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Claim Confirmation

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4/5/2021 Claim Confirmation

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Step 10 - Claim Confirmation Scroll to Bottom

The application process is now complete. PRINT THIS CONFIRMATION PAGE for your records by using your
browser's print button.
This page serves as confirmation that your application for Unemployment Compensation benefits has been received
by Workforce West Virginia. Your claim will be REVIEWED prior to being processed into our claim system. If there is
any missing information, or if any additional information is needed to process your claim, you will be contacted by a
staff member of Workforce West Virginia. If your separation is for a reason other than lack of work, a Deputy’s
Decision must be issued before any payments can begin. You can expect to receive this decision within 28 days
following your claim filing. You must file your weekly certifications timely while awaiting this decision.

You should receive an Unemployment Compensation Monetary Determination (WVUC-B14-B/T-4). If you do not
receive this mailing within 12 days, contact your local office provided at the bottom of the confirmation page.
In order to receive benefits, you must be monetarily eligible and have a qualifying separation. (A financial
determination that states you are monetarily eligible does not automatically qualify you for Unemployment
Compensation benefits.)
In addition, you must file weekly claims for the weeks you are totally or partially unemployed. The first eligible week
on your new claim is the waiting week. You must file a claim for, and get credit for, a valid waiting week before you
will receive any benefit payments. NOTE: The waiting week is never paid. The first benefit payment will be the
second week filed that is otherwise eligible for payment.

Your first Weekly claim will be for the week beginning Sunday, April 4, 2021, and ending Saturday, April 10,
2021, and must be filed during the week of Sunday, April 11, 2021.
(Note: If you file on a Friday then you will not be able to file your weekly certification until the following Tuesday
through Friday.)

You must report your gross earnings during the week in which the money was earned. You must report all
earnings, regardless of the amount.

Benefits are paid by debit card or direct deposit. If this is your first West Virginia claim, you can expect to receive a
debit card in approximately 8 to 10 business days. If you had a West Virginia claim in the past five years, and had a
debit card issued, contact Key Customer Service at 1-866-295-2955 to determine if your card is in active status. If
you prefer direct deposit as your method of payment, you must wait 2 to 3 business days after the filing of this claim
before enrolling at: uc.workforcewv.org (https:\\uc.workforcewv.org).

You have two options for filing your weekly claims:

1. Internet filing is available Sunday, 12:01 AM through Friday 5:00 PM at uc.workforcewv.org


(https:\\uc.workforcewv.org).
2. Telephone filing is available Sunday, 12:01 AM EST through Friday, 5:00 PM EST at 1-800-379-1032 (option
1). NOTE: When successfully filed on Sunday between 12:01 AM EST and 4:59 PM EST you can expect to
receive payment within two to three business days. Business days do not include weekends and state or
federal holidays.

Important Links

https://uc.workforcewv.org/Consumer/InitialClaims/Forms/Form_CN1.aspx?sid=02265428-ed91-411c-989e-41900301c36f 1/7
4/5/2021 Claim Confirmation

1. Job Service Registration (https://public.workforcewv.org)


2. Resources and Forms (http://workforcewv.org/unemployment/resources-forms.html)
3. For Job Seekers, Career Information, LMI, Training, Etc. (http://www.workforcewv.org)

Initial Questions -
Select the state or territory you live in.
WV
Did you work in West Virginia during the last 18 months?
Yes
Have you worked in more than one state during 10/05/2019 - 04/05/2021?
No

Identification Information -
Social Security Number (SSN)
232-08-2844
Personal Identification Number (PIN)
5254

Personal Information -
First Name
DEBRA
Middle Initial
K
Last Name
HILL
Previous Last Name
HILL
Mailing Address
461 SPRINGDALE AVENUE
City
MORGANTOWN
Select the state or territory where you receive mail
West Virginia
SELECT COUNTY WHERE YOU RESIDE
Monongalia County
ZIP Code
26505
Is your street address the same as your mailing address?
Yes
Telephone Number
909-655-1619
Email Address
DEBRAHILL197407@GMAIL.COM
Confirm Email Address
DEBRAHILL197407@GMAIL.COM

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Please select the highest grade you completed in school.


One year of higher education
Are you a citizen of the United States?
Yes
Do you elect to have federal income tax in the amount of 10% of your gross weekly benefit deducted? (Including the
weekly additional $300.00 Continued Assistance Act benefit)
No
Are you required to make child support payments?
No

Eligibility Information -
Have you claimed, received, or applied for unemployment compensation in the past twelve (12) months?
No
In the past eighteen (18) months, have you worked as a civilian for the federal government?
No
In the past eighteen (18) months, have you worked for any college, university, or school?
No
In the past eighteen (18) months, have you served on active duty in the U.S. military?
No
In the past eighteen (18) months, did you receive or apply for Workers’ Compensation?
No
In the past eighteen (18) months, have you worked for an employer in a state other than West Virginia during
10/05/2019 - 04/05/2021?
No
In the past eighteen (18) months, have you worked for the railroad?
No
Could you start to work today if offered a job?
Yes

Eligibility Continued -
Are you attending school and/or training at this time?
No
Are you planning to attend any schooling and/or training program of any type?
No
Did you/will you receive a lump sum pension and/or monthly retirement benefits?
No
Are you receiving any type of Social Security?
No
Have you applied for any type of Social Security?
No
Do any conditions currently exist which cause you to not be able or available for full-time work?
No
Do you obtain work through a Union Hiring Hall?
No
Have you refused any work since your last job?

