Dws Ark 501 Form – Fill Out and Use This PDF

The DWS Ark 501 form serves as an application for unemployment insurance benefits, requiring claimants to provide comprehensive personal and employment information. Essential fields include social security number, personal details, employment history, and eligibility for federal taxes or other benefits. To efficiently navigate through the process of filing for unemployment benefits, individuals are encouraged to accurately complete this form.

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Dws Ark 501 Form PDF Details

Navigating the complexities of unemployment insurance benefits can be a daunting task for many. The DWS ARK 501 form serves as a crucial starting point for individuals embarking on this journey. This comprehensive form covers a wide array of personal and employment information that claimants are required to fill out to apply for unemployment insurance benefits. Specific fields that must be completed include the claimant's social security number, personal information such as name, address, and contact details, and details about their last employer and the nature of their work separation. The form also inquires about the claimant's citizenship, work history in other states, and educational background, providing a holistic view of the claimant's employment status. Additionally, it addresses eligibility criteria, such as the ability to work immediately, potential entitlements from other sources, and any disabilities that might affect the claimant's job search efforts. By meticulously filling out this form, claimants ensure their information is accurately represented, paving the way for a smoother processing of their unemployment insurance benefits claim.

Question	Answer
Form Name	Dws Ark 501 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	3-Temporary, false, ARKANSAS, ESD-ARK-501

Form Preview Example

ADDRESS - Line 2:

*ZIP CODE:

ADDRESS - Line 2:

		APPLICATION FOR UNEMPLOYMENT
			INSURANCE BENEFITS

	CLAIMANT INFORMATION (*Information Fields Must Be Completed)

TODAY'S DATE:	* SOCIAL SECURITY NUMBER:		EFFECTIVE DATE: (Local Office Only)
*Have you filed an unemployment claim in another state in the last 12 months? (Other than Arkansas)			Yes No *If yes which State?:
*FIRST NAME:	MIDDLE INITIAL *LAST NAME:

Mailing Address: *ADDRESS - Line 1:

*CITY: *STATE:

Physical Address: (if different than above): ADDRESS - Line 1:

CITY:

ZIP CODE:

*State of Residence:

*County of Residence:

E-Mail Address:

HOME PHONE:

MOBILE:

MESSAGE ONLY:

*DATE OF BIRTH:

*GENDER:

Male

Female

*YEARS OF EDUCATIION:

ETHNICITY:

Non Hispanic

Hispanic

RACE

White

Black

Asian

American Indian

Native Hawaiian

Other (Biracial or

or Alaska Native

or Pacific Islander

Multiracial)

Are you handicapped (disabled)?

Yes

*Have you worked in another state(s) within the

Yes

*Are you a citizen of the United States?

Yes

past 18 months?

If yes, List States:

If not a citizen, were you legally authorized to work in

Yes

the United States during the past 18 months?

If yes, Permit Number:

Have you worked for an Educational Institution within the last 18 month?

Yes

If Yes, Were you laid off with reasonable assurance of recall the next semester?

Yes

If No, Are you on holiday recess or spring break with reasonable assurance of recall following the holiday or spring break?

Yes

LAST EMPLOYER INFORMATION (Current Employer if working - or - if not working, last employer)

*EMPLOYER NAME:

ACCOUNT NUMBER: (Local Office Only)

UNIT NUMBER: (Local Office Only)

*STREET NAME:

*CITY:

*STATE:

*COUNTY:

*ZIP CODE:

EMPLOYER PHONE:

FIRST DATE WORKED AT YOUR LAST JOB:

DATE LAST WORK ENDED:

Are you scheduled to return to work or start a new job within 10 weeks?

Yes

If yes date you are scheduled to return to work:

*Was your last work?

