsideration if you disagree with the determination
Please review the UC Benefits Financial Charts ([Link]/FinancialCharts) for the maximum amount of benefits you can receive per week in Pennsylvania.
WAITING WEEK
The first week of your claim is considered a waiting week. You must file a payment
request, or weekly certification and meet all eligibility requirements during this week,
but you will not be paid. Your payments will start the following week, assuming you
are still eligible for benefits and fulfill all requirements.
For example, consider a situation where John lost his job on the first Monday of the
month and filed an initial claim for UC benefits on the same day. Even though John
submits a certification for the first week of benefits, he will not be paid for this
waiting week.
The next week, if John fulfills all eligibility requirements, he will be eligible to receive
payment. See the Maintaining Your UC Eligibility section for more details on the
continuing eligibility requirements.
Benefit Reduction
UC Law requires a benefit reduction when the balance in the Pennsylvania UC Trust fund is low. This money is taken from the weekly benefits of all claimants
to repay the trust fund. This amount is a percentage of your total benefits which changes year to year. Your Notice of Financial Determination will show
you the percentage.
Earnings
UC Law requires you report all work and earnings, including tips and commissions each week, Sunday through Saturday. You must report all gross earnings,
even if you have not yet received payment from your employer. If you are working part-time, you may still be eligible for partial UC benefits. Be sure to report
any earnings from part-time work. See the Reporting Earnings section below for more information.
Overpayments
An unemployment benefit that you previously received, but it was later discovered you should not have received, is referred to as an “overpayment.”
Overpayments remain on your record for a period of several years, depending on the situation. If you did not fully repay the department and you collect
unemployment benefits in the future, your weekly payments will be reduced to help repay this debt.
Potential Earnings
Each week, you must report if you were absent from work when work was available. You must indicate the amount of potential earnings, the wages you
could have earned had you not been absent from work when work was available. For example, if you were scheduled to work but called off or did not show
up, you must report those wages to us as earned. It does not matter that you did not earn any money for those hours and will not be paid by your employer.
Child Support
Some or all your unemployment benefits may be reduced if you:
• Owe court-ordered child support
o Questions about the amount being deducted from your benefits should be directed to the Domestic Relations Section of the Court of
Common Pleas that issued the order.
o Additional information on withholding support from UC benefits is provided in Support Withholding from Unemployment Compensation (UCP-24),
or at [Link]/UCP-24.
Retirement Income
Retirement income, such as pension payments or survivor benefits, may affect your weekly benefit amount (WBA).
When you apply for UC, you must tell us if you receive or applied to receive payment from your retirement plan.
Receiving a pension can affect the amount of UC benefits for which you are eligible. A pension may reduce your benefits if an employer in your
base year contributed to or maintained the pension plan, and your work during the base year increased the amount or affected your eligibility for
the pension.
Separation Pay
A severance package, pay in lieu of notice (which is payment made to you because the employer furloughed you without required notice by law),
or a continuation of pay with full benefits from an employer even after you are no longer working for them may affect UC benefits. Severance pay
that exceeds 40% of Pennsylvania’s average annual wage is deducted from your benefits.
Be sure to report any separation payments when you apply for UC benefits. You may be contacted by the agency for additional details to help de-
termine if your separation pay is deductible.
Self-Employment
You are not eligible for UC if you are self-employed. However, there is an exception for “sideline” activity. Earnings from self-employment that is
determined to meet the sideline business criteria can be automatically deducted from your weekly UC payments. A determination will be issued
accordingly. For more information on sideline employment, please visit [Link]/Self-Employment.
Taxes
Your UC benefits are taxable by the federal government. You may choose if you want to have federal income tax withheld from your benefits
(at the rate of 10%) or not. If you elect not to have taxes withheld, you will be responsible for the full taxable amount at the end of the year.
You can make the choice to have taxes withheld when you file your application for benefits. To change your withholding selection, log on to
the Pennsylvania UC System ([Link]) and access your dashboard. Taxes withheld can be refunded to you only by the IRS.
Questions about taxes on UC payments should be directed to the Internal Revenue Service (IRS) ([Link]) or your tax professional.
By the end of January each year, L&I will provide you with a Statement for Recipients of Pennsylvania Unemployment Compensation (Form UC-1099G).
This form shows the amount of benefits you were paid during the previous year and the amount of income tax withheld if you selected that option.
Worked part-time during the week and earned more than my partial benefit credit
([Link]/PartialBenefits). Note: A second job application and a work search activity
are not required.
