This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Salt Lake Utah Affidavit or Proof of No Income - Unemployed - Assets and Liabilities
Category:
State:
Multi-State
County:
Salt Lake
Control #:
US-01348BG
Format:
Word;
Rich Text
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Description
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How to fill out Affidavit Or Proof Of No Income - Unemployed - Assets And Liabilities?
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FAQ
If you need to reopen your claim or request backdating of your claim call the Claims Assistance and Re-Employment Team 801-526-4400.
You must be unemployed through no fault of your own, as defined by Utah law. You must have earned at least a minimum amount in wages before you were unemployed. You must be able and available to work, and you must be actively seeking employment.
Log into jobs.utah.gov/jsp/utjobs/pua-login. Select the initial or weekly claim you need to upload documents for. Then select the upload tab and upload the additional documents.
You may reopen your claim online at jobs.utah.gov or by calling the Claims Center. Your claim will be reopened effective the Sunday of the week in which you contact Workforce Services.
Any documents from state or federal benefit agency that show zero income. These can be eligibility notices for food stamps or Medicaid for instance. If zero income is due to the loss of a job, this can be proven by a termination letter or a notice of severance pay on your last paycheck stub.
There's no time limit for filing for unemployment after losing your job, for example, but if you wait too long your most recent work experience may no longer be available to establish a claim. You also only have a few weeks (usually 21 days) to file an appeal if your claim is denied.
I hereby certify that I do not individually receive income from any of the following sources: a. Wages from employment (including commissions, tips, bonuses, fees, etc.); b. Income from the operation of a business; c. Rental income from real estate or personal property; d.
Any documents from state or federal benefit agency that show zero income. These can be eligibility notices for food stamps or Medicaid for instance. If zero income is due to the loss of a job, this can be proven by a termination letter or a notice of severance pay on your last paycheck stub.
If you meet all the eligibility requirements and file your claim each week, you should receive your first payment about three weeks after you apply for benefits. Payments are not made on the same day each week.
I, , (household member name) an adult household member, who resides with the Applicant, have stated during the application process that I am unemployed and/or am a full-time student and have no income at this time. I have not received any income since .