Social Security Number
Valid email address (Create an email address)
Employer/Business name(s) and address(es) for whom you have worked in the past 18 months.
The date of the last day that you worked
The reason for separation from your last employer (e.g., quit, fired, lack of work, laid-off or job eliminated, etc.)
Bank routing number and account number for direct deposit. Otherwise you will receive benefits on the Tennessee Automated Payment Visa Card provided by Chase Bank by default.
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