ࡱ> ikh%` p6bjbj"x"x 4<@@ 4"dZ$PPPPP p pYrYrYrYrYrYrY$9[h]Y9PPYPPYpppPPpYppYpppP `Ω{W pWY0Zp1^1^p1^pD?pYYf Z d INSTRUCTIONS FOR CLAIMING UNEMPLOYMENT BENEFITS Section 1 Notice to Employer YOU ARE REQUIRED, under section 6 (a) of the Unemployment Compensation Law of New Jersey and under Employment Security Rule N.J.A.C. 12:17-3.1 to complete this form and provide it to any worker who is separated (either permanently or temporarily) from work for any reason. 1. Employer Name and Address: FORMTEXT       FORMTEXT       FORMTEXT      2. New Jersey Employer Identification No.: FORMTEXT      3. Employer Telephone No.: FORMTEXT      4. Work location (if different than above): FORMTEXT       FORMTEXT      5. Date of Separation: FORMTEXT      6: Separation is: FORMCHECKBOX  Permanent  FORMCHECKBOX  Temporary If Temporary, expected Recall Date:  FORMTEXT      Section 2  Notice to Worker In order to be considered for unemployment insurance benefits, you must file an unemployment claim. No benefits can be paid to you for any week before you actually file your unemployment insurance claim. Failure to file your claim or delaying the filing could affect your eligibility for benefits. You should always file your claim as soon as possible after becoming unemployed. You will not be considered eligible until your claim is filed. When you file the claim, be sure to have available your Social Security number and the complete, name, address, and telephone number of each employer that you worked for in the past 18 months. You may apply for unemployment benefits on the Internet, 24 hours a day, seven (7) days a week at www.njuifile.net or you may telephone a Reemployment Call Center. The Reemployment Call Centers are open during regular business hours, Monday through Friday, excluding holidays. Union City Call Center (201) 601-4100 Freehold Call Center (732) 761-2020 Cumberland Call Center (856) 507-2340 01Qb d    ( * , 6 8 < > @ T ¾®…l®Vl®+j2h/;h/;CJOJQJUaJ0jh/;h/;CJOJQJUaJmHnHu+jh/;h/;CJOJQJUaJ%jh/;h/;CJOJQJUaJh/;h/;>*CJOJQJaJh/;h/;h/;CJOJQJaJ"h/;h/;5>*CJOJQJaJh/;h/;5CJOJQJaJh/;h/;5OJQJ01PQb