Submit a request – Tennessee Department of Labor and Workforce Development

Choose a form

Your email address

Do you currently have an unemployment claim on file?

How can we assist you with your claim?

*Please select the option that most closely matches your request

What assistance do you need regarding your job search disqualification?

How can we assist you?

Subject

Description

Your first name

Your last name

Email address

Your phone number

Street address

Zip Code

County

State

Date of birth

Please use format: MM/DD/YYYY

Last four digits of Social Security Number

Claimant ID number

Name of your most recent employer

Length of employment with most recent employer

Last date you performed work

Last date of weekly certification on Jobs4TN

What is the name of your union?

What is your union number?

Do you use the union hall as your sole method for job seeking?

Are you a paid-up member of a craft union obtaining work through a union hiring hall?

Please enter your return to work date

Application 1 - What was the name of the company you applied to?

Application 1 - What was the position title you applied for?

Application 1 - How did you apply?

Application 1 - Please provide details for your selection above

Application 1 - What day did you apply/meet?

Application 2 - What was the name of the company you applied to?

Application 2 - What was the position title you applied for?

Application 2 - How did you apply?

Application 2 - Please provide details for your selection above

Application 2 - What day did you apply/meet?

Application 3 - What was the name of the company you applied to?

Application 3 - What was the position title you applied for?

Application 3 - How did you apply?

Application 3 - Please provide details for your selection above

Application 3 - What day did you apply/meet?

American Job Center (AJC)

Please select city nearest you

Program name or agency

Grand region

Business Website

Business phone number

Filing Period (6th Week Payment)

(required)

Attachments

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