r/WEBA • u/SoThenIThought_ • 3d ago
Working Copies for 2pm - 20min
D___: Reddit Unemployment Intake Form Sunday, May 31⋅2:00 – 2:20pm
When did you apply?: Less than 1 week ago
Claims in question are marked:: Pending
Did you backdate your claim for benefits?: Yes - More and 2 weeks
What is the job separation type?: Unsure - Wish to discuss privately
Was your job separation done verbally or in writing?: Some or all in writing
Did you upload a letter from your employer about the termination, or any other supporting documents?: Yes
Details I Need to know about the Job Separation?: Disability Seperation
Before this unemployment claim, were you on Workers Comp or WA Paid Leave? : I have an ongoing major issue that prevents many regular job opportunities
Since the start of the unemployment claim, have you been attending (or attended) school or training? : Some other less permanent training, not a school
Since the start of the unemployment claim, have you traveled outside of the state of Washington? Yes or No: I did vacation/travel but didn't report it
I have checked my Settings in my eServices account: My address is correct and my eletronic correspondence preference are set to "Electronic": Yes
I am aware of the ESD Unemployed Workers Handbook: Yes
I was Disqualified and have a hearing coming up....: Other
Have you stopped claiming for 4 weeks or more?: Unsure
Number of "Determination Letters" received from ESD: 1-3
Are you sure that you appealed each disqualifying Determination Letter? : None Received yet
Main Issue I want to Discuss: JOB SEPARATIONS: Job Separation - Quit - Illness/Disability/Injury
Main Issue I want to Discuss: Entire List: Timely Claiming/ Backdate Request
Details I need to know about another issue?: —
Intake Release Statement: I acknowledge that I have read this document and provided accurate information to the best of my ability. I also understand that filling out this form does not make me a client. I agree to be honest and open about my benefits claim. This form governs our relationship from the time I schedule my appointment until the date of my appointment. This form covers one 20-minute meeting. I understand that if I need additional services, WEBA will let me know if WEBA can provide further assistance or other advice such as a different, legal opinion, and if so, under what terms WEBA can offer me those services. If I decide to hire WEBA for additional services, I understand that WEBA is not able to guarantee that I will be represented by the same attorney who I meet with during my consultation. If WEBA discovers that a conflict of interest exists prior to the consultation, WEBA will inform me of the conflict and WEBA will cancel the consultation. WEBA does not print or create hard copies of the documents I provide. WEBA will delete the electronic copies of the records I provide one to two years after my case is closed. If I do not seek representation beyond the initial consultation, WEBA will consider the date of the consultation to be the closing date of my case.: I agree
10 minutes before 20 minutes before