ID-5 (09-01) ID-5S(SUP) Transmittal Letter

Investigation of Claim for Possible Days of Employment

Form ID-5S(current)

Investigation of Claim for Possible Days of Employment

OMB: 3220-0196

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FORM APPROVED
OMB NO. 3220-0196

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U. S RAILROAD RETIREMENT BOARD
OFFICE OF PROGRAMS
ASSESS^ AND TRAINING
P.O. BOX 10695
CHICAGO, IL 60610-0695

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EX NUMBER

A comparison of unemployment and s i c k n e s s b e n e f i t payment r e c o r d s w i t h

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r a i l r o a d compensation adjustment r e p o r t s shows t h a t some employe.es of y o u r
company were p a i d unemployment and/or s i c k n e s s b e p s f i t s f o r every day in
one o r more fhonkhs f o r which a s e r v i c e month w a s s u b s e q u e n t l y cr.editad. Ln
order t o aeterrnine i f t h e s e r v i c e monthfs) credited affects t h e payment of
b e n e f i t s f o r t h e f u l l y claimed months, we need a d d i t i o n a l i n f o r m a t i o n from
you.
Enclosed i s a l i s t i n g o f employees of yQur company, and the month(s) for
which we neitd a d d i t i u n a l i n f o r m t k o n about t h e employee's compensation.
P l e a s e &vise Qs 0% t h e t y p e of compensation the employee receiyed,f&&the
mon,

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The RR,B reztlies that m y cornpani,eg have. adopted p o l i c i e s
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disclos,uxes of personal , informat.ion. needtad f o r proper
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t,ipn oJf t h e .Railroad U n e e m p & o p g t Zn.surance Act.
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t % o ~the.. R W acquir&
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as . prvirided by law.
'from disclos.ure except.
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