JOB SERVICE NORTH DAKOTA
BENEFIT SECTION
PO BOX 5507, BISMARCK, ND 58506-5507
(TTY) 800/366/6888
MONTY
(R. 10-15)
You have filed a claim for Unemployment Insurance benefits. Your Weekly Benefit Amount and the number of weeks (duration) you are eligible to receive are based on the wages you were paid between the dates of and Your Base Period wage history used to determine your Weekly Benefit Amount and your duration can be found on the reverse side of this determination. Your Weekly Benefit Amount for this benefit year is determined to be $ per week for weeks to make a maximum benefit amount of $
If it is later determined that payments should not have been allowed based on incorrect information, you will be required to repay any benefits received.
If you believe that the wage information listed for your Base Period is incorrect or that some of your wages are missing complete the request for lower authority appeal form included in this mailing and return it to Job Service North Dakota at the address above.
Your Weekly Benefit Amount can be determined by adding the highest 2 and quarters of your base period wages and dividing them by 65. The minimum Weekly Benefit Amount you can receive is $ and the maximum is $ . To be eligible for Unemployment Insurance benefits, you need to have made at least $2795 over a minimum of two quarters of your Base Period and have met the minimum Duration Ratio of 1.50. The Duration Ratio is determined by dividing your total wages in the Base Period by your highest quarter of wages.
DATE ISSUED : 12/21/2021
SSN : ***-**-****
EFFECTIVE DATE : 12/19/2021
CLAIM YEAR ENDS : 12/17/2022
SHEILA L JONES
4335 10TH AVE S APT 109
FARGO ND 58103 0000
07/01/2020
06/30/2021.
43 657
341 26
8866.
Employer Quarters Total
Right of Appeal
If you disagree with this determination you must file an appeal no later than . Appeals must be filed in writing and may be filed using the Request for Appeal form included with this determination. You must state the reason(s) you disagree with this determination so another determination may be made or an appeal scheduled. You may fax your appeal to 701-***-****, mail it to the address listed at the top of this determination, or hand deliver it to any Job Service office.
2020-3 2020-4 2021-1 2021-2
NORIDIAN HEALTHCARE SOLUT 9071.60 9202.48 7343.70 7849.76 33467.54 TOTAL : 9071.60 9202.48 7343.70 7849.76 33467.54
01/03/2022
North Dakota Way2Go Card Prepaid Card issued by Comerica You have two options to receive your payments: direct deposit to your bank account or this prepaid card. You do not have to accept this prepaid card. Choose the option that is best for you.
Monthly fee Per purchase ATM withdrawal Cash reload
$0 $0 $0 in-network
$1.25* out-of-network
N/A
ATM balance inquiry $0
Customer service (automated or live agent) $0
Inactivity (after 12 months with no transactions) $2.00 per month The Way2Go Card charges 3 other types of fees. They are: Card replacement (regular or expedited delivery) $0 or $10.00* Int’l transaction (excl. ATM withdrawal & balance inquiry fees) 3% of the transaction amount
Int’l ATM withdrawal $1.25
* This fee can be lower depending on how and where this card is used. See separate disclo- sure for ways to access your funds and balance information for no fee. No overdraft/credit feature.
Your funds are eligible for FDIC insurance.
For general information about prepaid accounts, visit cfpb.gov/prepaid. Find details and conditions for all fees and services in the card terms and conditions. Tarjeta prepagada de Way2Go Card de North Dakota emitida por Comerica Usted tiene varias opciones para recibir sus pagos: un depósito directo a su cuenta bancaria o esta tarjeta prepagada. No tienes que aceptar esta tarjeta prepagada. Elija la opción que es mejor para usted. Cargo mensual Por compra Retiro por cajero
automático (ATM)
Recarga de
efectivo
$0 $0 $0 Recarga de efectivo
$1.25* fuera de la re
N/A
Consulta de saldo en ATM $0
Servicio al cliente (automatizado o agente en directo) $0 Inactividad (Después de 12 meses consecutivos de sin transacción) $2.00 por mes La Way2Go Card cobramos otros 3 tipos de cargos. Ellos son: Reemplazo de tarjeta (entrega normal o rápida) $0 or $10.00* Transacción internacional (exc. los cargos por retiro por ATM y consulta de saldo en ATM)
3% de la cantidad de
transacciones
Cuota de retiro de cajero automático internacional $1.25 Sin característica de protección contra sobregiros/crédito. Sus fondos son elegibles para el seguro de la FDIC. Para obtener información general acerca de las cuentas prepagadas, visite cfpb.gov/es/obtener- respuestas/.
