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[Unemployment Insurance Division]
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* WYO-117 Payorder Counter Claim
  This form can be used when you have lost your original pay order.

* WYO-177/IB 14 Interstate Request for Reconsideration of Monetary Determination
  This form can be used to request missing wages from any state other than Wyoming.

* WYO-189 PIN Change Request
  This form can be used to change your PIN.

* WYO-191 Federal Tax Withholding Status Change
  This form can be used to change your federal tax withholding once during your benefit year.

* WYO-196 Missing or Lost Check
  This form can be used to report or explain a missing or lost check.

* WYO-201 Claimant's Discharge Statement
  This form can be used to explain why you were discharged from your employment.

* WYO-202 Claimant's Voluntary Quit Statement
  This form can be used to explain why you quit your employment.

* WYO-203 Claimant's Medical Separation Statement
  This form can be used to explain why due to medical reasons you are no longer employed.

* WYO-210 Able to Work Fact Finding
  This form is used to explain why you were able/unable to work.

* WYO-215 School Attendace/Approved Training Fact Finding
  This form is used to record school information and to request Approved Training.

* WYO-217 Address Change Fact Finding
  This form can be used to change your address.

* WYO-220 Report of Illness or Disability
  This form can be used to explain your illness or disability.

* WYO-222 Fact Finding Report
  This form can be used to explain any facts that you want added to your claim.

* Work Search Record



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