INSTRUCTIONS FOR FILING A TEMPORARY LAYOFF CLAIM

(VACATION SHUTDOWN)

For Claim filing purposes, you are on a temporary layoff only if you have a definite return to work date that is six (6)
weeks or less from your last day worked. This date is in the “Employer Information” section III (#9) on form UC-62V
(Vacation Shutdown New Claim). If your employer gave you form UC61 (pink slip), this date is in the “Return to Work”
box.

If you are on a temporary layoff as defined above, follow the directions on this form. If not, you must call in your claim
using the Automated “Dial to File” System. See the reverse side of this form for the telephone number that is within your
calling area.

• If your employer gave you a form UC-62V (yellow claim form) with Section III (“EMPLOYER INFORMATION”)
completed, follow the instructions listed below.

• If your employer gave you a completed form UC61 (pink slip), take a blank form UC-62V (yellow form). Follow
the instructions listed below for completing this form. You must attach the UC61 (pink slip) to the completed
UC-62V.

Completed UC-62V forms should be mailed to the following address by the end of the first full week you are out of work
or unemployed:

DEPARTMENT OF LABOR
CLAIMS EXAMINATION UNIT
200 FOLLY BROOK BOULEVARD
WETHERSFIELD, CT. 06109-1114

Follow these instructions carefully to avoid delays in the processing of your claim:

Complete Section I - front side of Form UC-62V (“CLAIMANT INFORMATION”)

Enter your social security number, complete all information and answer all questions. Please print your name and
mailing address carefully. This is the name and address that will be used on your checks and correspondence.
SECTION I MUST BE SIGNED.

• If you are not a U.S. citizen attach a copy of your valid alien registration identification - front and back sides - to
form UC-62V. Also write the alien registration number in the appropriate space in Section I of the UC62-V

• Generally, you are considered a “Construction Worker” only if the majority of hours in your most recent pay
period before this shutdown period were spent performing construction work.

• You may elect to have both Federal and CT State Income Tax withheld from your unemployment benefits.
If you choose to do this, Federal tax at 10% and State tax at 3% will be withheld.

Complete Section VII - back side of Form UC62-V (“WEEKLY BENEFIT CLAIM”)

• This section is a certification for weekly benefits during the shutdown period. If you are working either full or part-
time for another employer during the shutdown period, answer yes to question one and complete questions two
and three. If you are not working for another employer during shutdown, answer no to question one. SECTION
VII MUST BE SIGNED.
SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL FILING INFORMATION

Section V - back side of Form UC-62V (“SPOUSE DEPENDENCY ALLOWANCE PROGRAM”)

• Complete this section only if you are claiming a dependency allowance for a non-working spouse, who lives
with you in the same household. All information must be complete in order for a determination of eligibility
to be made for a dependency allowance.

Section VI - back side of Form UC62-V (“CHILD DEPENDENCY ALLOWANCE PROGRAM”)

• Complete this section only if you wish to claim an allowance and are the main support of the children. All
information must be complete in order for a determination of eligibility to be made for a dependency
allowance.

Section VIII - back side of Form UC62-V (“OTHER EMPLOYMENT IN THE PAST 3 MONTHS”).

• This section must be completed if you have had any other employment in the past three (3) months,
whether full or part-time. If you are still employed by this other employer, be sure to indicate that you are still
employed. Otherwise, give the reason for separation. Please print the employer’s name and address.

If you have questions concerning your claim, please call the telephone number listed that is within your calling area.

CALLING AREA # TO CALL CALLING AREA # TO CALL

Ansonia (203) 230-4939 Meriden (860) 344-2993
Bridgeport* (203) 579-6291 Middletown (860) 344-2993
Bristol (860) 566-5790 New Britain (860) 566-5790
Danbury (203) 797-4150 New London (860) 443-2041
Danielson* (860) 423-2521 Norwich (860) 443-2041
Enfield* (860) 566-5790 Stamford (203) 348-2696
Hamden (203) 230-4939 Torrington* (860) 482-5581
Hartford (860) 566-5790 Waterbury (203) 596-4140
Manchester (860) 566-5790 Willimantic (860) 423-2521

If you live in the Kent, North Thompson, Salisbury, Sharon, Stafford Springs, Westport, or Wilton exchange, you
may use the following toll free number:

1-800-354-3305

This number is NOT accessible statewide. It is only for the seven towns listed above.

TDD/TTY Users CALL 1-800-842-9710

Completed UC-62V forms (Vacation Shutdown New Claim) can be mailed to the address on page
one of this form, or, left in the basket labeled “completed shutdown forms” at the Greeters’, or
Receptionists’ Desk at the local Department of Labor office

WHAT TO EXPECT AFTER YOU SUBMIT YOUR CLAIM

When should you expect a check?

You should receive your first check within 3 weeks of the date you submit your claim. Note: excessive claim
activity during the winter months may delay payment slightly.

Once you receive payment for your first week, each additional week should be paid by the end of the following
week (e.g., week ending January 12th should be paid by January 19th).

You may be contacted for additional information if:

- You worked in another state within the last two years

- You served in the military in the last two years
- You worked for a federal agency in the last two years
- You are receiving a pension
- You separated from another employer in the last 3 months

Payment may be delayed if:

- You have a second job and you did not provide earnings information for each week that you are
laid off from your primary job (in section VII).
- You were denied benefits on a previous claim and have fulfilled requalification requirements that
need to be verified. If so, contact the Department of Labor to request that this be done.
- You worked part of a week and your earnings for that week were not provided.

Questions about payment:

If you have a question regarding payment, contact the automated system using the number in your calling area
on the previous page. After you place the call, follow the instructions for Continued Claim inquiry (Option
#2).