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Examples of Documentation

Dislocated Worker Documentation

eServices Portal Printout: Have students log-in through the eServices website and provide the “weeks summary” view from their UI claim data. You can find that by starting on their home page:

weeks summary screenshot

Information about the UI claim, found by clicking on the blue UI Claim hyperlink under “My accounts”. Here is the printout needed for eligibility.

My accounts screen

Unemployment Insurance (UI) Check Stub

The check stub must show a weekly benefit amount (WBA) of more the $0 and a process date that shows the payment was made recently.

Unemployment Insurance (UI) Check Stub

UI Monetary Determination Form

This form can only be used for students who have received a lay-off notice and are not yet claiming UI. It must be accompanied by an official layoff notice from the employer. The Date Mailed or other timestamp must be a recent date.

UI Monetary Determination Form

Displaced Homemaker Documentation

The student must provide a self-attestation (see Worker Retraining Self-Attestation Form) and/or a legal document.

Official Washington State Legal Document

The student may provide a divorce decree, legal separation document or death certificate that shows the event that displaced the student happened within the past two years. >The example below would not be sufficient as the date filed is more than two years in the past.

Official Washington State Legal Document

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