Rick Scott 
Governor 
Jesse Panuccio 
Executive Director 
REEMPLOYMENT ASSISTANCE PROGRAM 
PO BOX 5250 
TALLAHASSEE, FL 32314-5250 
*31989662 * 
Chalermchai Chavienghong 
1799 Sandra Ln 
Palm Springs, FL 33406 
In processing your application information, your work authorization could not be verified. In order for 
benefit eligibility to be determined, you must provide a photocopy of the following documents. Preview 
and make sure the documents are readable prior to sending or it may delay your benefits. 
• I-551 (Permanent Resident Card) 
Mail or fax the personal identification to the following location: 
REEMPLOYMENT ASSISTANCE PROGRAM 
PO BOX 5250 
TALLAHASSEE, FL 32314-5250 
NOTE: Do not send original documents as they will not be returned. 
Florida Department of Economic Opportunity | The Caldwell Building | PO BOX 5250 | TALLAHASSEE, FL | 32314-5250 
(800) 204-2418 | (877) 934-1504 Fax | www.FloridaJobs.org | www.twitter.com/FLDEO | www.facebook.com/FLDEO 
An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. All voice 
telephone numbers on this document may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.

Ui online doc 20140913000000 (4)

  • 1.
    Rick Scott Governor Jesse Panuccio Executive Director REEMPLOYMENT ASSISTANCE PROGRAM PO BOX 5250 TALLAHASSEE, FL 32314-5250 *31989662 * Chalermchai Chavienghong 1799 Sandra Ln Palm Springs, FL 33406 In processing your application information, your work authorization could not be verified. In order for benefit eligibility to be determined, you must provide a photocopy of the following documents. Preview and make sure the documents are readable prior to sending or it may delay your benefits. • I-551 (Permanent Resident Card) Mail or fax the personal identification to the following location: REEMPLOYMENT ASSISTANCE PROGRAM PO BOX 5250 TALLAHASSEE, FL 32314-5250 NOTE: Do not send original documents as they will not be returned. Florida Department of Economic Opportunity | The Caldwell Building | PO BOX 5250 | TALLAHASSEE, FL | 32314-5250 (800) 204-2418 | (877) 934-1504 Fax | www.FloridaJobs.org | www.twitter.com/FLDEO | www.facebook.com/FLDEO An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. All voice telephone numbers on this document may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.