Form B-569 "Notice to Register for Work" - Colorado

What Is Form B-569?

This is a legal form that was released by the Colorado Department of Labor and Employment - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2001;
  • The latest edition provided by the Colorado Department of Labor and Employment;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form B-569 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.

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Download Form B-569 "Notice to Register for Work" - Colorado

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Colorado Department of Labor and Employment
Unemployment Insurance Benefits
P. O. Box 400
Denver, CO 80201-0400
303-318-9000 (Denver-metro area) 1-800-388-5515 (outside Denver-metro area)
Claimant Information
Social Security Number
Name ________________________________________________
Address ______________________________________________
City _________________State ________________Zip ________
NOTICE TO REGISTER FOR WORK
Part of your eligibility requirement for unemployment insurance (UI) benefits is that you register for
work at your local state employment office. You must register for work and mail this completed form
to the address shown above within fifteen days of your initial Internet claim. Failure to register can
cause your benefits to be delayed or disallowed. UI benefits cannot be paid until you have met this
requirement.
1. Date you registered for work
2. Office name and address
CERTIFICATION: I have completed the information above for the purpose of obtaining UI benefits, knowing the law provides
penalties for making false statements. I know that this information is subject to verification. If the information that I have provided
changes, I will immediately report that change to the Colorado UI Program.
Signature
Date
Telephone/Message Number
B-569 electronic PDF (R 06/01)
Colorado Department of Labor and Employment
Unemployment Insurance Benefits
P. O. Box 400
Denver, CO 80201-0400
303-318-9000 (Denver-metro area) 1-800-388-5515 (outside Denver-metro area)
Claimant Information
Social Security Number
Name ________________________________________________
Address ______________________________________________
City _________________State ________________Zip ________
NOTICE TO REGISTER FOR WORK
Part of your eligibility requirement for unemployment insurance (UI) benefits is that you register for
work at your local state employment office. You must register for work and mail this completed form
to the address shown above within fifteen days of your initial Internet claim. Failure to register can
cause your benefits to be delayed or disallowed. UI benefits cannot be paid until you have met this
requirement.
1. Date you registered for work
2. Office name and address
CERTIFICATION: I have completed the information above for the purpose of obtaining UI benefits, knowing the law provides
penalties for making false statements. I know that this information is subject to verification. If the information that I have provided
changes, I will immediately report that change to the Colorado UI Program.
Signature
Date
Telephone/Message Number
B-569 electronic PDF (R 06/01)