c d h$Ifgd/;Ckd$$Ifl(( t(644 layt/;$If $$Ifa$gd/; $Ifgd/; $$Ifa$gd/;p6    : JXkd$$Iflh0h(& t(644 layt/; $If^gd W $Ifgd/;Ekd$$Iflh(( t(644 layt/;: < > f h 7Xkd$$Iflh0h(& t(644 layt/; $If^gd W $Ifgd/;Xkd$$Iflh0h(& t(644 layt/;T V X b d h j l & ( * > ֽ֮֮mֽ֮^N֮h/;h/;>*CJOJQJaJh/;h/;CJOJQJaJ+jh/;h/;CJOJQJUaJh/;h/;>*CJOJQJaJh/;h/;CJaJh/;h/;5CJOJQJaJh/;h/;CJOJQJaJ0jh/;h/;CJOJQJUaJmHnHu%jh/;h/;CJOJQJUaJ+jVh/;h/;CJOJQJUaJh j l <Xkdp$$Iflh0(0P t(644 layt? $If^gd? h$Ifgd/;Ckdz$$Ifl(( t(644 layt/; $$Ifa$gd/; ( P R 3Xkd6$$Iflh0 (  t(644 layt? $If^gd?Xkd $$Ifl0(0P t(644 layt? h$Ifgd/;> @ B L N R T X    : < > R ֽ֮֮iֽ֮֮Sֽ֮֮+j8 h/;h/;CJOJQJUaJ+j h/;h/;CJOJQJUaJh/;h/;>*CJOJQJaJh/;h/;>*CJOJQJaJh/;h/;CJOJQJaJh/;h/;CJOJQJaJ0jh/;h/;CJOJQJUaJmHnHu%jh/;h/;CJOJQJUaJ+jh/;h/;CJOJQJUaJR T V X SJ $Ifgd/;Ekd$$Iflh(( t(644 layt/;Xkd$$Ifl0 (  t(644 layt? h$Ifgd/;  7Xkd $$Iflh0h(& t(644 layt/; $Ifgd/;Xkd $$Iflh0h(& t(644 layt/; $If^gd W  < d f h j FXkd\ $$Iflh0p( t(644 layt| $If^gd| h$Ifgd/;Ekd\ $$Ifl(( t(644 layt/;R T V ` b f h l ֽ֮ocMooc7o+j"h Wh WCJOJQJUaJ+j h Wh WCJOJQJUaJh WCJOJQJaJjh WCJOJQJUaJh/;h/;>*CJOJQJaJh/;h/;>*CJOJQJaJh/;h/;CJOJQJaJh/;h/;CJOJQJaJ0jh/;h/;CJOJQJUaJmHnHu%jh/;h/;CJOJQJUaJ+j h/;h/;CJOJQJUaJj l P x  $If^gd? $Ifgd/; h$Ifgd/;Xkd $$Ifl0p( t(644 layt|  P R f h j t v z wx4m44566o6ң唂rrrpr^OCh/;CJOJQJaJh/;h/;CJOJQJaJ"h/;h/;56CJOJQJaJUh/;h/;5CJOJQJaJ"h/;h/;5>*CJOJQJaJh/;h/;CJOJQJaJ0jh/;h/;CJOJQJUaJmHnHu+jh/;h/;CJOJQJUaJ%jh/;h/;CJOJQJUaJh/;h/;CJOJQJaJh&CJOJQJaJx z | ~ sff $Ifgd/; h$Ifgd/;~kd$$Iflh\(t  p t(644 layt/; _`vw%4&4~~~~~~~~~~~ $$Ifa$gd/; $Ifgd/;kkd$$IflF(t  t(6    44 layt/; Out-of-State Claims (888) 795-6672 TTY users can contact the department through New Jersey Relay: 7-1-1 Workers Who Are Unemployed Due to a Vacation Shutdown: You should apply for unemployment benefits if you are receiving vacation pay in an amount less than your full-time wages, you have not refused any offer of suitable work for the vacation period and you are ready and willing to work during the vacation period. *Please make certain to have this form available when you file your unemployment insurance claim.  