Submit a request

If you have received an inquiry from a constituent about unemployment insurance, worker's compensation, employment and training services, vocational rehabilitation, equal rights, or any of the other services the Wisconsin Department of Workforce Development offers, please submit an inquiry by filling out the following fields below and selecting "submit." If you have any questions or would like to follow-up on an inquiry you previously submitted, please email us at constituentinquiries@dwd.wisconsin.gov.

IMPORTANT: You and the constituent will both receive a confirmation email within minutes of submitting the inquiry, which will include the information that you submitted. If you do not receive a confirmation email, please contact us as soon as possible to ensure your inquiry is received.

Your email address

Constituent's Email Address

If the constituent does not have an email address or does not use email, please create a mock email address for the constituent using their name and phone number in this format: firstname.lastname@phonenumber.com. E.g., John.Doe@123456789.com.

Constituent's Name

Confirm the constituent's name is spelled correctly before you submit this webform. We will not be able to locate the constituent's file if the name in the "Constituent's Name" field is spelled incorrectly.

Constituent's Phone Number

If the constituent does not have a phone number, enter "no phone" or "not provided."

Constituent's Address(optional)

Subject

Please enter a brief description of your request.

Description

Please be specific about your issue, providing as much detail as possible below.

Is this inquiry about the constituent's unemployment insurance claim?(optional)

(If yes) Please provide the last four digits of the constituent's Social Security Number or their date of birth to help us match records. (required)

Last 4 digits of SSN

Preferred Email of Legislative Office

Updates on the constituent inquiry will be sent to the email address entered in the field above.

Legislative Assistant Name

First and Last Name.

Email of Legislative Assistant

i.e. youremail@legis.wisconsin.gov

I do not wish to receive updates.(optional)

Only select this if you do not want any updates on the constituent inquiry you are submitting sent to the email address in the "preferred email of legislative office" field above. If you select this, the constituent will still receive updates.

Legislative Requester

Select the legislator requesting this inquiry.

Please check this box for urgent request.(optional)

Other Information or Concerns (optional)

If the constituent has any additional needs for support or accommodations, please use the field above to flag any concerns or issues. This information helps to inform our response and refer the constituent to other resources appropriately. Any information you enter in the field above will not be shared with the constituent. Examples of information you may wish to share include the need for a translator, difficulty using or accessing a phone or computer, preferred pronouns, and whether the constituent is facing imminent eviction or is currently without housing, food insecurity, mental health concerns, or trouble purchasing medication. Enter any other information we should be aware of to best serve the constituent here.

Attachments(optional)

Add file or drop files here