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Users Guide

Help with E-Response

* indicates a Required Field

All values entered into the FEIN/SEIN/PIN fields are case SenSiTive

Note: Dashes and/or other punctuation should be omitted from the Federal Employer Identification Number.

Separation Information Application

Response Entry

To respond to your separation information request(s), please login using the instructions provided by the State Agency.

State from which the request was sent.
Employers Federal Employer Identification Number
Employers Personal Identification Number or Access Code

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