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Company Contact Information

First name*

Last name*

Email*

Contact Job Title*

Phone number*

Company name*

Street address*

City*

State/Region

Postal Code*

Rapid Response Presentation Information

Currently all Rapid Response Events will be held virtually through Zoom.

Requested Event Date

Year/Month/Day

Requested Time

You may request more than one session for groups of 50 or more. Recordings will be available after each event. To request a specific event time, please discuss your needs with your COWIB Business Services Consultant.

9:00 - 10:30 am

11:00 am - 12:30 pm

1:00 - 2:30 pm

3:00 - 4:30 pm

Pre-Recorded

Morning

Afternoon

Full Day

I need multiple event dates

Are employees/attendees being laid-off or furloughed?

Laid-off

Furloughed

Some laid-off, some furloughed.

Please list the job titles being laid-off with the current average wage of each title.

We will use this information to refer attendees to other employers who are hiring in our area.

Please share any information you have regarding your employees' commuting patterns and where they may be interested in finding new employment.

How will participants be joining the virtual event?

Participants will use their own device.

Participants will gather to view the presentation on a single device.

Other

Who will be the company contact to assist in moderating the event?

Unemployment Insurance

The following questions will assist in making the unemployment presentation specific to attendees.

Last date of employment:

If not the same for all attendees, please give details below.

Year/Month/Day

Details of employee separation date(s):

Will they receive severance pay? If so, what amount and how will it be paid? (Lump sum, weekly, bi-weekly, etc.)

Will they receive profit sharing, 401k, or retirement?

Health Coverage

Please answer the following questions about health benefits to guide the presentation for the Oklahoma Insurance Dpt.

When will the current group insurance end?

Date of Termination

End of the Month of Termination

End of the 2nd Month of Termination

Are they eligible for COBRA?

Yes