Work History
Work History Information
Date Last Worked Fulltime*
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Is this the same date that your conditions limited your ability to work?
Yes
No
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Job Title*
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Type of Business*
Date Worked From*
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Date Worked To*
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Have you worked at this job continuously for more than 6 months and received a 1099 including jobs like Uber and Doordash?*
Yes
No
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