Employment Security Division
UI Claimant Forms
Forms Sorted Alphabetically |
|
|---|---|
| Affidavit Concerning Deceased or Incompetent Person | NUCS-4172 |
| Claimant's Affidavit of Federal Civilian Services, Wages and Research Separation - Instructions for ES-935 | ES-935 |
| Medical Statement - Instruction for NUCS-4194 | NUCS-4194 |
| Petition for Trade Adjustment Assistance (TAA) | ETA-9042 |
| School/Training Attendance Notification Form | NUCS-4345N |
| Work Search Record | NUCS-4482R |
| Sample of Completed Work Search Record | NUCS-4482R (Sample) |
Spanish Language Forms |
|
| Solicitud de Assistencia Para Ajuste (TAA) | ETA-9042A-1 |
| Registro de Busqueda de Trabajo | NUCS-4482R |
NV Relay 711 or 800-326-6868
An equal opportunity employer/program.
Auxiliary aids and services available on request by individuals with disabilities
We are working hard to keep Nevadans safe from fraud.
Please review fraud information to avoid accidental fraud.
NV Relay 711 or 800-326-6868
An equal opportunity employer/program.
Auxiliary aids and services available on request by individuals with disabilities
We have added a one - time password authentication (a single-use disposable password) to submit a Public Record Request Form. *
A one-time password is a system in which a one-time user number is entered at login time in order to prevent fraud.
Please enter valid email address to send 'One Time Password'
A One Time Passcode has been sent to to submit Public record request online form reference number :
Please enter OTP below to verify your Email address. If you cannot see the email from "[email protected]" in your inbox, make sure to check your SPAM folder.