Form DOL-460 "Weekly Ui Claim for Vocational Trainee Certification by Training Facility" - Georgia (United States)

What Is Form DOL-460?

This is a legal form that was released by the Georgia Department of Labor - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the Georgia Department of Labor;
  • 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 fillable version of Form DOL-460 by clicking the link below or browse more documents and templates provided by the Georgia Department of Labor.

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Download Form DOL-460 "Weekly Ui Claim for Vocational Trainee Certification by Training Facility" - Georgia (United States)

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Page background image
Claimant’s Name
Career Center
BYE
Last 4 of SSN
***-**-_______
Print or Type Change of Address for payment:
Street
Week Ending Date
Address _______________________________________________________
City ________________________ State ________ ZIP Code _________
Complete the questions below, date and mail on SUNDAY or
MONDAY immediately following the Date Entered here
I claim unemployment insurance for the week ending shown above during which I attended a
training course approved by the Georgia Department of Labor.
During this week, did you work or earn wages? (If yes, give the information requested
below.) Yes
No
Date(s)
Employer’s Name and Address
No. Hours
Pay Before
State Use
Worked
Worked
Deductions
Reason for separation from any employment shown:
Job Ended (
) Quit (
) Discharged (
) Still Working (
)
Except for this claim, I am not seeking or receiving unemployment insurance or Workers’
Compensation or training allowance under the law of any state or of the United States. I
understand that it is a criminal offense to make false statements in connection with filing
this claim, and I certify to the truth of the above statements.
Date Signed _____________________ Claimant’s Signature ___________________________________
STATE OF GEORGIA - DEPARTMENT OF LABOR - WEEKLY U.I. CLAIM FOR VOCATIONAL TRAINEE
CERTIFICATION BY TRAINING FACILITY
This is to certify that the above individual is enrolled in a training course at this
facility.
This trainee’s record of attendance and progress has been satisfactory:
Yes
No
(If No, explain below.)
Authorized Signature
Name of Training Facility
Equal Opportunity Employer/Program•Auxiliary Aids & Services Are Available Upon Request To Individuals With Disabilities
DOL-460 (R-09/21)
Claimant’s Name
Career Center
BYE
Last 4 of SSN
***-**-_______
Print or Type Change of Address for payment:
Street
Week Ending Date
Address _______________________________________________________
City ________________________ State ________ ZIP Code _________
Complete the questions below, date and mail on SUNDAY or
MONDAY immediately following the Date Entered here
I claim unemployment insurance for the week ending shown above during which I attended a
training course approved by the Georgia Department of Labor.
During this week, did you work or earn wages? (If yes, give the information requested
below.) Yes
No
Date(s)
Employer’s Name and Address
No. Hours
Pay Before
State Use
Worked
Worked
Deductions
Reason for separation from any employment shown:
Job Ended (
) Quit (
) Discharged (
) Still Working (
)
Except for this claim, I am not seeking or receiving unemployment insurance or Workers’
Compensation or training allowance under the law of any state or of the United States. I
understand that it is a criminal offense to make false statements in connection with filing
this claim, and I certify to the truth of the above statements.
Date Signed _____________________ Claimant’s Signature ___________________________________
STATE OF GEORGIA - DEPARTMENT OF LABOR - WEEKLY U.I. CLAIM FOR VOCATIONAL TRAINEE
CERTIFICATION BY TRAINING FACILITY
This is to certify that the above individual is enrolled in a training course at this
facility.
This trainee’s record of attendance and progress has been satisfactory:
Yes
No
(If No, explain below.)
Authorized Signature
Name of Training Facility
Equal Opportunity Employer/Program•Auxiliary Aids & Services Are Available Upon Request To Individuals With Disabilities
DOL-460 (R-09/21)