Encuentre los detalles y las condiciones para todos los cargos y servicios en los términos y condiciones de la tarjeta.
All Fees Amount Details
Get Started
Card purchase $0.00 There is no fee to obtain a Card account. Spend money
Point-of-sale (POS) $0.00 There is no fee for POS purchase transactions conducted in the U.S. using your signature or PIN number.
Get Cash
ATM withdrawal (in-network) $0.00
There is no fee for ATM withdrawals conducted at Comerica, MoneyPass, or Transfund ATM locations. In-network Locations can be found at moneypass.com/atm-locator.html, locations. comerica.com/location/atm-s0680432, and transfund.com/atm_locator/. When using your card at an ATM, the maximum amount that can be withdrawn from your Card account per calendar day is $500.00.
ATM withdrawal (out-of-network)* $1.25
This is our fee. You are allowed two (2) ATM cash withdrawals for no fee each month at out- of-network ATMs. Out-of-network refers to any ATMs not in the MoneyPass, Comerica, or Transfund Bank ATM Networks. You may also be charged a fee by the ATM operator, even if you do not complete a transaction. When using your card at an ATM, the maximum amount that can be withdrawn from your Card account per calendar day is $500.00. Teller-assisted cash withdrawal (OTC) $0.00 There is no fee for teller-assisted cash withdrawals conducted at Mastercard Member Bank or Credit Union teller windows.
Information
ATM balance inquiry $0.00 There is no fee for ATM balance inquiries. You may be assessed a fee by ATM operator for out- of-network balance inquiries.
Customer service (automated or live agent) $0.00 You are allowed unlimited calls to Customer Service Interactive Voice Response (IVR) for no fee each month to check your balance or hear your transaction history. Using your card outside the U.S.
International ATM withdrawal $1.25
This is our fee. You will be assessed a fee for each ATM withdrawal conducted outside of the U.S. You may also be charged a fee by the ATM operator, even if you do not complete the transaction. International transaction fee also applies. International transaction fee 3% Conversion rate is a Mastercard fee for each transaction amount conducted outside of the U.S. Other
Bill pay $0.00 Bill payment services are available via GoProgram.com website. Card replacement $0.00 There is no fee to replace your Card sent by regular mail. Standard delivery (7 to 10 calendar days).
Expedited card delivery $10.00
If you request your replacement card to be expedited rather than receiving it by regular mail, you will be assessed the expedited card delivery fee, in addition to any applicable card replacement fee. Expedited card delivery can be expected within 3 to 5 calendar days. Funds transfer via Interactive Voice
Response (IVR-phone) $0.00 There is no fee for you to transfer funds from your card account to a U.S. bank account owned by you.
Inactivity Fee $2.00
This is our fee. After 12 consecutive months of inactivity, following the activation of your Card, we will assess the fee in the month following the 12 month period of inactivity, and each consecutive month of inactivity, thereafter. Inactivity is defined as no deposits, purchases, calls to the automated or live customer service, cash withdrawals, ATM balance inquiries, or fund transfers for 12 consecutive months. The inactivity fee will not be charged after the Card account balance reaches zero ($0.00) or after the Card account begins to have activity.
* ”No Fee” transactions expire at the end of each calendar month if not used. Your funds are eligible for FDIC insurance and will be held at or transferred to Comerica Bank, an FDIC-insured institution. Once there, your funds are insured up to $250,000 by the FDIC in the event Comerica Bank fails, if specific deposit insurance requirements are met. See fdic.gov/deposit/deposits/prepaid.html for details.
No overdraft/credit feature.
Contact Go Program Customer Service by calling 1-844-***-****, by mail at P.O. Box 245997, San Antonio, TX 78224-5997 or visit www.GoProgram.com. For general information about prepaid accounts, visit cfpb.gov/prepaid. If you have a complaint about a prepaid account, call the Consumer Financial Protection Bureau at 1-855-***-**** or visit cfpb.gov/complaint. Todas las tarifas Cantidad Detalles
Comenzar
Compra con tarjeta $0.00 No hay ninguna cuota para obtener una cuenta de tarjeta. Gustar dinero
Punto de venta (POS) $0.00 Hay ninguna cuota para POS compra las operaciones realizadas en los Estados Unidosuso de la firma.
Obtener dinero en efectivo
Retiro cajero automático (dentro de la red) $0.00
Hay ninguna cuota para retiros de cajeros automáticos en lugares Comerica, MoneyPass o Transfund ATM. Dentro de la red Lugares pueden encontrarse en moneypass.com/atm-locator. html, locations.comerica.com/location/atm-s0680432, y transfund.com/atm_locator/. Al usar tu tarjeta en un cajero automático, el importe total máximo que puede ser retirado de su cuenta de tarjeta por día es $500.00.
