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How to File a Biweekly Claim by Mail

You may file your biweekly claims by mail only if you:
  • can not file by Internet;
  • do not have access to a telephone;
  • do not have access to a touch-tone or a push button telephone with a tone-pulse switch;
  • have limited ability to communicate in English or Spanish;
  • have a disability that prevents you from using PAT; or
  • are receiving TRA.
If you are filing your claims by mail, you will be mailed a claim form. Use this form to file your claim for benefits for the claim week(s) indicated on the face of the form in the block entitled "Claim Week(s) Ending On." Each claim week represents a calendar week beginning on a Sunday and ending at midnight on the Saturday date listed. If you do not receive an expected claim form or your claim form becomes lost, stolen, misplaced or destroyed, please contact the UC service center immediately.
 
 
 
 

Completing Your Claim Form

Complete the claim form by providing all applicable information. The information being requested applies to your claim status for the week(s) being claimed as indicated in the "Claim Week(s) Ending On" block of this form.
 
If you were employed during one or both of the weeks being claimed, provide the employer(s) complete name(s) and address(es) including zip code(s), and give the actual date(s) worked, total hours worked, hourly rate, and gross pay in Item 6. Provide the reason(s) for any separation(s) from employment and an explanation in Item 7.
 
If you received holiday or vacation pay during the week(s) being claimed, you must give complete information in Item 6. Provide the gross amount of holiday pay or vacation pay attributable to each day.
 
If you wish to claim only one of the claim weeks listed on the form, cross out the claim week that you do not wish to claim and provide an explanation in Item 7 as to why you are not claiming that week.
 
If you change your name, address, and/or telephone number, PRINT the new information clearly and legibly in Item 7. For address changes, include your street or rural route, city, state, zip code, and the county where you live.
 
If you are filing for TRA benefits, you are required to report your weekly work search activity. You must indicate your job contacts on the reverse of the claim form.
 
Note: All work, earnings, vacation pay and holiday pay are subject to verification with your employer. Therefore, it is important for you to provide complete and accurate information.
 
If you have any questions regarding how to complete the form, contact the UC service center.

Certification

After you have completed your claim form, sign and date the form in the space provided at the bottom of the form. Your signature certifies the completeness and truthfulness of the information on the form.

Mailing Your Claim Form

When submitting your completed claim form, be sure to do the following:
  • Enter your name and return mailing address in the upper left corner of the envelope.
  • Affix the proper postage to the envelope.
  • Mail your claim form to the UC Service Center address shown on the form.
  • Mail your claim form during the week beginning with the date printed in the "Claimant Instructions" area of the form. If it is postmarked before that date, it will be returned to you. If it is postmarked after that week, you may be filing too late and may be ineligible for one or both weeks of benefits.

Processing Your Claim

If all eligibility requirements have been met, your claim form will be processed for payment. An improperly completed claim form will be returned to you for correction, resulting in a delay of payment of benefits. Please, review your completed claim form carefully before mailing it to the UC service center.
 
 
Home Page | File a Claim
 
The information provided on this site does not constitute a determination of eligibility
to receive unemployment compensation.
 
PA Department of Labor and Industry