BC-10 (R-7-11) New Jersey Department of Labor and Workforce Development Unemployment Insurance &4l4m455 6 666p6gd/;Ckd$$Ifl(( t(644 layt/; $$Ifa$gd/; $$Ifa$gd/; o6p6h/;h-_CJOJQJaJ21h:p/;/ =!8"8#$% $$If!vh5(#v(:Vl t0(65(yt/;$$If!vh5(#v(:Vlh t0(6,5(yt/;tDText1$$If!vh55&#v#v&:Vlh t0(6,55&/ yt/;tDText1$$If!vh55&#v#v&:Vlh t0(6,55&/ yt/;tDText1$$If!vh55&#v#v&:Vlh t0(6,55&/ yt/;$$If!vh5(#v(:Vl t0(65(yt/;tDText1$$If!vh505P#v0#vP:Vlh t0(6,505P/ yt?$$If!vh505P#v0#vP:Vl t0(6,505Pyt?tDText1$$If!vh5 5#v #v:Vlh t0(6,5 5/ yt?$$If!vh5 5#v #v:Vl t0(6,5 5yt?$$If!vh5(#v(:Vlh t0(6,5(yt/;tDText1$$If!vh55&#v#v&:Vlh t0(6,55&/ yt/;tDText1$$If!vh55&#v#v&:Vlh t0(6,55&/ yt/;$$If!vh5(#v(:Vl t0(6,5(yt/;tDText1$$If!vh55#v#v:Vlh t0(6,55/ yt|$$If!vh55#v#v:Vl t0(6,55yt|tDeCheck1hDejD $$If!vh5t5 5 5p#vt#v #v #vp:Vlh t0(6,5t5 5 5p/ yt/;$$If!vh5t5 5#vt#v #v:Vl t0(6,5t5 5yt/;$$If!vh5(#v(:Vl t0(65(yt/;@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j [ Table Grid7:V06U@6 ;]U Hyperlink >*B*phHH ;]U Balloon TextCJOJQJ^JaJ <01PQbcd  %9:;<=ijk9MNOPQRop./2Z/ 0 000000 @0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000000000000000 0 00  %9:<=ijk9QRop/ 0 Z0 X0Z00X0Z0 Z00X0Z0 Z00 X0Z0  Z00 X0Z0X0X0Z0Z00 X0Z0X0Z0X0Z0R00  X0Z0R00  X0Z0X0Z0Z0 0 X0Z0X0X0% Z0% Z0% Z0'Z00 X0+Z0+X0+@@X0.)X0.'@X0)@  @HT > R o6p6  : h R j x &4p6 p6 %17kw}9EK FFFFFFFFG G FText1Check1  bd  22779:<=ijxx}}889NQRq  - V&[''44#;AMFLVX5aiIt 58EPI[bTen t!1')'/2J&O|Xikp! &+68a<<==H]bfiRnp ~ @z1j:CGJLS)Y]^jqtz|~!P'UHuu@xY&+b/0h6DNgWf{h]wxST)8235BCyMOTW!WWZdho{ 6.<<B>iCM7U_ bf$hhhjdqes0w    ( ) * oP Z i m .p x {   @ 0 5 6B rE &F J Z c j u z  I - N4 5 `B IG U SZ c d "w N & ]. ? @ WB ;H {o { ~ % a d" # q' ( }/ ; O= NB lK Q kU q r w y } tl !?G}P ^d kzP.1y:<EBMPd r sstHw, y!&&,]88]C8YouT :D$*tAFFOO[^et{Mw(/-78E[`kln(k*\6=EKMPYc`Cnt$88<YJf1jlkaluw} \'.7 C*GPLS=\bk ,"M>PDFG~KZ\aMc$hclr|H 90j!")46<GIuNOPEXao|}L ,R.&RR&PZ&K^&_&a&f&t&vv&'{' '"'('m*'*'7'G'W'X'w'Z|'(( ((>(.