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.