Washington State SEAP Application for Unemployment Claimants
This document is an application for the Self-Employment Assistance Program (SEAP) provided by the Washington State Employment Security Department. It contains detailed sections requiring applicant’s personal, business-related and certification information. Applicants need to fill out the form and submit it to participate in the program.
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How do I fill this out?
Follow these instructions to complete the application. Start with your personal details and continue to the program information section. Make sure to read and understand the certification part before signing and submitting the form.
How to fill out the Washington State SEAP Application for Unemployment Claimants?
1
Fill in your personal details including name, SSN, and contact information.
2
Provide details of your intended self-employment program including the provider’s information.
3
Answer questions regarding your business plans and prior experience.
4
Complete the applicant certification section with your signature and date.
5
Have your program provider fill out and sign the certification section.
Who needs the Washington State SEAP Application for Unemployment Claimants?
1
Unemployed individuals seeking approval to participate in SEAP.
2
Applicants who want to start their own business while collecting unemployment benefits.
3
Individuals looking for self-employment opportunities through structured training programs.
4
People who have medical conditions preventing them from returning to their previous occupation.
5
Applicants who need to document prior work experience and business plans for approval.
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1
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3
Review and make any necessary modifications to the text.
4
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5
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What are the instructions for submitting this form?
Submit the completed SEAP application form to the Washington State Employment Security Department by fax at 800-301-1796 or mail it to: Employment Security Department, PO Box 19019, Olympia, WA 98507-0019. For additional guidance, you may contact the Training Benefit Unit at 877-600-7701 or email your questions to seacat@esd.wa.gov. Make sure to fill out all required sections and get your program provider’s certification before submission.
What is the purpose of this form?
The purpose of this form is to apply for the Self-Employment Assistance Program (SEAP) provided by the Washington State Employment Security Department. SEAP allows eligible unemployed individuals to receive unemployment benefits while undergoing self-employment training. The form collects personal information, business plans, previous job experience, and program provider certification to determine eligibility for the program.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The full name of the applicant.
- 2. SSN or claimant ID number: The Social Security Number or claimant ID number of the applicant.
- 3. Phone number: The contact phone number of the applicant.
- 4. Claimant's name and address: The name and residential address of the applicant.
- 5. Program provider information: Details of the SEAP program provider including name, address, phone number, and program contact person.
- 6. Program name: The name of the SEAP program.
- 7. Program start and end date: The start and end dates of the self-employment program, including all curriculum and activities.
- 8. Business details: Information about the business the applicant is going to pursue, including UBI number.
- 9. Occupation experience: Details of the applicant’s occupation with most experience and years worked.
- 10. Medical conditions: Information on any injuries, illnesses, or other conditions that prevent returning to the main occupation.
- 11. Previous job experience: List of the last three jobs with business name, occupation, start and end dates.
- 12. Applicant certification: Applicant’s certification statement and signature.
- 13. Program provider certification: Certification by the SEAP program provider, including signature, title, phone number, and email address.
What happens if I fail to submit this form?
Failure to submit this form may result in denial of the application to participate in SEAP and loss of unemployment benefits.
- Denial of SEAP participation: Without submitting the form, the applicant will not be eligible for SEAP benefits.
- Loss of unemployment benefits: Unemployment benefits may be discontinued if the form is not submitted.
How do I know when to use this form?
- 1. Applying for SEAP: When you want to receive unemployment benefits while participating in a self-employment training program.
- 2. Starting a new business: When you have plans to start your own business and need support.
Frequently Asked Questions
How do I fill out the SEAP application form?
Use the text tool on PrintFriendly to enter your details in the appropriate fields of the form.
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Yes, PrintFriendly allows you to save your edits and download the document at any stage.
How do I sign the SEAP application form electronically?
You can add your digital signature to the form using PrintFriendly’s signature tool.
Can I share the completed SEAP application form?
Yes, you can email or generate a shareable link for your completed form directly from PrintFriendly.
What details do I need to complete the application form?
You will need your personal information, business plans, previous job experience, and program provider certification.
Who should sign the program provider certification section?
Your SEAP program provider should review and sign the certification section.
What happens after I submit the SEAP application form?
The Employment Security Department will review your application and contact you if they need additional information.
Can I edit my form after submitting it?
You will need to contact the Employment Security Department for further instructions if changes are needed after submission.
What if I make a mistake while filling out the form?
You can use PrintFriendly’s editing tools to correct any mistakes before saving and submitting the form.
Where do I submit my completed SEAP application form?
Submit your form by fax at 800-301-1796 or mail it to Employment Security Department, PO Box 19019, Olympia, WA 98507-0019.
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