CLAIMANT FEEDBACK FORM
CLAIMANT FEEDBACK FORM
Important Information
Use of this form is reserved for current unemployment insurance claimants. If you do not have an active unemployment insurance claim associated with the information you provide, we will be unable to assist you via this form.
Claimant Information
Claimant Full Name
Full name found on MyUI+ claim
Claimant ID
The Claimant ID from your MyUI+ account
Reason for Feedback
Please select...
Do you disagree with your decision?
Were you unable to contact an agent or schedule a call back?
Are you contacting us because your claim has not been processed and it has been over 12 weeks?
The agent I spoke to was rude or unprofessional
Call Information
In order to locate the call in question, we need a few more details.
Phone number
Please enter the phone number you were calling from during the call in question, whether or not it is the number associated with your MyUI+ account.
Which number did you call?
Please select...
303-563-5615
303-318-9000 or 800-388-5515
Someone called me (scheduled callback)
Date you called
Please enter the date on which the call in question took place.
Approximate time of call
Please enter the approximate time of day when the call took place (Mountain Time).
Please describe the issue you experienced
Please briefly describe what the agent said or did which was rude or unprofessional.
The name of the Agent you spoke with
If you remember the name of the agent you spoke with, please enter it here.