To apply for unemployment
benefits, complete the UI-1
and mail it to your local
RRB office. You can also obtain an application
from your railroad employer or union official. Your application
must be received at the RRB within 30 days of the first
day for which you wish to claim benefits. You may lose benefits
if your application is filed late.
Complete only one application during a benefit year even
if you become unemployed more than once during that benefit
year. When the RRB district office receives your completed
application, the RRB will notify your employer that you
have applied for benefits. Your employer may respond to
the district office with any information relating to your
eligibility.
Once we process your application, we will mail you a claim
form. You must complete and return the claim to the RRB
district office. A notice of your claim will then be sent
to your employer.
Read the following instructions
carefully before completing your application. If
your application is not completed correctly, your benefits
may be delayed. Contact your local RRB office if you have
questions or need assistance in completing the form.
Section
A - Identifying Information —
Items 1 - 6 are self-explanatory.
Section
B - Employment Information —
Item 7
Show in Item 7a
the name of the railroad company
for which you worked most recently. (For example, "Conrail.")
Show in Item 7b
the title of
your job (for example, "Trainman.")
Show in Item 7c
the city and
state where you
last performed your railroad job.
Check the box in Item 7d
that indicates why you are not now working for your last
railroad employer. If you check box 9 "Other,"
write an explanation in the space provided.
If you have quit or resigned any railroad or nonrailroad
job within the past 3 years, answer Item 7e
"Yes."
You must specify the date you resigned or quit, and the
name of your former employer in Items (1) and (2).
If you are claiming unemployment benefits because you were
discharged or suspended from your last railroad job, you
must complete Item 7f.
Be sure to complete all parts of the question. If you are
suspended, give both the beginning and ending dates of the
suspension period in Item 7f
(1).
Only complete Item
7g if you are unemployed
due to a strike or work stoppage and give the name of your
labor union.
Item 8
Show in Item 8a
the date that you want your first unemployment claim to
begin. The date you enter should be the first day after
you last worked for either a railroad or nonrailroad employer
and for which you were available for work and did not receive
any pay. The date will be the first day of your waiting
period.
Show in Item 8b
the date you last worked for your last railroad employer
prior to the date you entered
in Item 8a.
Item 9
Check Item 9 "Yes"
if you are covered by a job protection plan under the National
Job Stabilization Agreement or under a similar plan. You
should also check "Yes"
if you are affected by a merger or line sale, and may be
entitled to a guaranteed wage. Also enter the name of the
employer providing the guarantee.
Item 10
Check Item 10 "Yes"
if you have been paid a severance, termination, or separation
allowance or buy-out. In Item 10a,
enter the date of separation and in Item 10b,
enter the name of the employer that paid the allowance.
Item 11
If you have been self-employed in the past 2 years or
you are currently self-employed, you must answer this question
"Yes."
In addition, provide the type of self-employment in Item
11a (for example,
"tax-preparer," "carpenter"), and give
the date you were last self-employed in Item 11b.
Item 12
If you answer "Yes"
to Item 12a, give
the name, address, date last worked, and your job title
for the last nonrailroad employer for whom you worked during
the past 2 years in Item 12a
(1-4). Also show why you are not now working for that employer
in Item 12a (5).
If you have worked for more than one nonrailroad employer
in the past 2 years, answer Item 12b
"Yes."
Item 13 is self-explanatory.
Section
C - School Information —
Items 14 is self-explanatory.
Section
D - Other Benefits —
Item 15
Unemployment benefits under
the Act are not payable, or are payable at a reduced amount,
if you are also receiving social security benefits, military
retirement pay or retainer pay, or any other retirement
or survivor benefits provided by law.
If you are receiving any other benefits under any law,
you must answer this question "Yes"
and specify the type of benefit(s), the effective date,
and the monthly amount you receive before deductions.
Section
E - Direct Deposit Information —
Item 16
Direct Deposit - Federal
law requires the RRB to pay your benefits by Direct Deposit.
With Direct Deposit, your benefit payments are sent directly
to your bank, savings and loan, credit union or other financial
institution. Payments are sent electronically, which saves
money by eliminating the need to print and mail checks.
Direct Deposit has the following advantages for you. Direct
Deposit payments are generally available 2 to 5 days sooner
than payment by check. You do not have to worry about a
check being lost, stolen, or misplaced, and you can be away
from home without the worry of a check sitting unprotected
in your mailbox. There is no need to wait for mail delivery
of a check or to make a special trip to your bank.
To provide the information we need to correctly deposit
your benefit payments, attach a voided personal check to
your application or call your financial institution for
the information needed to complete this item.
If you change banks or
accounts while claiming benefits, be sure to give
the RRB information to establish Direct Deposit in your
new account. Do not close your old account until you receive
the first RRB payment in your new account.
There are some exceptions that allow payments to be made
by check. You may receive your payments by check if: (1)
receiving your payments by Direct Deposit would cause a
hardship because you have a physical or mental disability,
or because of a geographic, language, or literacy barrier;
(2) you do not have a checking or savings account at a bank
or other financial institution; or (3) if receiving your
payment electronically would cause you a financial hardship
because it would cost you more than receiving your payments
by check. If any of these apply to you, check box (e.) in
Item 16.
Section
F - Certification And Signature —
Item 17 is self-explanatory.
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