(7/(0(g1(4(;6()<(A(A(G(R\( a(g(q(r(v(lv(uw(|('~(t)))")+){-)0)6C)D)PE)XG)M)ZX)4^)*g* **1*&*,*0*2*6*C*JF*yO*V*Y*h*6p*.+e+`+9++4+++ +#+#+%+(+++-+O2+<+\+]+b+Cc+-k+ x+ox+ ,,,B,,,#,.,D,H,K,bM,|N,wQ,7W,m,,x,|,d--o-h-R-[--9-N-Z-$a-Dh-qo-p-t-.. .1.>.{. .$.1./1.4.4.7.9.h;.=.=.IA.>G.8O.Y.].^.f.,|./@/W)/S+/e?/eV/V/j\/.h/n/s/K00d0,0L.0K0o5 6!666)6T"6#6d$6)6.6H46:6?6VB6#S6^6c6ug6k6q6Dz6{|67777&7*707Z<7e7l7u7M8)8 8)838xM8zO8c8f8l8p8t8z83969 9 9919BA9S9.Y9c9pd9e9j9k9Ls9s9#::g::+:0:4:=5:6:@9:E:F:^G:3L:S:C^:`:n:t:|x:m;N;f;;;t%;Y-;/;:;:;/;;M;WO;&T;Y;^;h;v;N<L <X <8<><v@<G<L<N<S<`<j<v<y<== !=1= :=;=a?=@=!O=nO=fj=l=Nn=5r==t=|=>N>Y >M>>>>>.">d>>??{3?6?6?;??(H?I?K?K?R?U?|V?%Z? ^?8^?fj?k?l?:l?n@ @-@:@=@=@pA@I@OW@VZ@Bm@t@x@7y@y@z@~@A AeAQA&ATA%Ai+A,As7A:AAABASAUAd_A`A`AiAnArA;wAeBBg BBSB BBB#BQ0B4B_7BbBBBB?DBFBSBTB2iBjBtB|BCCnCzJC)MCOCCeCjCqCsC\yCD DD4D/DD ODPDWDZDxDO{DEELEE*EhE&E>E>EFE HELEMEOEPE\ErzER{EU{EFwF'*F0Fv3FAFBFBF\F#eFG"G2G4GBGcNG<\G\G]GbGEcG4dGiGHHH H"H+H/Ha0HY4H7Q"?QBQ-OQdOQXQ`]QnQvQ[vQRRfRRFR+ RbRoRRo+R 0R{ERORWRYR|^RcR[dRfRgRgRkRdnRzRSSmS!S#S*S.SW;SDS~JS+MS{QS`S6bSmS nSrSuSzSTTT~*To0T1TATCTCTPETHTLTOTnqT%U} U UU*UU"Uy3U;Ut[G[G[O[.`[`[r[)}[`\n\\n\\K!\$\ )\.\47\:\E\_\\b\i\=w\^}\]]9]$]#%]%]7]`>]J]K]K]N]N]rY]Y]Z]\]]]k^]vf]i]s]v]uw]8y]z]^L ^,^4^/A^D^N^p_^i^!~^r_F__D __J__-_M6_9_;_B_8a_l_lq_w_~```*`4`^8`=`~K`M`S`T`Y`/]`^`x`z`|`}`/aPaaoa a #a%a)a,af-a2BaRaWa_ahaMnaaua {abbbbbb b bB&b&b=bJ@bHb KbPbVb|YbibIkbwbc ccc*ch+c0c 4cr:c>c?cLKcSc YcSrcWycd dd'd~,d5d$8dm9do@d@dTd{Yd*Zdqdqdee eeeed+e1e4e AeGeSeVe>Xe]beheieGmeuoeSqetefo)f*f@6f{9fNfHQfXfbfbfhfnf\qfzf{fg?g,g/g1g1g:g;gFgJg]g pgrgZhh'h h)h4h14h8hEh5LhP]hEjhzkhzh iXii9iQiYiZi^i@miriEyiij jjfj*j}-j3jd7j9jMjQ^j^jaj)kk#k%kt/k 2k>kGkKkdkmkmknk skl l l loll0lhlC9l;Cl[l^lelJllm.mmmmmqmm#mx&m(m*mw.m0m7mcq>qvEqdaqfq8yq2}qrrAr rrrr"r%rE,r5ry6rBCrCrJrIMrRRrYr?drhrCkrNqr ss*sT.s2s 8sP>sCsrDsgHsbs}sstetXtt60t8tCBtGt\tet}t~tJt3uuuv uq!u(u*u 1u]ueuXquvuAxu{uvvvvvvv"v>$v9v:vNPvTvavhhv(lvr{vj~vw w*w3wIw+LwyOwUw?_wiw|wU}wwxx x x|xx&x'xi9xyCxDxDEx HxJxSYx\xfx!kxlxy yXy_yy"yH'y,y5y8y ;yTCyDyGyNyXyZy\y^vyzyzzzP zzBzHz8LzUz\z"pz(pz){{{{6{9{9<{'L{\Z{t{{{ ||$ || ||/|=|"|$|X*|.