All work search activities must be documented. See Appendix C for a sample work search log.
You are exempt from the weekly work search requirements if you satisfy one of the exemptions below:
• You actively participated in a department approved work search activity or program.
• You receive work through a union hiring hall and are in good standing at the time you are filing for UC benefits.
• You are participating in the Shared-Work program.
• You are in training approved by the department or under the Trade Adjustment Act.
• You are required to participate in the Pennsylvania Reemployment Services and Eligibility Assessment (RESEA) at a PA CareerLink®.
• You are laid off due to a lack of work and have a written recall date from your employer.
Note: This exemption expires if the recall date is rescinded or has passed. You are required to keep a copy of the recall notice and notify the
UC Service Center of your return-to-work date.
For additional details on weekly work search exemptions, visit [Link]/WorkSearch
Filing weekly claims is time sensitive. If you are already approved for benefits, are not yet sure if
you will be approved, or you have been denied but you appealed the denial, you must continue
filing a weekly claim for each week you are unemployed and seeking payment. If you are eligible
for benefits, you will ultimately receive payments only for weekly claims you filed.
Your weekly claim must be filed during the week (Sunday through Saturday) immediately following
the week you were unemployed. Weekly claims must be completed by 11:59 PM on Saturday of
each week you are claiming benefits. If you remain totally or partially unemployed, you will
continue to file weekly claims every week until you exhaust your benefits.
For example, if you lost your job on Monday, the 3rd of the month, you could file an initial claim for UC benefits on the same day or on any other day that week.
Then you could submit a weekly claim for your first week of benefits starting on Sunday the 9th. Remember this first week is an unpaid waiting week.
Failure to submit the weekly claim before 11:59 PM, Saturday the 15th may result in delayed benefit payment or a denial of benefits for that week.
If you fail to file your weekly claim at the proper time, your UC claim will become “inactive.” The next time you go to file a weekly claim, you will be
prompted to reopen your claim. You can reopen your claim online at [Link], but the weeks you failed to file for will not be available.
Your reopened claim will be effective Sunday during the week you complete the reopen. The following Sunday you can resume filing weekly claims.
You must call us at 888-313-7284 if you want the department to consider your eligibility for weeks you missed. The missed weeks will be filed through
our staff and a determination regarding those weeks may be necessary. You may be denied for late filing if the reason does not fall within the allowable
provisions of UC law and regulations.
Online
For fastest service, visit: [Link].
By Phone
You may file by phone by using the PA Teleclaims (PAT) system: 888-255-4728 - Call Sunday through Saturday 24 hours a day.
Please be advised that filing online is the fastest and easiest way to file. Using PAT may cause your payments to be delayed.
You will need the following when calling PAT to file a biweekly claim for benefits:
• Access to a touch-tone telephone, a push-button telephone, or a cell phone with a tone-pulse switch;
• Your Social Security number;
• A pen and paper to note important information; and
• Your personal identification number (PIN), which you must obtain by calling the UC Service Center at 888-313-7284.
Pennsylvania Unemployment Compensation Handbook 9
By Mail
This is permitted only in specific circumstances. This method is rarely used since postal mail and manual processing naturally delay
payments when compared to using PAT or the Internet. Please contact 888-313-7284, Monday - Friday from 8 AM – 4 PM EST.
TTY users only, contact 888-334-4046, for information on filing claims by mail. This phone line is only available to individuals with
hearing or speech difficulties calling from a TTY device.
REPORTING EARNINGS
If you are working while claiming UC benefits, you must report how much money you made. You must report your gross earnings, not your net earnings.
Earnings include vacation pay, holiday pay, and potential earnings. For additional details on how to properly report earnings, please visit [Link]/
PartialBenefits.
Please enter the number of hours you worked for the week using the Gross Earnings Calculator shown below, which can be accessed when you file your
weekly certification online. If you were paid for vacation or holiday pay, include those wages in their respective sections. Do NOT use the Gross Earnings
Calculator to calculate potential, vacation, or holiday earnings.
Earnings Verifcation
Please indicate your gross earnings from this job during the week beginning Sunday. [Month 00, 20XX] and ending Saturday. [Month 00, 20XX]
Always report your Gross Earnings which are your total earnings before any deductions.
Calculate Gross Earnings and Hours
Regular Earnings: $ 96.00 Calulate Gross Earnings and Hours
Please enter your Hourly Rate.
