Connecticut Department of Labor Forms
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Form CONN.UC-5A "Correction of Employee Quarterly Earnings Report" - Connecticut
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Formulario WCA-1S "Declaracion De Reclamo Por Salario" - Connecticut (Spanish)
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Form UC-61 "Unemployment Separation Notice" - Connecticut
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Form UC-1A "Employer Status Report for Unemployment Compensation" - Connecticut
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Form DOL-128 "Job Search Skills Assessment Form" - Connecticut
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Form UI RESEA-230 "Unemployment Insurance Work Search Record" - Connecticut
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Form UC-424 "Power of Attorney" - Connecticut
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Form UC-423 "Guarantee Affidavit" - Connecticut
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Form UC-62 T "Unemployment Separation Package" - Connecticut
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Form JS-511B "Education and Work History Form" - Connecticut
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Form WWS-CPI "Payroll Certification for Public Works Projects" - Connecticut
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Form UC-UI RESEA "Unemployment Insurance Eligibility Questionnaire" - Connecticut
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"Prevailing Wage Request Form" - Connecticut
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"Prevailing Wage Rates Request Form" - Connecticut
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"Weekly Payroll Certification for Covered Service Worker Contracts - for Food Service Contracts Only" - Connecticut
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"Payroll Certification for Covered Service Worker Contracts" - Connecticut
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"Standard Wage Rate Determination for Certain Service Workers" - Connecticut
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"Contracting Agency Certification Form" - Connecticut
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"Worksheet to Help Determine Exempt/Non-exempt Status of Managerial or Executive Employees" - Connecticut
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"Contractors Wage Certification Form - Construction Manager at Risk/General Contractor/Prime Contractor" - Connecticut
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56 votes
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"Application for Private Employment Agency License" - Connecticut
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![Form CONN.UC-5A "Correction of Employee Quarterly Earnings Report" - Connecticut](https://data.templateroller.com/pdf_docs_html/1790/17902/1790251/form-conn-uc-5a-correction-employee-quarterly-earnings-report-connecticut.png "Form CONN.UC-5A "Correction of Employee Quarterly Earnings Report" - Connecticut")
![Formulario WCA-1S "Declaracion De Reclamo Por Salario" - Connecticut (Spanish)](https://data.templateroller.com/pdf_docs_html/1788/17889/1788998/form-wca-1s-declaracion-de-reclamo-por-salario-connecticut.png "Formulario WCA-1S "Declaracion De Reclamo Por Salario" - Connecticut (Spanish)")
![Form UC-61 "Unemployment Separation Notice" - Connecticut](https://data.templateroller.com/pdf_docs_html/348/3488/348823/form-uc-61-section-f-unemployment-notice-connecticut.png "Form UC-61 "Unemployment Separation Notice" - Connecticut")
![Form UC-1A "Employer Status Report for Unemployment Compensation" - Connecticut](https://data.templateroller.com/pdf_docs_html/574/5749/574913/form-uc-1a-employer-status-report-unemployment-compensation-connecticut.png "Form UC-1A "Employer Status Report for Unemployment Compensation" - Connecticut")
![Form DOL-128 "Job Search Skills Assessment Form" - Connecticut](https://data.templateroller.com/pdf_docs_html/2049/20496/2049640/form-dol-128-job-search-skills-assessment-form-connecticut.png "Form DOL-128 "Job Search Skills Assessment Form" - Connecticut")
![Form UI RESEA-230 "Unemployment Insurance Work Search Record" - Connecticut](https://data.templateroller.com/pdf_docs_html/2049/20496/2049645/form-ui-resea-230-unemployment-insurance-work-search-record-connecticut.png "Form UI RESEA-230 "Unemployment Insurance Work Search Record" - Connecticut")