1 - Full time (40 hrs)

2-Part time (less than 40 hrs)

3-Temporary (120 days or less)

*Type of separation:
Laid Off:	Quit:	Discharged:	School Employee:
Weather	Personal Emergency	Sleeping	Spring Break
Lack of Work	Health	Fighting	Summer Break
			Summer Break
Finished Job	General	Absent/Tardy	Holiday
			Holiday
Business Closed		Insubordination
		Drinking/Drug Test
		General
		Military

Other:
Suspension	Medical Leave
Shared Work	Strike
Vacation	Holidays
Lockout	Still Working Part time
	Still Working Part time

Family Medical Leave

Reduced from full time (40 hrs)

Page 1 of 2

DWS-ARK-501 (Rev. 11-04) v02262020

No No

						APPLICATION FOR UNEMPLOYMENT
							INSURANCE BENEFITS

*Have you had work of any kind since your LAST EMPLOYER?				Yes	No
*Was your Employer a Temporary Help firm?		Yes	No
*Specific Occupation Performed at Your Last Job:
*What kind of work did you do on your last job?:

		ADDITIONAL EMPLOYER (*Information Fields Must Be Completed)

*EMPLOYER NAME:			ACCOUNT NUMBER: (Local Office Only)				UNIT NUMBER: (Local Office Only)
*STREET NAME:
*CITY:			*STATE:			*COUNTY:	*ZIP CODE:
EMPLOYER PHONE:		FIRST DATE WORKED AT YOUR LAST JOB:					DATE LAST WORK ENDED:

Are you scheduled to return to work or start a new job within 10 weeks?						Yes	No
If yes date you are scheduled to return to work:
*Was your last work?	1 - Full time (40 hrs)				2-Part time (less than 40 hrs)		3-Temporary (120 days or less)

*Type of separation:
Laid Off:	Quit:	Discharged:	School Employee:
Weather	Personal Emergency	Sleeping	Spring Break
Lack of Work	Health	Fighting	Summer Break
			Summer Break
Finished Job	General	Absent/Tardy	Holiday
			Holiday
Business Closed		Insubordination
		Drinking/Drug Test
		General

Other:
Suspension	Medical Leave
Shared Work	Strike
Vacation	Holidays
Lockout	Still Working Part time
	Still Working Part time

Family Medical Leave

Reduced from full time (40 hrs)

ELIGIBILITY INFORMATION (*Information Fields Must Be Completed))

*Do you want to have Federal Taxes withheld	Yes	No	*Do you have children/others that require care? ..	Yes	No
from your weekly benefit payment?	Yes	No
from your weekly benefit payment?			*If Yes, have arrangement for their care	Yes	No
			*If Yes, have arrangement for their care	Yes	No
			been made if you find work?
*Are you entitled to or are you receiving any of the following:			Have you refused any job since you became
			Have you refused any job since you became	Yes	No
*Vacation Pay?	Yes	No	unemployed?	Yes	No
*Sick Pay?	Yes	No	Are you attending school?	Yes	No
*Severance Pay?	Yes	No	If No, Are you planning on attending school?	Yes	No
*Severance Pay?	Yes	No	If Yes, Do you have a date for entering
	Yes	No	If Yes, Do you have a date for entering	Yes	No
*Profit Sharing?			school in future?	Yes	No
*Profit Sharing?			school in future?	Undecided
*Paid off Time?	Yes	No	*Have you worked in Federal Employment in the past	Undecided
*Paid off Time?	Yes	No	*Have you worked in Federal Employment in the past	Yes	No
*Are you receiving or have you applied for a pension, annuity, or retirement			18 months? (Not to include Military Service)	Yes	No
from former employers? (not including social security)	Yes	No	If Yes, 1)Do you have a copy of your SF-8
	Yes	No	or SF-50? (ES 931 Form)	Yes	No
			or SF-50? (ES 931 Form)	Yes	No
*Can you begin work immediately?	Yes	No	*2) Do you have proof of your last
*Can you begin work immediately?	Yes	No	earnings? (ES 935 Form)	Yes
				Yes

