FAX RESPONSE SHEET

Date:

UI OVERPAYMENT RECOVERY TRAINING
To:Judy Kessinger From:________________________________
Fax Number:(916) 464-2529 Fax Number:________________________________
Phone:(916) 464-0635 Phone:________________________________

Response due by March 27, 1998

This response is from the _______________________________________________________

State and Name of State Employment Security Agency

Nominees: The following nominees will attend the UI Overpayment Recovery training:

June 1 - June 4, 1998 in Sacramento, California:

___________________________________________ __________________________________________

Name (print)Name (print)

___________________________________________ __________________________________________

Name (print)Name (print)

June 22 - June 25, 1998 in Charleston, South Carolina:

___________________________________________ __________________________________________

Name (print)Name (print)

___________________________________________ __________________________________________

Name (print)Name (print)

We cannot send a representative to either training session but are interested in other dates.

We cannot send a representative to the training. Our contact to receive the training materials is listed in the "Contact Name and Phone Number" block below.

Contact Name and Phone Number: The single point of contact for the training nominees from our organization is:

________________________________ ____________________ _______________________

NameTelephone NumberFax Number