Basic Trade Readjustment Allowance (TRA) Deadline Extension Request

Trade Adjustment Assistance

Basic Trade Readjustment Allowance (TRA) Deadline Extension Request

Participant Name: / State ID: / Petition #:
TAA WFS Name: / TAA WFS Phone #:
Reason for the Deadline Extension Request (please check one):
Natural disaster / Staff error
Serious illness or injury / Active military duty
“Good Cause” / Worker was not notified of required deadlines in a timely fashion
# of Extension Days Requested: / Extension Request Date:
WIA Application Date: / TAA Application Date per 855:
TAA Application Date in VOS: / TAA Eligibility Date (per 857):
Basic TRA Deadline Date:
Waiver Create Date: / Waiver Activity Create Date:
Waiver Issued Date: / Waiver Activity Actual Start Date:
TAA Trng. Application Create Date: / Approved Trng. Application Date:
TAA Training Activity Create Date: / WIA Training Activity Create Date:
TAA Trng. Activity Actual Start Date: / WIA Trng. Activity Actual Start Date:
TAA Trng. Activity Projected End Date: / WIA Trng. Activity Projected End Date:

Reason for the basic TRA deadline extension request and/or additional comments:

For Internal Use Only:

Regional TAA Coordinator: / Date:
Approved / Denied / Needs further research / Recommendation / Final
TAA Program Manager: / Date:
Approved / Denied / Needs further research / Recommendation / Final

Action (to be) taken and/or additional comments:

APPEAL RIGHTS – If you disagree with this determination, you have the right to appeal provided a notice of appeal is filed within ten (10) calendar days, including weekends and holidays, from the date of the determination. If the tenth (10th) day falls on a Saturday, Sunday or holiday, the appeal period is extended to the next business day. Your appeal may be filed in person in any SC Department of Employment and Workforce office, or by mail addressed to “Appeal Tribunal”, P.O. Box 995, Columbia, SC 29202.

Rev. 3/14