Health Care Provider's Statement of Capability
Date:
This form was recently revised to inquire whether a UI Claimant is capable of performing part-time work.
| Attachment | Size |
|---|---|
| HealthCareCapability.pdf (60.67 KB) | 60.67 KB |
This form was recently revised to inquire whether a UI Claimant is capable of performing part-time work.
| Attachment | Size |
|---|---|
| HealthCareCapability.pdf (60.67 KB) | 60.67 KB |