Formal Report

4/9/2020 Texas Workforce Commission's Unemployment Benefit Services - Confirmation View and Print

https://apps.twc.state.tx.us/UBS/pr/confirmation.do?method=print 1/2

Name: MAYLAT S DENGIL

Social Security Number (SSN): XXX-XX-2498

Claim Week 1: Mar 22, 2020 - Mar 28, 2020

Claim Week 2: Mar 29, 2020 - Apr 04, 2020

Did you work in Claim Week 1? No

Did you earn vacation or holiday pay while on temporary layoff or on vacation from a current job during Claim Week 1?

No

Did you work in Claim Week 2? No

Did you earn vacation or holiday pay while on temporary layoff or on vacation from a current job during Claim Week 2?

No

Did you receive other income from any of the sources below that you have not already reported to TWC such as Retirement or disability pension, Workers' Compensation, or Additional payment, such as severance pay or wages instead of providing advance notice of work separation?

No

If Yes, check all that apply:

Retirement or disability pension: (Not Checked)

Workers' Compensation: (Not Checked)

Additional payment when you left your job other than wages you had earned:

(Not Checked)

Were you physically able to work each day? Yes

Were you available to accept full-time work for all of the days and hours required for the type of work you are seeking, if it had been offered?

Yes

If No, check the reason(s) you were not available:

Transportation: (Not Checked)

Child care: (Not Checked)

Payment Request Information

Print

Close this window

Payment Request Confirmation

If you submit your payment request after 6PM Central, TWC will process your payment in two business days.

Your Payment Request has been submitted on April 09, 2020 11:34 PM (Central time).

Work and Other Income

Work and Earnings

Claim Week 1 (Mar 22, 2020 - Mar 28, 2020)

Claim Week 2 (Mar 29, 2020 - Apr 04, 2020)

Other Income

Ability and Availability to Work

Confirmation View and Print

4/9/2020 Texas Workforce Commission's Unemployment Benefit Services - Confirmation View and Print

https://apps.twc.state.tx.us/UBS/pr/confirmation.do?method=print 2/2

Out of town: (Not Checked)

Personal reasons: (Not Checked)

Job preference restrictions: (Not Checked)

Did you turn down any job offer? No

Did you turn down any job referral? No

Did you attend school or training? No

If Yes, did the school or training prevent you from accepting work? (Optional - not answered)

Are you a United States citizen? No

If No, are you legally authorized to work in the United States? Yes

Provide the number of work search contacts you made during the Claim Week(s).

Claim Week 1 (Mar 22, 2020 - Mar 28, 2020): 5

Claim Week 2 (Mar 29, 2020 - Apr 04, 2020): 5

Do you certify that this is your Social Security Number and you are the person named on this unemployment insurance claim; and do you certify the information you gave for this claim period is true and complete?

Yes

Close this window

Work Search

Number of Contacts

Certify and Submit

Giving untrue information or withholding information on any unemployment insurance claim may result in severe penalties including fines and/or imprisonment, and may also result in a loss of benefits. TWC routinely compares the amount of earnings you report on your certifications to the amount of wages your employer reports having paid you. TWC also randomly verifies that you made an adequate number of valid work search contacts.