Iowa Workforce Development - Unemployment Insurance This form is for Employers to report Unemployed Claimants in Iowa who have refused legitimate job offers. All fields below are required for a successful submission. Name of Business: * Employer Account Number * Business E-mail: * Worksite Street Address: * Worksite City, State, Postal Code: * Business Area Code+Telephone: * Your Name and Title: * Name Of Person Who Made The Job Offer: * First and Last Name Of Claimant : * Social Security Number of Claimant * Date of Job Refusal: * Starting Wage or Salary Offered: * How Was The Job Offer Made? * Please SelectIn PersonIn WritingBy PhoneBy Email or Other Electronic MeansOther Reason Given For Job Refusal: * Description Of Job Refused: * Leave this field blank Send Job Offer Decline Form
