The following information must be included in your application for training benefits:

1. (1) Your name and either your Social Security account number or the claimant identification number assigned to you by the department;
2. (2) The name of the educational institution;
3. (3) The address of the educational institution;
4. (4) The department of the educational institution, if applicable;
5. (5) The name of the training program;
6. (6) A description of the training program, including remedial requirements if necessary;
7. (7) The date your training program is expected to start;
8. (8) The duration of the training program, including the dates you plan to begin and complete training;
9. (9) Your employment history for the previous three years;
10. (10) Your plan for completion of the training if training benefits will run out prior to the completion of your plan;
11. (11) The occupation(s) trained for;
12. (12) A verification of your registration provided by the educational institution;
13. (13) A release of information form authorizing the educational institution to release grades, attendance, and other measures of program progress to the department; and
14. (14) Your signature.

[Statutory Authority: RCW 50.12.010, 50.12.040, and 50.22.155(12). WSR 12-09-025, § 192-270-045, filed 4/6/12, effective 7/1/12. Statutory Authority: RCW 50.12.010, 50.20.010, and 50.22.150(10). WSR 01-11-085, § 192-270-045, filed 5/16/01, effective 6/16/01.]