Retiro cajero automático (fuera de la red)* $1.25
Este es nuestro honorario. Se admiten (2) dos retiros de cajeros automáticos sin cargo por mes en cajeros automáticos fuera de la red. Fuera de la red se refiere a todos los ATM que no pertenecen a la red de ATM de MoneyPass, Comerica Bank y Transfund. Usted puede también ser un cargo por el operador de cajeros automáticos, incluso si usted no completa una transacción. Al usar tu tarjeta en un cajero automático, el importe total máximo que puede ser retirado de su cuenta de tarjeta por día es $500.00. Teller asistida por retiros de efectivo (OTC) $0.00 Estás retiros de efectivo de cajero ilimitado permitido asistida por ningún cargo en windows de cajero de banco miembro de Mastercard o cooperativa de crédito. Información
Consulta de saldo cajero automático $0.00 Sin cargo por consultas de saldo ATM. Usted será evaluado una cuota por cada consulta de saldo cajero automático.
Servicio al cliente (agente automatizado o
en vivo) $0.00 Se permite llamadas ilimitadas a clientes servicio voz respuesta interactiva (IVR) para sin cargo cada mes para comprobar su saldo o escuchar su historial de transacciones. Usando su tarjeta fuera de Estados Unidos
Cuota de retiro de cajero automático
internacional $1.25
Este es nuestro honorario. Se aplicará un cargo por cada retiro de cajero automático realizada fuera de Estados Unidos. Usted puede también ser un cargo por el operador de cajeros automáticos, incluso si usted no completa una transacción. También se aplica un cargo por transacción internacional.
Cargo por transacción internacional 3% Tasa de conversión es una cuota de Mastercard para cada cantidad de transacciones realizada fuera de Estados Unidos.
Otro
Pago de facturas $0.00 Servicios de pago de facturas están disponibles vía sitio web de GoProgram.com. Reemplazo de tarjeta $0.00 No hay ninguna cuota para reemplazar su tarjeta enviada por correo ordinario. Entrega estándar
(7 a 10 días).
Entrega de tarjeta acelerada $10.00
Si usted solicita que la entrega de su tarjeta de reemplazo sea rápida en lugar de recibirla por correo postal regular, se le aplicará el cargo por entrega rápida de la tarjeta, además de cualqui- er cargo por reemplazo de tarjeta aplicable. El tiempo de entrega rápida de la tarjeta es de 3 a 5 días calendario.
Transferencia de fondos a través de
respuesta interactiva de voz (IVR-teléfono)
o el portal web
$0.00
Hay ninguna cuota para que usted pueda transferir los fondos desde su cuenta de tarjeta a los Estados Unidos cuenta bancaria propiedad de usted. Tasa de inactividad $2.00
Este es nuestro honorario.Después de 12 meses consecutivos de inactividad, tras la activación de su tarjeta, evaluaremos la cuota en el mes siguiente al periodo de 12 meses de inactividad y cada mes consecutivos de inactividad, después de eso. Inactividad se define como no depósitos, compras, llamadas para el servicio al cliente automatizado o vivo, retiros de efectivo, consultas de saldo ATM o transferencias de fondos por 12 meses consecutivos. La tasa de inactividad no se cobrará después de que el saldo de la tarjeta llegue a cero ($0.00) o la cuenta de la tarjeta comienza a tener actividad.
* “Sin Cargo” transacción de pago caducan al final de cada mes si no se usa. Registrar su tarjeta de elegibilidad seguro FDIC y otras protecciones. Sus fondos se llevó a cabo en o transferidos a Comerica Bank, una institución asegurada por la FDIC. Una vez aquí, sus fondos están asegurados hasta $250,000 por la FDIC en caso de falla de Comerica Bank, si se cumplen los requisitos de se- guro de depósito específico y su tarjeta está registrada. Ver fdic.gov/deposit/deposits/prepaid.html para más detalles. No hay función de crédito de sobregiro.
Póngase en contacto con vaya programa de servicio al cliente llamando al 1-844-***-****, por correo a P.O. Box 245997, San Antonio, TX 78224-5997 o vis- ite www.GoProgram.com.
Para obtener información general sobre las cuentas de prepagadas, visite cfpb.gov/prepaid. Si usted tiene una queja sobre una cuenta de prepagada, llame a la oficina de protección financiera del consumidor en 1-855-***-**** o visite cfpb.gov/complaint.
