ETA 5159 Revised Claims and Payment Activity

ETA 5159 (Revised) Claims and Payment Activity
STATE : XX				REGION: X				REPORT FOR PERIOD ENDING : XX/XX/XXXX
SECTION A. Claims Activities
Item				Line No.	Initial Claims
					Sum of Total (Cols 2-4)		New Intrastate Excluding Transitional		Additional Intrastate		Interstate Filed From Agent	Interstate Taken as Agent	Transitional	Interstate Received as Liable State	Incomplete Claims
					1		2		3		4	5	6	7	29
UI				101
UCFE/No UI				102
UCX Only				103
Item				Line No.	Eligibility Review				Continued Weeks Claimed
					Intrastate		Interstate Liable		Intrastate		Interstate Filed From Agent	Interstate Received as Liable	Entering Self Employment		Unique Individuals with at least One Week Claimed
					8		9		10		11	12	13		30
UI				201
UCFE/No UI				202
UCX Only				203
Section B. Payment Activities				Weeks and Amounts Compensated
				Line No.	State UI Program							UCFE/UCX Programs
					All Weeks Compensated		Total Unemployment		Interstate		Total	UCFE/NO UI	UCX Programs	Self Employment, All Programs
					14		15		16		17	18	19	20
			Number	301
			Amount	302
				First Payments for All Unemployment									Final Payments for All Unemployment
				Line No.	State UI						UCFE/UCX Programs		State		UCFE/UCX Programs
					Total		Intrastate		Interstate				Total		UCFE/NO UI	UCX Programs
											UCFE/No UI	UCX Only
					21		22		23		24	25	26		27	28
			Number	303
SECTION C. Total State UI First and Final Payments by Demographics
Race or Ethnicity					American Indian or Alaska Native	Asian	Black or African American	Hispanic or Latino	Middle Eastern/ North African	Native Hawaiian or Pacific Islander	White	Multiracial and/or Multiethnic	Information Not Available (INA)
					31	32	33	34	35	36	37	38	39
		First Payments		400
		Final Payments		401
Sex and/or Gender					Male	Female	Another Gender Identity/ Nonbinary (X)		Information Not Available (INA)
					40	41	42		43
		First Payments		500
		Final Payments		501
Level of Educational Attainment					< HS Diploma	HS Diploma/GED	Trade/ Technical/ Vocational School or Certification	Some College	Associate Degree	Bachelor's Degree	Master's Degree	Advanced/ Doctoral Degree	Information Not Available (INA)
					44	45	46	47	48	49	50	51	52
		First Payments		600
		Final Payments		601