Please input the the of birth and the date it became necessary to calculate your unemployment allowance.

	Death      Disability
Date of birth :		Date of Employment :
Date of Resignation/Retirement :
Date of Death :		Loss of Ability to Work :	100%
Accident Occurrence Date :
Disability Grade :	1 2 3 4 5 6 7 8 9 10 11 12 13 14	Loss of Ability to Work :	%
Mistakes by the Employer :	%	Daily Average Wage :	KRW
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