![Form UC-424 "Power of Attorney" - Connecticut](https://data.templateroller.com/pdf_docs_html/1764/17644/1764466/form-uc-424-power-of-attorney-connecticut.png "Form UC-424 "Power of Attorney" - Connecticut")
![Form UC-423 "Guarantee Affidavit" - Connecticut](https://data.templateroller.com/pdf_docs_html/1764/17644/1764465/form-uc-423-guarantee-affidavit-connecticut.png "Form UC-423 "Guarantee Affidavit" - Connecticut")
![Form UC-62 T "Unemployment Separation Package" - Connecticut](https://data.templateroller.com/pdf_docs_html/2049/20496/2049644/form-uc-62-t-unemployment-separation-package-connecticut.png "Form UC-62 T "Unemployment Separation Package" - Connecticut")
![Form JS-511B "Education and Work History Form" - Connecticut](https://data.templateroller.com/pdf_docs_html/2049/20496/2049641/form-js-511b-education-and-work-history-form-connecticut.png "Form JS-511B "Education and Work History Form" - Connecticut")
![Form WWS-CPI "Payroll Certification for Public Works Projects" - Connecticut](https://data.templateroller.com/pdf_docs_html/1766/17661/1766182/form-wws-cpi-payroll-certification-for-public-works-projects-connecticut.png "Form WWS-CPI "Payroll Certification for Public Works Projects" - Connecticut")
![Form UC-UI RESEA "Unemployment Insurance Eligibility Questionnaire" - Connecticut](https://data.templateroller.com/pdf_docs_html/2049/20496/2049642/form-uc-ui-resea-unemployment-insurance-eligibility-questionnaire-connecticut.png "Form UC-UI RESEA "Unemployment Insurance Eligibility Questionnaire" - Connecticut")
!["Prevailing Wage Request Form" - Connecticut](https://data.templateroller.com/pdf_docs_html/31/318/31877/prevailing-wage-request-form-connecticut.png ""Prevailing Wage Request Form" - Connecticut")
!["Prevailing Wage Rates Request Form" - Connecticut](https://data.templateroller.com/pdf_docs_html/1765/17657/1765717/prevailing-wage-rates-request-form-connecticut.png ""Prevailing Wage Rates Request Form" - Connecticut")
!["Weekly Payroll Certification for Covered Service Worker Contracts - for Food Service Contracts Only" - Connecticut](https://data.templateroller.com/pdf_docs_html/2016/20168/2016886/weekly-payroll-certification-for-covered-service-worker-contracts-for-food-service-contracts-only-connecticut.png ""Weekly Payroll Certification for Covered Service Worker Contracts - for Food Service Contracts Only" - Connecticut")
!["Payroll Certification for Covered Service Worker Contracts" - Connecticut](https://data.templateroller.com/pdf_docs_html/1790/17902/1790249/payroll-certification-covered-service-worker-contracts-connecticut.png ""Payroll Certification for Covered Service Worker Contracts" - Connecticut")
!["Standard Wage Rate Determination for Certain Service Workers" - Connecticut](https://data.templateroller.com/pdf_docs_html/1766/17661/1766173/standard-wage-rate-determination-certain-service-workers-connecticut.png ""Standard Wage Rate Determination for Certain Service Workers" - Connecticut")
!["Contracting Agency Certification Form" - Connecticut](https://data.templateroller.com/pdf_docs_html/1766/17661/1766183/contracting-agency-certification-form-connecticut.png ""Contracting Agency Certification Form" - Connecticut")
!["Worksheet to Help Determine Exempt/Non-exempt Status of Managerial or Executive Employees" - Connecticut](https://data.templateroller.com/pdf_docs_html/1766/17661/1766184/worksheet-to-help-determine-exempt-non-exempt-status-managerial-or-executive-employees-connecticut.png ""Worksheet to Help Determine Exempt/Non-exempt Status of Managerial or Executive Employees" - Connecticut")
!["Contractors Wage Certification Form - Construction Manager at Risk/General Contractor/Prime Contractor" - Connecticut](https://data.templateroller.com/pdf_docs_html/1766/17661/1766185/contractors-wage-certification-form-construction-manager-at-risk-general-contractor-prime-contractor-connecticut.png ""Contractors Wage Certification Form - Construction Manager at Risk/General Contractor/Prime Contractor" - Connecticut")
!["Application for Private Employment Agency License" - Connecticut](https://data.templateroller.com/pdf_docs_html/2023/20230/2023081/application-for-private-employment-agency-license-connecticut.png ""Application for Private Employment Agency License" - Connecticut")
