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U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of JOHNNY L. SAVAGE and U.S. POSTAL SERVICE, POST OFFICE, Cincinnati, OH Docket No. 01-1149; Submitted on the Record; Issued
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Begin filling out the form by entering your personal information such as your name, contact information, and social security number in the designated fields.
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Provide details about your current employment status, including your job title, employer's name, address, and contact information. If you are unemployed, indicate the date and reason for your job separation.
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Fill in information related to the reason for completing the form, such as whether you are applying for unemployment benefits, reporting work-related injuries or illnesses, or seeking assistance with re-employment services.
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If you are completing the form to apply for unemployment benefits, provide details about your previous employment history, including the dates worked, employers' names, addresses, and reasons for leaving each job.
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Carefully review the completed form to ensure all the information is accurate and that no fields have been left blank. Make sure to sign and date the form as required.
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Submit the filled-out form by either mailing it to the appropriate address or delivering it in person to the designated Department of Labor office.
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