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UNEMPLOYMENT INSURANCE BENEFITS FORMS

Some additional forms that may be needed to process your claim for unemployment insurance (UI) benefits are listed below. If you filed your claim online, refer to your printed copy of the “Confirmation” page to determine which forms you may need to complete and return to UI Operations.

NOTE: Completing and returning these forms to UI Operations does not mean you filed a UI claim. You may file for unemployment online or by calling the Customer Contact Center at one of the telephone numbers shown below.

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UIB-1, Verification of Personal Information

Adobe PDF Version

Print and complete this form if you did not receive the form that was mailed to you after you filed your claim for unemployment. Provide your name, mailing address, social security number, date of birth, telephone number, citizenship, and identification information. Sign the form and fax or mail it to UI Operations immediately.

FORM SEB-3, STATE-EXTENDED-BENEFITS ELIGIBILITY REVIEW AND JOB-CONTACT DOCUMENTATION

Adobe PDF Version

Print and complete this form if you are reporting to your local workforce center (WFC) every other week for state extended benefits. Provide your name, mailing address, social security number, and follow the instructions on the form. Complete both sides of this form, sign the form on page 2, and take it with you to your in-person eligibility review at your local WFC.

Form B-569, Notice to Register for Work (FOR CLAIMANTS WHO LIVE OUTSIDE COLORADO)

Adobe PDF Version

Print and complete this form if you live outside the state of Colorado. Provide your name, mailing address, social security number, and follow the instructions on the form. Sign the form and fax or mail it to UI Operations.

Form B-188, Medical Statement

Adobe PDF Version

Print and complete this form if you reported a medical issue for which additional information is needed and did not receive the form. Provide your name, mailing address, social security number, and follow the instructions on the form. Sign the form and fax or mail it to UI Operations.

Form B-188a, Report on Treatment Program

Adobe PDF Version

Print and complete this form if you reported that you are in a treatment program for which additional information is needed. Provide your name, mailing address, social security number, and follow the instructions on the form. Sign the form and fax or mail it to UI Operations.

Contact Us

Completed forms and/or additional information can be submitted to:

Fax: 303-318-9014

Mail: UI Operations, P.O. Box 400, Denver, CO 80201-0400

NOTE: You must include your name and the last four digits of your social security number on each page of information that you submit to UI Operations.

Telephone

Representatives are available in the Customer Contact Center Monday through Friday from 7:30 a.m. to 4:30 p.m. (Mountain time) except on state-observed holidays.

To file a new claim

303-318-9123 (Denver-metro area)
1-866-422-0401 (outside Denver-metro area)

To restart your claim or for other questions

303-318-9000 (Denver-metro area)
1-800-388-5515 (outside Denver-metro area)

Español (Only Spanish-speaking claimants)

303-318-9333 (área metropolitana de Denver)
1-866-422-0402 (fuera del área metropolitana de Denver)

Hearing Impaired (TDD)

303-318-9016 (Denver-metro area)
1-800-894-7730 (outside Denver-metro area)

All Applicable Rights Reserved, Copyright 2004 Colorado Department of Labor and Employment