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VEC Constituent Inquiry Form
For constituents of Virginia's 49th House District: Arlington & Fairfax Counties.
For questions, please call (571) 336-2147 or email us at
DelALopez@house.virginia.gov
.
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* Required
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Last 4 SSN
*
Your answer
Phone Number
*
Your answer
Have you already filed for any kind of unemployment benefits?
*
Yes
No
What kind of unemployment benefits have you filed for?
Standard unemployment insurance (UI)
Pandemic Unemployment Assistance (PUA)
Pandemic Emergency Unemployment Compensation (PEUC)
Other/Don't Know
Clear selection
Have you received a monetary determination from the VEC?
Yes
No
Clear selection
What is your reason for unemployment?
*
Voluntarily quit
Terminated
Hours reduced
Separated due to lack of work
Other:
Are you filing weekly claims?
Yes
No
Clear selection
Are you applying for unemployment as any one of the following: self-employed, gig worker, 1099 filer, or independent contractor?
*
Yes
No
Have you received any unemployment benefits in the last 12 months?
*
Yes
No
Have you been told by the VEC that you've exhausted your unemployment benefits?
Yes
No
Clear selection
Are you being told by the VEC that there is an issue on your claim?
Yes
No
I Don't Know
Clear selection
Have you already contacted another state legislative office (House of Delegates or State Senate) on this issue?
*
Yes
No
If so, please indicate which office you contacted:
Your answer
Please provide any additional information if needed:
Your answer
Send me a copy of my responses.
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