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Fillable ES-935 CLAIMANT'S AFFIDAVIT OF FEDERAL CIVILIAN SERVICE ...

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ES-935 CLAIMANT'S AFFIDAVIT OF FEDERAL CIVILIAN SERVICE WAGES AND REASON FOR SEPARATION ­ UCFE JSND/UI BENEFITS AREA SFN59872 (05/11) State Agency: Job Service North Dakota Local Office: Central Contact Telephone Number: (701)328.4995 Name (First, M, Last Name) Social Security Number Birthdate Employer (Federal Agency Name) Place of Employment: Address (per the SF8) State City 3-Digit Code (from the SF8)...
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