Pandemic Unemployment Assistance Proof of Earnings Submission

The questions marked with an asterisk (*) must be completed to submit the documents.

 

Latest Employment

(Note:  When filing your weekly claim, you must report any sick pay, vacation or other paid leave during the week to which it applies.)

Scheduled to be Employed

Your wage history needs to be established. You will need to provide proof of wages when you submit this request for reconsideration.

  • If your employment was impacted by COVID-19 in 2020, please provide the following documents for year 2019
  • If your employment was impacted by COVID-19 in 2021, please provide the following documents for year 2020

This can be done by uploading any of the following documents:

  • Federal Tax Return
    • Please included the following when applicable:
      • Schedule C-Profit or Loss from Business
      • Schedule F-Profit or Loss from Farming
      • Schedule K 1- Partner's Share of Income
  • Form 1099 - Miscellaneous Income Only
  • Form W-2
  • Final pay Stub
  • If self-employed: Invoice, Billing, or Other Documentation to Provide Proof of Self-Employment

If you do not have any of the above, you can provide the last Federal tax return you filed. 

Note: If you are unable to provide complete proof of wages, you will only be allowed the minimum PUA payment. Once you are able to provide your proof of wages, your claim will be redetermined. If the redetermination results in a higher amount, we will adjust your payments. 

After you click the Submit button, you will receive a confirmation email. Your documents are not received until you receive this confirmation email. Please retain a copy of the confirmation email as proof of your submission.  If you do NOT receive the confirmation email, or if you are for any other reason unable to complete the document upload process, you must mail, fax or email your documents. Once a document is uploaded/submitted, it will become the property of IWD. 

IWD-PUA​​​​​​​
1000 E Grand Ave.
Des Moines, IA 50319                Fax: 515 242-0494          

If you knowingly make or cause another to make a false statement or knowingly fail or cause another to fail to disclose a material fact and as a result you receive Pandemic Unemployment Assistance to which you are not entitled, you shall be subject to prosecution under section 1001 of title 18, United States Code.

Certification

To deter and detect fraud, Iowa Workforce Development randomly audits claims. If you knowingly make or cause another person to make a false statement or knowingly fail or cause another person to fail to disclose a material fact and as a result you receive benefits to which you are not entitled, you will be subject to prosecution under section 1001 of title 18, United States Code. I certify statements I have made on this application and all attachments to it are true, accurate, and complete to the best of my knowledge and belief.

Individual