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Start Dates for Employment and Unemployment Payment

I am requesting a copy of my Employment History from:
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I am requesting a copy of my Unemployment History from:
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Authorization to Release Employment History and Unemployment Payment

Mail or Fax Records to: QINF TANF; Send Request to Employment Security Department, Attn: Records Disclosure Unit, P.O. Box 9046 Olympia WA 98507-9046, Fax # (866)610-9225 Phone # (360) 586-2132
I authorize the requested information/records be released and sent to the entity identified in Section 3a (QIN TANF). By signing below I declare under the penalty of perjury under the laws of the State of Washington that I am the individual whose records are being requested.
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