*Can you work Full Time?	Yes	No	*Have you had active Military Service in the
*Do you have transportation to a job or has			past 18 months?	Yes
*Do you have transportation to a job or has			*If Yes, do you have a copy of your DD-214?	Yes
transportation to a job been arranged?	Yes	No	*If Yes, do you have a copy of your DD-214?	Yes
transportation to a job been arranged?	Yes	No	*If Yes, Form 970 required
			*If Yes, Form 970 required
*Do you have any disabilities that limit your ability to			*If No, MA - 843 required
*Do you have any disabilities that limit your ability to			*Do you obtain work through a Union?	Yes
perform your normal job duties?	Yes	No	*Do you obtain work through a Union?	Yes
perform your normal job duties?	Yes	No
			*If Yes, Name:
*Are you self-employed, working on a commission or farming which			Local Number:
prevents you from seeking work or accepting a job?	Yes	No	*Are Dues Paid?	Yes

I hereby register for work and file notice of unemployment, and request a determination of my benefit rights under Division of Workforce Services Law. I certify the information given on this form is correct and understand that penalties are provided for making false statements or failing to disclose material facts in order to obtain benefits.

Signature:Date:

LOCAL OFFICE USE ONLY

REQUALIFYING WAGES:

Yes

No RETURN DATE:

CONTROL DATE:

INTERVIEWERS INITIAL:

Page 2 of 2

DWS-ARK-501 (Rev. 11-04) v02262020

How to Edit Dws Ark 501 Form Online for Free

You could fill in form esd ark 501 instantly in our PDF editor online. To make our editor better and easier to work with, we consistently develop new features, with our users' suggestions in mind. This is what you'd need to do to get going:

Step 1: Click on the "Get Form" button above. It is going to open our editor so that you could start filling out your form.

Step 2: Once you launch the PDF editor, you'll see the form ready to be completed. In addition to filling in various blanks, you could also perform various other actions with the Document, namely writing your own textual content, editing the original text, inserting illustrations or photos, placing your signature to the document, and a lot more.

Filling out this form demands care for details. Ensure that all mandatory fields are done accurately.

1. To start off, when completing the form esd ark 501, start with the area that has the next blanks:

The best way to complete ARKANSAS stage 1

2. Once your current task is complete, take the next step – fill out all of these fields - Are you a citizen of the United, If not a citizen were you legally, If yes Permit Number, Yes, Yes, Have you worked in another states, Have you worked for an Educational, If Yes Were you laid off with, If No Are you on holiday recess or, Yes, Yes, Yes, LAST EMPLOYER INFORMATION Current, EMPLOYER NAME, and ACCOUNT NUMBER Local Office Only with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

ARKANSAS completion process detailed (stage 2)

3. Completing Type of separation Laid Off, Quit, Weather, Lack of Work, Finished Job, Business Closed, Personal Emergency, Health, General, Discharged, Sleeping, Fighting, AbsentTardy, Insubordination, and DrinkingDrug Test is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Simple tips to complete ARKANSAS stage 3

4. Filling in INSURANCE BENEFITS, Have you had work of any kind, Yes, Was your Employer a Temporary Help, Yes, Specific Occupation Performed at, What kind of work did you do on, EMPLOYER NAME, ACCOUNT NUMBER Local Office Only, UNIT NUMBER Local Office Only, ADDITIONAL EMPLOYER Information, STREET NAME, CITY, STATE, and COUNTY is vital in this stage - you should definitely don't hurry and take a close look at every empty field!

5. This pdf should be completed with this particular segment. Below you will find a detailed list of blanks that need accurate details to allow your document submission to be complete: Finished Job, Business Closed, General, AbsentTardy, Insubordination, DrinkingDrug Test, General, Holiday, Vacation, Lockout, Strike, Holidays, Still Working Part time, Family Medical Leave, and Reduced from full time hrs.

ARKANSAS writing process outlined (stage 5)

It is possible to make errors while filling in your General, hence ensure that you go through it again prior to deciding to submit it.

Step 3: Before finalizing this form, it's a good idea to ensure that all blanks have been filled out the right way. When you are satisfied with it, click “Done." Join us now and instantly gain access to form esd ark 501, all set for download. All changes made by you are preserved , meaning you can customize the document at a later point if needed. FormsPal provides safe document editing without data record-keeping or distributing. Feel at ease knowing that your details are secure here!

Dws Ark 501 Form – Fill Out and Use This PDF

Dws Ark 501 Form PDF Details

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