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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:



 



 



 



2. NewJerseyEmployerIdentificationNo.:



3. EmployerTelephoneNo.:



4. WorkLocation(ifdifferentthanabove):



 



 



5.DateofSeparation:



6.Separationis:

Permanent  TemporaryIfTemporary,ExpectedRecallDate: 



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 

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



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INSTRUCTIONS FOR CLAIMING UNEMPLOYMENT BENEFITS Section1NoticetoEmployer (State of New Jersey)

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