|D|F|G|J|O|T|KU|]|l|Gm|x|y|}a}w}C }=}$}2}=}c`}q}~} ~~b~Y ~ ~~~~~ &~*~F/~H~J~FP~oV~W~X~^~qa~g~}k~av~ y~cS#34)BREFcHLNYGaex xXvD@NOPmU[ayjsvzk/ F4/9fG[aGs9x :UAHfimttw~8 0%-11X36"7Q8s=AEG+KZ]B^^e/pvb)AoCGP[`lop{|/t:v@HIJ:WGfgrvz 4-67<~JDMHW\C^]dfi~L}"e&GsIJL bfc}~~3 (d5EMRTb3|N\ (l.53-8;+M?DjMdMnsI0!W%l+;>AR1Y5Y[\]asy  d$', 0WCFGTuVXfpA?B `#9>WZoo/AD%QU8\fiwqA IKQVRcf&-q4<?H=]V_d5pu =$)T5J*KOS(:Lab rrwyzRXQ_#'+SUOWXaadforV{ r1<%P%';-E46GOgox$(222HB HNNJXYZ [T[a]aAdllz+ tW"'-/n0u6*7@K`fiDo wf!(BFO!i=j`pw1,O_4:>?1@e\vw)[!3#GI_p<&M&.)x+|/6c:n;;>HNW!^_h"l`lvmqp{>%!* -.5EMYcjSk!>$s%P,s1<AFHG=MPVX]dggx/  &*+,339AQ^^ja"nw|y %O,:@;CE FIIOQR/W`gdhhQkl z 5&'=)2@Xn}u" %/9?LZ1\C^:f6O'\Ac!st}&~dzCF!00F9D6FH?MMRVijlnsy  Ev"v+-E7<<??BDFI5L^gddeYnAsxh}S&(;)?D,^bQk$qBw #9?3\+6:\Jfg ioK 7;9[B$QRRmVZ_fRgm  <C)FKLjR`pclt@YIMW\dBiwk}B7F1Q_,gjpSuT "'/2rBXkmoz~N  !#-(*O+-H;MU[?eGm~p0twl!'29;<y{<5D:xZ"#.+7&9:IAD4NSt_J`y j,h.9FlW%[\\`kbcd4r wx= R,40 :FzGryM"t%Wl^arx)*9 =Hbcnaox<t n'53>?loVt`%.L.C78PlX{w}E -%45:tghj= )/0U=\`cgr};%S'(F/7;@FJVggYxB|/3e5z8:1>@BG ]b>|73"u#/4478A+OR:S_W=\nX !~U"%r)mHNYbSlhy{|OwvF#l%|&':<=CEEFFLGNQ@ctkmnk\,!54;ADJwK(OP[&]aeik@~7IIrIjVss  m"~#d+[.?DIN\Wa<{ '[p 38/9?}[]xfpxC]d=JJGL@PCTiMp| \ !G%V.=?M_\ew/b; %5L9<=BIU]4ouy&0P;8=HQ0Uacfl Cd)-;#MU]^S.!"#(''+I3C5 :?A:MTeiim|6~,\i !h2:;e<m<@E@HNwtw}"4I8JK2OZ^m|,  ]0O|($+,@MSHY_dfajyx/E&+22g4519:@TDmR|S`!nn 'L6y9:JL^_o/rzD{}cd  %9:;<=ijk9MNOPQR @4 `@` `@`h@UnknownGz Times New Roman5Symbol3& z Arial7&{ @Calibri5& zaTahoma"1hRf$SfSf3|z|z8r4d 2HX)?[2/INSTRUCTIONS FOR CLAIMING UNEMPLOYMENT BENEFITSRMRMOh+'0 (4 T ` l x0INSTRUCTIONS FOR CLAIMING UNEMPLOYMENT BENEFITSRM BC-10.dotRM7Microsoft Office Word@@zW@CpW@;{W|z՜.+,0 hp  njdol ' 0INSTRUCTIONS FOR CLAIMING UNEMPLOYMENT BENEFITS Title  !"#$%&')*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWYZ[\]^_abcdefgjRoot Entry F {WlData  1Table(1^WordDocument4<SummaryInformation(XDocumentSummaryInformation8`CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q