Florida Department of Economic Opportunity 1099-G Request Form:
People who need assistance filing a Reemployment Assistance Claim online because of legal reasons, computer illiteracy, language barriers, or disabilities may call: 1-833-FL-APPLY (1-833-352-7759).

**Note: Claimants should review their 1099-G form, available in CONNECT, prior to completing this form. If you have not received your 1099-G form, please be advised that forms are being processed in batches by the Department.

Please complete the following form if you need your 1099-G Form:

• Sent to you, through email or mail
• Corrected with updated information
• Explained
• You received a 1099-G Form but did not apply for benefits

It is important you review and confirm all of the information provided is correct before submitting this form.

Note: If you disagree with the benefit amounts reported on your 1099-G Form, you may select the option to have your 1099-G corrected, or explained. These selections will take additional time for processing as they require a team member to reach out and discuss your options.

If you selected the option that you received a 1099-G Form but did not apply for benefits, please be aware that additional time may be needed for processing as a team member may have to contact you to seek additional information.
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Is your mailing address up to date in connect? *
If your mailing address is not up to date in CONNECT, you will be redirected back to the beginning of the form to start over. You must update your mailing address within your CONNECT account at https://CONNECT.myflorida.com before you may proceed.
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This form was created inside of State of Florida.