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 Way2Go Card® Debit MasterCard provided by Xerox. The card is mailed within 7-10 business days from the date you file a new claim. If you do not receive a Way2Go Card, contact Xerox Customer Service at 1-855-462-5887.
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