DEO LITIGATION INTAKE FORM

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 Where did you last work and what was you job title?
 How long had you worked there?
 Who was your supervisor?
 When did you first attempt to access the CONNECT (unemployment compensation) website?
 What happened? Please tell us how many times you had to try to fill out and application, and any
 experience you had trying to call CONNECT staff?
 Were you able to complete an application online?
 Did you mail in an application?
 Have you received unemployment compensation yet?
 If you have not yet received unemployment compensation, how long have you been waiting?
 Please briefly what has happened to you and your family as the result of waiting to receive
 unemployment benefits?