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Pandemic Emergency Unemployment Compensation Application FORM 359PEUC‐CHUU (Page 1 of 3)
Taropwe kopwe amasow fan iten
aninisumw om kose angang ren ei fansoun osukosuken semwen
Iei ewin taropwe kopwe amasowa fan iten aninisumw om kose angang ren ei fansoun osukosuken semwen (PEUC). Ika ke need aninis om kopwe amasowa neum ei taropwe en mi tongeni no ngeni ach we COVID‐19 page (https://govstatus.egov.com/ORUnemployment_COVID19). Kose mochen kopwe amasowa unusen ei taropwe. Ika kose ounusa ne amasowa ei taropwe iwe mei tongeni mangeno fetanin neum ei taropwe. Kopwe watiw itomw e nom won neumw taropwe ren ewe offesin Social Security. Kopwe chok amasowa me wanong eche taropwe pwun ika ke wanong fitacho iwe epwe pwan amangano fetanin.
POROUSEN EI CHON AMASOW
Iten ei chon amasow (Last, First, Middle) Nampan neum Social Secuity ika om Customer ID nampa
An ei chon amasow address: (Street or P.O.) Nampan neun ei chon amasow phone:
City State Zip Code An ei chon amasow email address
Kopwe checki en bor ika en mei move mwirin July 1, 2019: ❑ Fosun Fonuwom
PWININ MARAM KE AMASOW NGENI PEUC
PEUC mei kawor poputa seni ewe weekan March 29, 2020 ngeni December 26, 2020. Meni ran ke mochen om tingoren PEUC epwe poputa?
Pwinin maram non week Poputa (Raninifen) Ukutiw (Amwon)
ANEWE CHON AMASOW ANGANG
En mei angang seni ewe saingonon week ke tingor aninis? ❑ EWER ❑ APW
En mei angang nukun ei state Oregon non ekewe 18 maram sia tou seni? ❑ EWER ❑ APW
En mei angang ngeni ei Mwun Merika ika Military non ekewe 18 maram sia tou seni? ❑ EWER ❑ APW
Ika en mei penuwen ngeni ekkei kapas ais “EWER”, kose mochen amasowa nenien POROUSAN OM NENIEN ANGANG fan en. Ika en mei penuwen ngeni meinisin kapas ais “APW”, kopwe mwetengeni ena nenien CLAIMIN ITEITAN WEEK.
POROUSEN OM WENENIEN ANGANG
OM ANGANG #1:
Iten om nenien angang Nampan Phone Ewin ran om poputa angang Saingonon ran om angang
Addressin om nenien angang (Street or P.O.) Kapachanapan niwinumw om angang ren ena fansoun mei afat asan
City State Zip Code Wisomw non om angang Niwinumw non om ei angang
Popun om kose chiwen angang ❑ Fire/ika tou/ika ra eukatiw om kopwe angang
❑ Ka pwisin finata kopwene wes ne angang/ resign
❑ asoso seni angang ir mei mutata
❑ kese chiwen angang non chok ei fansoun ika mwochomwochen fansoun
❑ Ka wes ne angang fan iten ese wor angang
❑ En mei chok angang/kukununo neum awa
❑ saspen
OM ANGANG #2:
Iten om nenien angang Nampan Phone
Ewin ran om poputa angang Saingonon ran om angang
Addressin om nenien angang (Street or P.O.) Kapachanapan niwinumw om angang ren ena fansoun mei afat asan
Pandemic Emergency Unemployment Compensation Application FORM 359PEUC‐CHUU (Page 2 of 3)
City State Zip Code Wisomw non om angang
Niwinumw non om ei angang
Popun om kose chiwen angang ❑ Fire/ika tou/ika ra eukatiw om kopwe angang
❑ Ka pwisin finata kopwene wes ne angang/ resign
❑ asoso seni angang ir mei mutata
❑ kese chiwen angang non chok ei fansoun ika mwochomwochen fansoun
❑ Ka wes ne angang fan iten ese wor angang
❑ En mei chok angang/kukununo neum awa
❑ saspen
OM ANGANG #3:
Iten om nenien angang Nampan Phone Ewin ran om poputa angang Saingonon ran om angang
Addressin om nenien angang (Street or P.O.) Kapachanapan niwinumw om angang ren ena fansoun mei afat asan
City State Zip Code Wisomw non om angang Niwinumw non om ei angang
Popun om kose chiwen angang ❑ Fire/ika tou/ika ra eukatiw om kopwe angang
❑ Ka pwisin finata kopwene wes ne angang/ resign
❑ asoso seni angang ir mei mutata
❑ kese chiwen angang non chok ei fansoun ika mwochomwochen fansoun
❑ Ka wes ne angang fan iten ese wor angang
❑ En mei chok angang/kukununo neum awa
❑ saspen
CLAIMIN ITEITAN WEEK
Ika kose angang fan iten ewe semwen COVID‐19, kose mochen kopwe katon neuch ei videon om kopwe claim ika tingor aninisum non ew week ikei: https://youtu.be/E82E6ApKiko.