*Potential Earnings (If work $ 0.00
was available to you and $ 96.00
you did not go to work you Please enter the number of hours you have worked for the Week Ending [date].
must report the money you
would have earned):
Sunday Monday Tuesday Wednesday Thursday Friday
*Vacation Pay: $ 0.00 XX/XX/20XX XX/XX/20XX XX/XX/20XX XX/XX/20XX XX/XX/20XX XX/XX/20XX
0 0 8 0 0 0
*Holiday Pay: $ 0.00
Gross Earnings this week: $ 96.00
*Gross Amount Earned: $ 96.00
Number of hours worked this week: 8
To receive UC benefits, you must register within 30 days of filing your claim for UC benefits.
• If your labor market is outside of Pennsylvania, you must register with the state employment service that serves your local labor market.
• If your local labor market is within Pennsylvania (either you live in Pennsylvania, or you commute to Pennsylvania for work) you must register
for employment search services through PA CareerLink®.
For your registration to be complete, you are required to obtain a Keystone ID and upload/create a resume in the PA CareerLink® system. For additional
details on job registration, visit [Link]/WorkRegistration.
You are exempt from the job registration requirements if you satisfy one of the exemptions below:
• You are participating in the Shared-Work program.
• You are in training approved by the department or under the Trade Adjustment Act.
• You are required to participate in the Pennsylvania Reemployment Services and Eligibility Assessment (RESEA) at a PA CareerLink®.
• You are laid off due to a lack of work and have a written recall date from your employer. Note: This exemption expires if the recall date is rescinded
or has passed. You are required to keep a copy of the recall notice and notify the UC Service Center of your return-to-work date.
REEMPLOYMENT SERVICES
The Reemployment Services and Eligibility Assessment (RESEA) Program is designed to identify claimants that may need the most help finding a new job.
If you are selected for RESEA you must participate unless you are excused for good reason. Benefits can be denied for weeks if you fail to participate.
In addition to mandatory RESEA services, anyone can visit a PA CareerLink® office for free assistance with resume writing, interviewing skills, labor market
information, online job skills training for Pennsylvania residents, and more.
Additional Services to Assist You
• RESEA Program – If selected to participate in RESEA you MUST attend unless you have good reason not to participate. RESEA services are
designed to help those most in need find reemployment. Benefits can be denied for weeks if you fail to participate.
• Training Programs - You may be eligible for training or education programs to help you upgrade your skills or complete a degree program.
To learn more about whether you might qualify, visit: [Link]/Services/Assistance/Pages/[Link].
Full-time Work
You do not need to notify our office when you start a full-time job with either your former employer or a new employer. Simply stop submitting the weekly
claim certification to request UC benefit payments when you start your new job (even if you will not receive your first paycheck anytime soon).
Part-time Work
If you find part-time work, you may still be eligible for partial UC benefit payments. Be sure to report any earnings from part-time work. See the
Reporting Earnings section for more information.
UC FRAUD
Fraud is a serious crime. Detecting and preventing unemployment compensation fraud is a priority for our agency. Claims are audited regularly to ensure
benefits were paid according to state and federal law.
EXAMPLES OF UC FRAUD
• Comparing earnings reported by workers and their employers REPORT SUSPECTED FRAUD
• Auditing claims You can report fraud:
• Checking state and national databases of recently hired • Online at [Link]/Fraud
individuals to make sure people are not collecting
UC benefits after they start working again • Through our toll-free Fraud Hotline at 1-800-692-7469
• Verifying job search contacts Tips about possible fraud are pursued by our team of investigators.
APPEAL RIGHTS
If you or your former employer disagree with a decision regarding your UC claim, you each have the right to appeal. Appeals must be submitted
within 21 days from the date the determination letter was mailed.
A Petition for Appeal provides an opportunity for you to describe the reasons you disagree with the decision. You may appeal:
Online
Visit [Link] and sign into your UC account
By Mail
Mail Processing Unit – Claimant Appeals
651 Boas St, 5th Fl
Harrisburg PA 17121
By Fax
Fax your appeal to 855-728-2329
After your appeal is received, the UC Service Center will process it to a referee office, and you will receive an Acknowledgement of UC Appeal
indicating the referee office assigned to handle the appeal. You will also be sent a Notice of Hearing in the mail or through some other customary
method of contacting you. It will inform you of the date and time of your appeal hearing. It is recommended that you participate in your hearing
to protect your benefit rights. An impartial hearing officer is responsible for the appeal hearing.