The information provided below contains some of your responsibilities as an Unemployment Insurance (UI) claimant. Refer to the Unemployment Insurance Claimant Guide for additional responsibilities and information. Filing your claim for unemployment benefits allows Job Service to make an initial determination of (1) your monetary eligibility (sufficient wages) and (2) if the reason you are no longer working disqualifies you from receiving unemployment benefits. The act of filing a claim for unemployment benefits does not in itself result in payment of benefits. In order to receive benefits, all claimants must:
O Complete weekly certifications by logging on to www.jobsnd.com and clicking on the UI ICE logo or by calling 701-***-****. Failure to certify weekly could result in loss of benefits. If you do not receive either, a confirmation number from the UI ICE System or confirmation via the auto- mated phone system, this means your certification was not accepted and no payment will be made. o A week for unemployment purposes begins on Sunday and runs through the following Saturday. You may certify beginning Sunday for a previous week of unemployment. Your claim will become inactive after 13 days of no activity. If your claim becomes inactive you will need to reopen the claim before being able to certify any additional weeks of unemployment. Backdating of claims is not allowed.
o Important: Continue to certify each week even if your claim is in an undetermined status or you have been disqualified and are filing an appeal.
o The first week that you certify for benefits is called your waiting week. No benefits are paid for this week but you must still complete your certification and meet all other eligibility requirements for the week. Additional Requirements - If you are not returning to your employer and/or were assigned a job search requirement at the time your claim was filed, you must also complete the following eligibility requirements: O Job Contacts
o You are required to complete the specified number of job contacts each week, starting the week you file your claim. Depending on the availability of jobs in your field and location, you may be required to do more. O Resume
o You must register for work with Job Service within 10 days of filing your claim. Registering in North Dakota requires that you post an active resume on www.jobsnd.com. Your resume must include your name, contact information, employment history, and be ac- cessible to employers.
O Posting a Resume
O Go to https://www.ndworkforceconnection.com/vosnet/Default.aspx O If you are a new user, click on the Create Resume link under Job Seekers and under Create a User Account choose the Individual link. You must use your Social Security Number when you register. O If you have worked with Job Service in the past, select the Register / Login link and enter your Username and Password. Contact your nearest Job Service office for assistance with your Username or Password. o Resumes remain active for 90 days and must be reactivated each 90-day period. If you re-open your claim, check your resume to make sure it remains active or a registration issue may be placed on your claim. o If you reside in another state and do not normally commute to North Dakota for work, you are required to register for employment at the nearest public employment office within 10 days of filing your claim and provide proof of your registration to Job Service. You will receive a form in the mail from Job Service that you will need to have completed and returned as proof of your registration. O Reemployment Activities (Internet based on UIICE) – if you are selected o If you are selected to receive reemployment services you will receive a letter in the mail from Job Service North Dakota within 10 days of filing your claim with additional instructions on how to complete your reemployment activities. If you are unable to complete a requirement by the assigned due date you may contact Job Service prior to the due date to provide the reason(s) why you are unable to complete the requirement. Job Service will take the information you provide into consideration when determining if you had good cause for not completing the requirement by the assigned due date. Important: Your complete Unemployment Insurance Claimant Guide (Benefit Rights and Responsibilities) is available online at http://www.jobsnd.com. Select Unemployment for Individuals, then Resources for Individuals. Here you will find the Unemployment Insurance Claimant Guide, "How To" videos and other helpful resources. To help you manage your unemployment claim you are encouraged to login to UIICE (http://www.jobsnd.com/ select the UIICE logo) and sign up for e- alerts (text messaging and / or email alerts). Some of what is provided through this service includes: reminders of items due, notice of when you can certify a week of unemployment, correspondence and fact finding letters, notice of Determinations and Appeal decisions, and news items. Other important resources are available to help you manage your claim at http://www.jobsnd.com/unemployment-individuals/resources-unemployment- individuals.
Claimant Responsibilities
2-222
Job Service North Dakota
Request for Lower Authority Appeal
I wish to appeal the monetary determination issued on If you disagree with the wages in your Base Period as outlined in this Monetary Determination, please check one of the reasons listed below and fill out the information completely: There are missing wages from the quarters being used to calculate my monetary elibigility. Please complete the below information. You must include paystub(s) that fall within the quarter(s) you are disputing.
Explanation:
Employer:
Employer Address:
Contact Person:
Employer Telephone Number:
The wages from the quarters being used to calculate my monetary eligibility are wrong. Please complete the below information. You must include the paystub(s) that fall within the quarter(s) you are disputing.
Explanation:
Employer:
Employer Address:
Contact Person:
Employer Telephone Number:
***Please include any other documentation you feel supports your appeal. ***-**-**** SHEILA L JONES CLAIM DATE - 12/20/2021 12/21/2021.