Military Employees: Ex-Service Member (UCX)

You must send a copy of your DD Form 214 Member 4, Certificate of Release or Discharge from Active Duty, or NOAA Form 56-16, Report of Transfer or Discharge using one of the methods listed below. (Do not send your original forms.)

Mailing Address:

Labor & Industry Building
Federal Programs Unit
Room 604
651 Boas St.
Harrisburg, PA 17121
Fax: 717-772-0378
Email: emaildd214@pa.gov

The member 4 copy has your character of service and narrative reason for separation, which is needed to determine eligibility. The member 1 copy does not have this information.

• From your unit
• The Department of Veterans Affairs Regional Office
• Online at www.military.com

Yes. Your weekly benefit rate will depend upon your pay grade at the time of your separation from the military. These pay grades are provided to the department and updated annually by the U.S. Department of Labor.

No, it must be 180 consecutive days with no breaks in service.

Yes, orders can be used as proof of service if they contain the following:

"orders to report" AND "orders of release"
OR
"orders to report" containing an endorsement of release

No, wages are assigned according to your pay grade.

Federal law states that you must be physically present in the state you are filing your initial claim.