Employment Security Division

UI Claimant Forms 


Forms Sorted Alphabetically

Affidavit Concerning Deceased or Incompetent Person NUCS-4172
Claimant's Affidavit of Federal Civilian Services, Wages and Research Separation - Instructions for ES-935 ES-935
Medical Statement - Instruction for NUCS-4194 NUCS-4194
Petition for Trade Adjustment Assistance (TAA) ETA-9042
School/Training Attendance Notification Form NUCS-4345N
Work Search Record NUCS-4482R
Sample of Completed Work Search Record  NUCS-4482R (Sample)

Spanish Language Forms

Solicitud de Assistencia Para Ajuste (TAA) ETA-9042A-1
Registro de Busqueda de Trabajo NUCS-4482R


NV Relay 711 or 800-326-6868
An equal opportunity employer/program.
Auxiliary aids and services available on request by individuals with disabilities