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No
Are you engaged in self employment?
No
Are you working on a commission basis?
No
Are you the sole owner of a business?
No
Are you a partner in a partnership?
No
Are you a member of a Limited Liability Company (LLC)?
No
Are you an officer of a corporation?
No
Are you or will you receive "Wages in Lieu of Notice"?
No

Employment Information 1 -
Name of Employer
SUPER BUFFET
Does your employer do business under any other name?
No
Is this employer part of a Federal agency or Military branch?
No
Street Address
150 SUNCREST TOWN CENTRE
City
MORGANTOWN
State
West Virginia
ZIP Code
26505
Is the Payroll Address (mailing address) the same as the Working Address (Job site address)?
Yes
Phone Number
316-778-0696
When did you start working for this employer?
10/07/2019
What was the last date that you worked for this employer?
12/06/2020
Is this the same date you were separated?
Yes
Explain why you delayed filing your claim.
HAVEN'T BEEN FEELING TOO GOOD DUE TO COVID 19
What is the reason you are not working there now?
Lack of Work

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What was your job title/function?


OFFICE ASSISTANT
Rate of Pay (do not enter $ sign)
700
Your rate of pay is based on an (Hourly Rate, Weekly Rate, Monthly Salary)
Week
Do you have a Recall Date?
No
Unable to complete 18 months of employment history?
Yes
Have you worked for any other employers during the last 18 months, either part-time or full-time?
No

Job Seeker Information -


Are you a military veteran?
No
Did you serve in the U.S. military, other than active duty for training in the National Guard or Reserves, and receive
a discharge other than dishonorable?
No
Did you serve more than 180 days of active duty in the military (Do not include National Guard or Reserve training
time)?
No
Are you or were you a National Guard or Reserve member called to active duty under Title 10?
No
Are you a veteran who has served at least 1 day of active duty in the U.S military and who lacks a fixed, regular and
adequate residence?
No
Are you a U.S military service member on active duty including separation leave and within 24 months of retirement
or 12 months of separation?
No
Did you receive a campaign badge?
No
Were you discharged or released from active duty because of a service-connected disability?
No
Have you been awarded a service-connected disability by the Department of Veterans Affairs since your release
from active duty?
No
Are you the spouse of any person who died of a service-connected disability?
No
Are you the spouse of any member of the armed forces serving on active duty who meets one or more of the
following: Missing in action; Captured in the line of duty by hostile forces; Forcibly detained/interned in the line of
duty by a foreign government or power; Any person who has a total disability (permanent) resulting from a service-
connected disability or of a veteran who died while a disability so evaluated existed and has been so for a total of
90 days?
No

Did you attend high school?


No

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Did you attend College?


No
Do you have a Vocational degree?
No
Do you have any certifications?
No
Do you have a valid Driver's license?
Yes
Do you have a valid CDL license?
No
Do you have any other license you need to tell us about?
No
What are occupation(s) in which you are seeking work? Note: Please do not enter "Any" or "All".
OFFICE ASSISTANT
Tell us how much experience, if any, you have in this occupation.
More than 2 years
What is the minimum hourly salary you will accept for this job? (do not enter $ sign)
20
How many miles are you willing to travel one-way for work?
75
Are you a migrant or seasonal farm worker?
No
Are you an individual with a disability?
No
Are you an individual who either has been subject to any stage of the criminal justice process for committing a
status offense of delinquent act, or requires assistance in overcoming barriers to employment resulting from a
record or arrest or conviction for committing delinquent acts, such as crime against persons, crimes against
property, status offenses, or other crimes?
No
Have you ever been convicted of a felony?
No

Confirmation Code: N284415


SSN: ***-**-2844
Name: DEBRA K HILL
Address: 461 SPRINGDALE AVENUE , MORGANTOWN, West Virginia 26505
Filing Date and Time: 4/5/2021 11:13 PM

Morgantown UC Claims

Mailing Address:
304 Scott Ave.
Morgantown WV 26508
Ph: 800-252-5627
Fax: 304-558-3117
Initial Claims:
Claims are taken via the web at uc.workforcewv.org

https://uc.workforcewv.org/Consumer/InitialClaims/Forms/Form_CN1.aspx?sid=02265428-ed91-411c-989e-41900301c36f 6/7
4/5/2021 Claim Confirmation

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