Forms

ADOL Agreement for Direct Deposit Form DD-1   
Unemployment Compensation
Direct Deposit form DD-1. Also see Direct Deposit Fact Sheet, form DD-2
ADOL Direct Deposit Fact Sheet - form DD-2   
Unemployment Compensation
Direct deposit is the electronic transfer of your unemployment benefits directly into your checking or savings account. It is the most convenient and dependable way to receive your benefits. No more wondering if your check was lost or stolen. No more check cashing fees. There is no fee for direct deposit.
Annual Report by Labor Organizations or Labor Unions   
Inspections
Application for Surface Mining Permit and Plan of Reclamation   
Inspections
Child Labor Child Actor Release Form   
Unemployment Compensation
Child Labor Employee Information Form   
Unemployment Compensation
Employer Affidavit for Filing Electronic Partials   
Unemployment Compensation
Fraud Report Information Sheet   
Internal Security
Information Disclosure Request by an Individual, Form 480   
Unemployment Compensation
This form allows you to request information from your own file.
Internal Security Report for Fraud and/or Abuse Incidents (Form ISEC-F)   
Internal Security
Internal Security Report for Non-Fraudulent Incidents (Form ISEC-1)   
Internal Security
Law Enforcement Request   
Internal Security
Mine Foreman-Fireboss Packet   
Inspections
MR Comprehensive Reclamation Plan   
Inspections
Notice of Back Pay Award   
Unemployment Compensation
Partials Employee Consent Form   
Unemployment Compensation
Petition for Trade Adjustment Assistance   
Unemployment Compensation
This is a petition for Trade Adjustment Assistance under the Trade Adjustment Assistance (TAA) Extension Act of 2011. See the Instructions and Information section on Page 1 for details on annotated items.
Petition For Trade Adjustment Assistance - Spanish Version   
Unemployment Compensation
This is the Spanish version of a petition for Trade Adjustment Assistance under the Trade Adjustment Assistance (TAA) Extension Act of 2011. See the Instructions and Information section on Page 1 for details on annotated items.
UC Application for Voluntary Election (Form UC-6)   
Unemployment Compensation
UC Application to Determine Liability (UC Form SR-2)   
Unemployment Compensation
UC Application to Determine Liability Instructions   
Unemployment Compensation
UC Application to Determine Liability Pertinent Coverage Provisions   
Unemployment Compensation
UC Partial Successor In Interest Relationship (Form EL-1-B)   
Unemployment Compensation
Qualifications for Coverage and Experience Rating Segregable Units
UC Partial Successor Wage Transcript (Form UC-10-D)   
Unemployment Compensation
UC Power of Attorney   
Unemployment Compensation
UC Report of Employer Account Changes   
Unemployment Compensation
UC Statement of Correct Information Previously Reported (Form UC-10-C)   
Unemployment Compensation
WC Alabama First Report of Injury Codes   
Workers' Compensation
WC 2014 Order Form   
Workers' Compensation
WC Application for Certification for Bill Screening (Form WC 50)   
Workers' Compensation
WC Application for Self Insurance (Form WC 18)   
Workers' Compensation
WC Assessment Form (Instructions)   
Workers' Compensation
WC Assessment Form (WCC10)   
Workers' Compensation
For Insurance Companies, Self-Insurers & Group Funds
WC Assessment Form Cover Letter   
Workers' Compensation
WC Cause of Injury Codes   
Workers' Compensation
WC Claim Summary Form (Form WC 4)   
Workers' Compensation
WC Combination Supplementary & Claim Summary Form   
Workers' Compensation
Requires Microsoft Word
WC Corporate Exclusions/Inclusions   
Workers' Compensation
WC Drug Free Certification of Drug Free Workplace   
Workers' Compensation
WC First Report of Injury (WC Form 2 9/2006)   
Workers' Compensation
WC First Report of Injury (WC Form 2 Rev. 9/2006) *Requires Microsoft Word   
Workers' Compensation
WC NAICS Industry codes   
Workers' Compensation
WC Nature of Injury Codes   
Workers' Compensation
WC Part of Body Injury Codes   
Workers' Compensation
WC Re-Certification of Drug Free Workplace   
Workers' Compensation
WC Supplementary Report (WC Form 3)   
Workers' Compensation
WEEKLY REQUEST FOR ALLOWANCE BY WORKER IN TRAINING   
Unemployment Compensation
 
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