BAP Identification Declaration

Claimant Information
Claimant Name
I am the (check one)

Please answer all of the following questions. Some of the questions may have been asked during the Employment Security Department’s investigation.  Please answer the questions here, even if you answered the same questions before.

1. Did you provide the Employment Security Department with your true and correct name, date of birth, and social security number?
2. Did you provide the Department with true and accurate copies of your Driver’s License or State Identification Card, AND your Social Security Card?

3. Submit a copy of the following to this Declaration (even if you previously provided these documents to the Department):

  • Driver’s License or State Identification Card; 
  • Social Security Card; and
  • Passport (if you have one)
  • Other form, such as Authorization to work or picture identification 

You may submit documents using the OAH Participant Portal, mail or fax.  Please see for instructions or call (800) 583-8271.

4. Do you certify, under penalty of perjury, that the attached are true and correct copies of your identification documents?