RESEA - UI Eligibility Form

New Jersey Department of Labor and Workforce Development

Re-Employment Services and Eligibility Assessment (RESEA) Program

 Unemployment Insurance Eligibility (UIE) Form

 

 

Please complete this form to verify your eligibility to receive unemployment benefits and to comply with the RESEA program requirements before you report to your scheduled workshop.  Answer all questions, then sign the worksheet. 

 

Failing to complete this form may affect your eligibility to receive unemployment benefits.

* Required

 

BC-151.2 (R-06-23)

 

 

1. Since filing your unemployment claim, have you been:
  • Continuation pay
  • Payments in lieu of notice
  • Retirement pay received from an employer on your claim

PARTICIPANT SIGNATURE (official)

CERTIFICATION STATEMENT: I have answered these questions to obtain Unemployment Insurance benefits. I know the law provides penalties for making false statements. I understand that this information will be verified.

Before submitting the form, click the "Back" button to review your responses and correct any errors.

You are responsible for submitting accurate information.