Meni week ke mochen claim ika tingor aninisum ren PEUC? Ewe week epwe sopw non (Amwon: ___________________
Mei wor angang re mochen kopwe angang rer nge kose etiwa non ewe week sii keran tou seni? ❑ EWER ❑ APW
En mei wes ika quit seni om angang non ewe week sii keran tou seni? ❑ EWER ❑ APW
En mi fire ika saspen seni om angang non ewe week sii keran tou seni? ❑ EWER ❑ APW
En mi no seni ika tou seni imwom ke nonom non napseni 3 raan non ewe week sii keran tou seni? ❑ EWER ❑ APW
Nupwen om kut om angang non ewe week sii keran tou seni, en mei mefi pochokun om kopwe angang? ❑ EWER ❑ APW
Iteiten ranin non ewe week sii keran tou seni, en mei mochen me etiwa om kopwe no angang full‐time, part‐time pwan angang non mwochomwochen fansoun? En mei chok tikin pwun en mei kukut om angang ika kopwe niwiniti om angang ika kuta ew minafon angang ika a wesino an state me local eureuren osukosuken ei semwen coronavirus ika ese chiwen wor manamanen.
❑ EWER ❑ APW
En mei chok kukut om angang non ewe week sii keran tou seni? ika pwun “EWER” kopwe checki ena bor fan mi mak use angang non mwochomwochen fansoun
❑ EWER ❑ APW
En mei angang non ewe week sii keran tou me non ika angei payoffun vacation ika holiday ren ew week? ❑ EWER ❑ APW
Wanong nampan neum awa ke angang non (ika mei wor esop awa kopwe anapano won ew awa) ___________
Wanong kapachanapan niwinumw ne angang, fiti fite om vacation ika niwinumw otun holiday (me mwan epwe tou met epwe deduct), ika mwo kose mwo angei niwinumw ne angang: ___________
Kese mochen kopwe watiw kuten om angang non ewe week sii keran tou seni Mei auchea me fiti eureur om kopwe kukut om angang iteiten week en mi claim ika tingor ei aninis. Ika kose aponuweta ne kut om angang me pwarata om kut om angang mei tongeni amangano ika esap ketiw om kopwe neuneun ei aninis ngeni io ese angang.
Pwinin Maram Itan ena Company Ia e nom ia
Ifa usun om kuta (chunong, ika won phone, ika tinanong neum
resume)
Met sokun angang ke kuta
Pungun (ketiw, ika kose
ketiw)
Pandemic Emergency Unemployment Compensation Application FORM 359PEUC‐CHUU (Page 3 of 3)
Pwinin Maram
Met ke fori fan iten kuten om angang
❑
Ngang emon chochon ekewe kumien angang rese mwutata ai upwe kut ai angang me nukun met ngang mei angang non. Ngang mei chok porous me churi chochon ai we kumien angang, ngang mi nom won ewe listin rese angang. Ngang mei tufichin etiwa me no angang ika ra kori ei ai we kumien angang. Ngang mei weweiti pwun ai kapas esap ennet mei tongeni awora an epwene napseni met ururun aninisi fengen me fiti paking iwe upwe pwan meon sefani.
