In this section, you must complete these sections:

• Last Employer Identification
• Military Information, if applicable
• Last Employer Location
• Last Job Information
• Dates Worked for Last Employer
• Salary and Work Hours
• Normal Wage for Occupation
• Reason No Longer Working

Scroll down to answer and/or review all questions, then select Next to continue or Previous to go back and review or change your response(s).