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Workforce Services

Refusal of Work

Thank you for taking the time to report to ADWS. This form serves as the initial contact with ADWS for possible Unemployment Insurance (UI) claim issues. You may use this form to provide as much or as little information as possible. You may also submit reports through the Tax 21 Employer Services Portal.

Application Information

At a minimum, please provide the first and last name of the person you are reporting

Refusal of Work

Applicant Information
Address
MM slash DD slash YYYY
Employer Information

We may need to contact you regarding your report. If your report is determined to impact a claimant’s UI benefits, you will be contacted for further information.

Employer Name
Employer Address
Contact Person

You can choose to report one of the following below: Refusal of Work, Pre-employment Drug Screen, or No Show for Interview. Please submit one type of report at a time.

Refusal of Work
Pre-employment Drug Screen
Pre-employment Drug Screen
MM slash DD slash YYYY
No Show for Interview
MM slash DD slash YYYY
Time of Scheduled Interview
:
How was the applicant notified?
Name of the person who scheduled the interview
Reason applicant gave for missing interview
Did the applicant have multiple interviews?

This form serves as the initial contact with ADWS for possible Unemployment Insurance (UI) claim issues. This form will be processed and if it is determined to effect a claimant’s UI benefits, you will be contacted for further information.

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IMPORTANT INFORMATION

FROM THE ARKANSAS DIVISION OF WORKFORCE SERVICES​

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ADWS provides interpretation and translation services, at no cost, for clients who need assistance in accessing and participating in available services and programs. To request an interpreter or translator, please contact your nearest local office. 

ADWS ej lewaj jerbal in ukok ilo jeje im kennaan, ilo ejjelok wōnāān, ñan client ro am ak ro kimij jerbal ippair im rej aikuij jipañ ñan bok kunairilo jerbal ko iim pirokiraam ko. Ñan am kajjitōk juon ri-ukok, jouij im kepaake opij eo epaake ijo kwoj pād ie.

ADWS proporciona servicios de interpretación y traducción, sin costo alguno, para clientes que necesitan asistencia accediendo y participando en servicios y programas disponibles. Para solicitar un intérprete o traductor, por favor póngase en contacto con su oficina local más cercana.

ADWS cung cấp dịch vụ thông dịch và phiên dịch miễn phí cho khách hàng cần trợ giúp trong việc tiếp cận và tham gia các dịch vụ và chương trình hiện có. Để yêu cầu thông dịch viên hoặc phiên dịch viên, yêu cầu liên lạc với văn phòng địa phương gần nhất.

ພະແນກ ADWS ຈັດຫາບໍຣິການນາຍພາສາແລະການແປເອກະສານ ໂດຍບໍ່ຄິດຄ່າບໍຣິການ ສຳລັບຄົນງານທີ່ຕ້ອງການຄວາມຊ່ວຍເຫລືອເພື່ອເຂົ້າເຖິງ ແລະເຂົ້າຮ່ວມໃນ ການຮັບບໍຣິການແລະໂຄງການຕ່າງໆທີ່ມີຢູ່ສຳລັບທ່ານ. ຂໍໃຫ້ທ່ານຈົ່ງຕິດຕໍ່ຫ້ອງການທ້ອງຖິ່ນທີ່ໃກ້ທ່ານທີ່ສຸດ ເພື່ອຂໍຮັບບໍຣິການຈາກນາຍພາສາຫລືນັກແປເອກະສານ.