UI / DE 8331

SAMPLE, this page for reference only

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ALTERNATIVE TRADE ADJUSTMENT ASSISTANCE (ATAA) ADJUSTMENT LETTER

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This letter is to inform you of an adjustment to your Wage Subsidy for the weeks ending MM/DD/YYYY and MM/DD/YYYY.
Your entitlement for each week is based on the following reported wages:
Week Ending
MM/DD/YYYY
Eligibility Amount:
$Blank line 
based on wages of
$Blank line 
Week Ending
MM/DD/YYYY
Eligibility Amount:
$Blank line 
based on wages of
$Blank line 
Week Ending
MM/DD/YYYY
Eligibility Amount:
$Blank line 
based on wages of
$Blank line 
Week Ending
MM/DD/YYYY
Eligibility Amount:
$Blank line 
based on wages of
$Blank line 

Your eligibility for benefits may change based on the amount of earnings that you report for each week that you claim. Your continued eligibility in the ATAA program is contingent upon you working full-time with your earnings not exceeding $50,000 per year.

If you have questions or need more ATAA forms call ‎ 1 (888) 697-1760.

DE 8331 Rev 1. (6-05) (INTRANET)