Fraudulent Unemployment Claims
Enter the email address of the person completing the survey.  Please include the name and last 4 digits of the social security number of the employees on your B187-Q if the employee denies submitting the claim or if an employee reports that they received a notice of a fraudulent claim.  You must hit submit for each employee.  Responses will be collected and submitted to the DOL on a weekly basis.  
Sign in to Google to save your progress. Learn more
Email *
Employee's Last name *
Employee's First Name *
Last 4 Digits of Employee's Social Security Number *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy