Form DOL-800 PDF Details

Page 1 is the notice, page 2 the instructions to employer, and page 3 the employer notification of the availability of unemployment compensation.

Completion: a Separation Notice must be completed for each worker who leaves your employment, regardless of the reason for the separation.

Not used: this notice shall not be used when employer-filed claims (partial) or mass separation (DOL-402) notices are filed.

Signature: this notice must be signed by an officer or employee of the employer or authorized agent for the employer.

Delivery: this notice should be dated and delivered to the separated employee in electronic or hard copy format.

Employee: the employee must take this notice to the Georgia Department of Labor Field Service Office if filing a claim for unemployment insurance benefits.

QuestionAnswer
Form NameForm DOL-800
Form Length3 pages
Fillable?Yes
Fillable fields33
Avg. time to fill out6 min
EditionR-02-24
Issuing agencyState of Georgia Department of Labor
Matches the agency's fileYes, checked October 2, 2026
Other namesDOL-800, DOL800, DOL 800, GA DOL-800, Georgia Separation Notice, Separation Notice
Official sourceForm DOL-800 (Rev R-02-24), Georgia Department of Labor

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