❑
Ngang use angang ren non ei chok fansoun pwun ra eukatiw ai angang ika a kateno nei awa nge upwe chok pwan niwiniti ai nenien angang. Upwe niwiniti ai angangn mei full‐time ika ai angang mei wate niwini seni ei aninis ngang mei akangei iteitan week. Ese napeseni ruwanu (4) week seni ewe week uwa kauno ne angang me ena week upwe niwiniti ai angang. Am mei chok porous fengen me ai we nenien angang. Ngang mei weweiti pwun ai kapas esap ennet mei tongeni awora an epwene napseni met ururun aninisi fengen me fiti paking iwe upwe pwan meon sefani.
Ika pun mei wor ekewe week sia tou seni ese mwo tawe ngonuk, kopwe no ngeni ach we web page ren COVID‐19 ren copyn ewer taropwen claimin iteiten week.
POROUSEN OM KAMOTIW
Moni epwe tou ekan tonong non ew US Bank Visa Reliacard ika mei tongeni chok deposit non om account. Meni nein ekkei ke fini ren ena moni epwe tou ina chok pwan usun katoun moni meinisin usun om finata non ekewe week me mwan ren om na claim.
En mei chiwen anomwu neum we Reliacard? ❑ EWER ❑ APW
Ika neum e chok tonong non om account me akomw, en mei mochen ena moni epwe chok pwan tonong non om na account? Ika ke penuwen ngeni ekkei kapas ais pung “APW”, ina epwe tou ew neum minafo Reliacard.
❑ EWER ❑ APW
Ika ke mochen kopwe poputani epwe chok sanong non om account en mei tongeni won ach we System Sii Aea ne Claim, ika kopwe printini ena taropwen poputani ka wanong fiti fengen me echo neuch check kopwe voidini.
POROUS ESE PUNG
Ika kose ennet non nonomwum me kapasen om ei fansoun fan iten kopwe neuneu ei Aninisin Rese Angang ren ei Osukosuken Semwen (PEUC), kopwe meon sefani ena aninis e napeseni met ururun neumw ika en mei tongeni tipis fan nurun ennuk. Esap pwan chiwen ketiw om amasow ren aninisin PEUC.
❑ Ngang mei tipew
AN EI CHON AMASOW PWAARATA
Uwa pwarata pwun ekkei porous meinisin uwa watiw won ei taropwe fan iten ai amasow ren Aninisin Rese Angang ren ei Osukosuken Semwen (PEUC) mei pung pwan ennet. Ngang mei weweiti pwun mwonien mwun merika mei kawor iwe mei pwan wor pinasen tipis fan nurun ennuk ren kapas mei tou ese ennet ika kapas amwonomwon fan iten mochen angei ei aninis nge ita ururun usap ketiw ren fan nurun ENNUK. Ekkei porous ewe Departmentun Angang ra angei mei tongeni fis pwun porous repwe nengeni ika upwe tongeni pwan angei ekoch aninis seni ei state ika mwun merika. Ina ren, uwa MWUTATA ewe Departmentun Angang repwe ngeni IO ARAMAS IKA CHON MOCHEN ANGEI ekkei porous fan iten ekoch wewe mei mwumwuta fan nurun ennukun ewe Departmentun Angang.
Signature _________________________________________________ Date (Maram Ran, Year) ______________________
Ewe Departmentun Angang non Oregon ew program me nenien angang mei etiwa sokun aramas meinisin. Ekkei aninis mei kawor ese kamo fansoun epwe wor chon tingor: Pisekin me foforun aninis ngeni ekan mei weires ngenir ar repwe kapas, ika seningepung, ika rese sinei kapasen Merika. Ren tichikin ekkei aninis iwe kopwe aisini emon ekkei chon angang.
