Wp.sbcounty.gov



CATEGORY 1: A) Individual was terminated or laid off, or has received notice of termination or layoff, AND is B) eligible for or has exhausted entitlements to UI benefits, AND is C) unlikely to return to previous industry or occupation.* Must satisfy A, B, & C *A) (Collect one of the following; Category 1 or 2)WARN NoticeCopy of a printed media article/announcement describing the closure/mass layoffStatement from employer or union IAW Appointment Notice or Reemployment plan generated by IAW (DE 1106/Z)PJSA Appointment Notice (DE 8406)RESEA Letter (DE 8530)WIOA Applicant Attestation (WDD 820) supported by case noteB) (If Category 1; collect one of the following)Statement by UI representativeUI Records (Claim Status Form, Continued Claim Form, or Web-Cert printout) IAW Appointment Notice (DE 1106/Z)RESEA Letter (DE 8530)PJSA Appointment Notice (DE 8406)C) (Collect one of the following; Category 1 or 2)**CASE NOTE REASON FOR UNLIKELY TO RETURN**Wages: Industry wage compared to self-sufficient wage in San Bernardino County (Documentation: Self-Sufficiency calculator) Education, Training & Skills: Level of education or skills for advancement or re-entry in his/her former or previous industry (Documentation: Labor Market Info)Impairment: Physical or other issues preventing re-entry to former industry or occupation (Documentation: Doctor’s Note or DOR certification or Self-Attestation)Career Path: Work history reflects income maintenance versus career opportunities (Documentation: WIOA Application or Resume)Declining Industry: Industry or occupation decline (Documentation: Labor Market Info)CATEGORY 2: A) Individual was terminated or laid off, or has received notice of termination or layoff, AND has been employed for sufficient duration to demonstrate workforce attachment, BUT B) is not eligible for UI benefits due to insufficient earnings, or the employer is not covered under the state UI benefits law, AND C) is unlikely to return to previous industry or occupation.* Must satisfy A, B, & C *B) (If Category 2; collect one of the following)Pay check stubsW-2 tax returnsUI Records (Notice of UI Award and Continued Claim paper form) Statement by UI, employer, or UnionWIOA Applicant Attestation (WDD 820) supported by case note CATEGORY 3: Individual was terminated or laid off, or has received notice of termination or layoff, from employment as a result of the permanent closure of or substantial layoff at a plant, facility, or enterprise.Collect one of the following for Category 3: Bankruptcy documentsCopy of a printed media article/announcement describing the closure/mass layoffStatement from employer or union WARN NoticeUI Form 501 (Separation Statement)Telephone Verification by WDD staffWIOA Applicant Attestation (WDD 820)CATEGORY 4: Individual is employed at a facility at which the employer has made a general announcement that the facility will close. Closure date required.Collect one of the following for Category 4: Bankruptcy documents from company/employerStatement from employer or union Copy of a printed media article/announcement describing the closure/mass layoffNotice of foreclosure or a similar document provided by a financial institutionCATEGORY 5: Individual was previously self-employed but is unemployed due to general economic conditions in the community of residence or because of natural disaster. Last date of self-employment in the Actual Layoff Date.Collect one of the following for Category 5: Copy of a completed federal income tax return (Schedule SE) for the most recent tax yearCopy of a printed media article/announcement describing the closure/mass layoffCopy of articles of incorporation for the business listing the applicant as a principalBankruptcy documents listing both the name of the business and the applicant's nameBusiness licenseWIOA Applicant Attestation (WDD 820) supported by case noteCATEGORY 6: Displaced Homemaker: An individual who has been providing unpaid services to family members in the home AND has been dependent on the income of another family member but is no longer supported by that income; or is the dependent spouse of a member of the Armed Forces on active duty and whose family income is significantly reduced because of a deployment, or a call or order to active duty, or a permanent change of station, or the service-connected death or disability of the member; AND is unemployed or underemployed AND experiencing difficulty in obtaining or upgrading employment.Collect one of the following for Category 6: Bank recordsSpouse’s layoff noticeSpouse’s death record Public assistance recordsCourt recordsDivorce papers WIOA Applicant Attestation (WDD 820) supported by case noteCATEGORY 7: The spouse of a member of the Armed Forces on active duty who has experienced a loss of employment as a direct result of relocation to accommodate a permanent change in duty station of such member.Collect both of the following for Category 7 or 8:Copy of spouse’s military ordersWIOA Applicant Attestation (WDD 820) supported by case noteCATEGORY 8: The spouse of a member of the Armed Forces on active duty who is unemployed or underemployed AND experiencing difficulty in obtaining or upgrading employment. DISLOCATED WORKER CATEGORIES || DOCUMENTATION MATRIX (11/6/2019) ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download