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Please enter your social security number, your mother's maiden name, and your year of birth to register for self-service. If you are receiving Unemployment Insurance benefits, this information will be used to authenticate your registration and approve access to your claim information.
Social Security Number:   --
Confirm Social Security Number:   --
Your Year of Birth:    ( Enter your 4-digit year of birth )
Mother's Maiden Name: 
  (her last name before she was married; this is not case-sensitive and should not include spaces, hyphens and/or apostrophes)