The hearing officer will issue a written decision that is mailed (or emailed if that is the customary method of contacting you) after the hearing to
you and any other interested parties, such as your former employer. If you disagree with a hearing officer’s decision, you may appeal that decision.
For more information about where and how to file appeals, visit UC Benefit Appeals ([Link]/Appeals).
To maintain your UC eligibility, continue to search for work, complete weekly claim certifications, and report any money you earned during
the claim weeks while your appeal is pending. If the appeal is decided in your favor, you will only be paid for the weeks for which you met the
eligibility requirements.
APPENDICES
APPENDIX A – LOGGING INTO UNEMPLOYMENT COMPENSATION (UC) BENEFIT SYSTEM
The username and password process are similar to the login process we recognize from most password-protected applications, such as online banking apps.
Before you log into your UC account, use this table to identify your situation:
PASSWORD RESET
The screens below illustrate the steps you should take if you forget your password or are inactive due to not logging in within the past month or longer.
Click on “Forgot Username/Password?”
If you selected, “Option 1 – Forgot Password,” enter your username on the following screen. Choose “Individual” and click “
Complete the required fields and then click the next button to begin the retrieval process.
The email will look like the example below. Click the reset link.
OK
If the [Link] information does not match the information in the UC system, you will receive the following alert message.
OK
Reset Password
Your information has been verified. We recommend you reset your password to complete the retrieval process.
Enter you new password below and then click Save.
Username:
Your Password has been reset.
*Enter New
Password:
Click here to return to the Home page
Enter Password (8 - 18 characters, and must include at least one uppercase letter, one lowercase letter,
one number and one special character. Allowable characters are # @ $ ^ . * _ +)
*Confirm New
Password:
Submit
If an incorrect email or SSN is entered, you will be redirected to the Contact Us page. This means the information you entered is not what we have on file
and you will be required to call the UC Service Center to update your account information.
USERNAME RETRIEVAL
The screens below illustrate the steps you would take if you forgot your user name using “Option 2 – Forgot User Name.”
Select an option to retrieve your User Name and/or Password
Your Information
*Social Security
Numbers:
*Email:
Submit
If you can’t provide the needed information, you may contact staff by clicking the Contact Us page. This means the information you entered is not what
we have on file and you will be required to call the UC Service Center to update your account information.
If the correct information is entered, an email will be sent to you. Your username will be provided in this email.
You may also choose “Option 3 – Forgot User Name and Password” to reset your password and retrieve your username simultaneously. This process will
follow the same steps shown in Options 1 and 2.
Use a log such as the one shown below, which you can find at [Link]/Documents/UC_Forms/[Link], to keep track of the work search
activities you complete each week. Be sure to document the details of each action (what, when, where, and with whom). If possible, save a screenshot,
email confirmation, or other evidence of your work search action.
EXEMPTION Name of Employer, Union Hiring Hall or Training Program Contact Name and Phone Number
Written Date of Recall (attach copy)
Union Hiring Hall
Reemployment Services & Eligibility Assessment (RESEA) participants
Shared Work program participants
Trade Reduction Act participants
I certify that all information I have provided in this document is correct and complete. I acknowledge that false statements in this document are punishable pursuant to 18 Pa.C.S. §4904, relating to
unsworn falsification to authorities.
Signature Date
A person who knowingly makes a false statement or knowingly withholds information to obtain UC benefits commits a criminal offense under Section 801 of the UC Law, 43 P.S. §871, and may be
subject to a fine, imprisonment, restitution and loss of future benefits.
Tip for documenting work search activities: Store your documentation in a single location, such as one folder in your house or on your computer.
To File a Complaint by Mail To File a Complaint by Mail or for Equal Opportunity Information
Send information about your complaint to: Send information about your complaint to:
The Director - Civil Rights Center Department of Labor & Industry Office of Equal Opportunity
U.S. Department of Labor 651 Boas Street, Room 1402
200 Constitution Avenue, NW, Room N-4123 Harrisburg PA 17121
Washington, DC 20210 717-787-1182 or 800-622-5422
We follow all state and federal laws that protect your private information. To help connect you with programs designed to get you back to work, we share
some of your information with our partners, such as the PA CareerLink®, and they are not allowed to share it with anyone else. We give them your:
• Contact information
• Employment and job search history
• Demographics (such as age or gender)
Your previous employers and other state or local government agencies may release to our agency any information, including your Social Security number,
required for the proper administration of your claim. We also use your Social Security number to report the amount of UC benefits you receive to the
Internal Revenue Service (IRS) as taxable income.