Form CM-911A Employment History

What Is Form CM-911A?

This is a legal form that was released by the U.S. Department of Labor - Division of Coal Mine Workers' Compensation on April 1, 2022 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CM-911A?
A: Form CM-911A is a document used to record an individual's employment history.

Q: Who needs to fill out Form CM-911A?
A: Form CM-911A is typically filled out by individuals who are applying for unemployment benefits or other government assistance programs that require documentation of employment history.

Q: What information is required on Form CM-911A?
A: Form CM-911A typically requires information such as your name, social security number, dates of employment, names of employers, and details of job responsibilities.

Q: How should I fill out Form CM-911A?
A: You should accurately and completely fill out all the required fields on Form CM-911A, providing truthful information about your employment history.

Q: Do I need to provide supporting documents with Form CM-911A?
A: Depending on the requirements of the specific government program or agency, you may need to provide supporting documents such as pay stubs or W-2 forms to verify your employment history.

Q: Can I attach additional pages to Form CM-911A?
A: If you need additional space to provide your employment history, you can attach additional pages to Form CM-911A. Make sure to clearly label them with your name and social security number.

Q: What happens after I submit Form CM-911A?
A: After you submit Form CM-911A, the government agency or office will review your employment history and may request additional information or documents if necessary.

Q: Can I request a copy of my completed Form CM-911A?
A: You may be able to request a copy of your completed Form CM-911A from the government agency or office that received your form. Contact them for more information.