NYS Department of Labor: Immediate action required

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Required Information to Employees Impacted by COVID-19

Dear Employer:


During this COVID-19 Pandemic, many workplaces have been directly impacted by closures or workforce reduction. As an employer you are required by law (12 NYCRR § 472.8) to provide certain information to your employees to help them promptly complete the unemployment insurance benefits application.


Immediate action required: In order to ensure that you are complying with your legal obligations, and to facilitate the timely processing of unemployment insurance benefits applications, we are directing all New York State employers to provide the following information to each of your employees whose work schedule and/or employment status has been impacted as a result of COVID-19 related issues.


Employer Information


NYS Employer Registration No:

Federal Employer Identification No:

Employer Name:

Employer Address:


Please make sure that all relevant employees, including those who have already been impacted by COVID-19, are promptly provided this information. You may use Form IA 12.3 to provide this information to your employees.


Thank you for your assistance during this unprecedented time.





New York State Department of Labor