How to request a reconsideration. Complete, print and sign the online request for reconsideration of an EI decision form.Affidavit and Reaffirmation of Affidavit forms are available below in PDF format. It must be completed with the financial requirements of the FTHB program in mind and on this form. Lender pre-qualification letters will not be accepted. Affidavit for Correction of Form 1099-G Use this form to request a correction to your 1099-G tax form or to report that you received the form in error. To be eligible, you must have filed your taxes for the last 3 years. To find out if you're eligible to receive EI regular benefits, you must submit an application. The online application takes about 1 hour to complete. Complete this form and return it to Liberty Mutual with your choice of physician selected from the FCPS approved panel of medical providers.