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Unemployment Insurance - Forms and Publications

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Fact Sheets
Forms for Completion
Publications
Sample Forms for Viewing Only

Publications

Benefit Determination Guide - Discussion of UI Law

Another Way to Pay
Informational handout on the using your credit card to repay an overpayment.
DE 365 - English   DE 365/S - Spanish  

Unemployment Insurance Benefit Table (2005)
Chart that can be used to calculate weekly benefits.
DE 1101BT5 - English   DE 1101BT5/S/ - Spanish   

A Guide to Benefits and Employment Services
Provides claimants with information and eligibility requirements for unemployment insurance.
DE 1275A - English    DE 1275A/C - Chinese    DE 1275A/S - Spanish    DE 1275A/V - Vietnamese

Notice to Employees
Advises employees of potential UI, DI, and PFL Insurance benefits.
DE 1857A - English    DE 1857A/C - Chinese    DE 1857A/S - Spanish    DE 1857A/V - Vietnamese

Notice to Employees-Unemployment Insurance Benefits
Advises employees that they may be eligible for unemployment insurance benefits.
DE 1857D - English    DE 1857D/C/ - Chinese    DE 1857D/S/ - Spanish    DE 1857D/V/ - Vietnamese   

For Your Benefit-California's Programs for the Unemployed
Describes EDD services and is issued to individuals by employers.
DE 2320 - English    DE 2320/C/ - Chinese    DE 2320/S/ - Spanish    DE 2320/V/ - Vietnamese

For Your Benefit-When You Need It
A quick overview about filing an Unemployment Insurance claim.
DE 2320M - English   DE 2320M/C/ - Chinese    DE 2320M/S/ - Spanish    DE 2320M/V/ - Vietnamese

Where is My Check?
Telephone instructions on accessing UI check information and establishing a PIN.
DE 2323 - English/Spanish  DE 2323B/C - Chinese   DE 2323B/V - Vietnamese

Unemployment Insurance - New Toll Free Phone Numbers
DE 2323A - English   DE 2323A/S - Spanish  

Unemployment Claim Filing by TTY
For Deaf and Hard of Hearing Customers
DE 2323TTY

Protect Your Identity and Stop Unemployment Insurance Imposter Fraud
Tips on how you can protect yourself against identity theft and UI imposter fraud.
DE 2360EE - English   DE 2360EE/S - Spanish  

How You Can Prevent Unemployment Insurance Imposter Fraud
Tips on how you can help EDD prevent UI imposter fraud and identity theft and, at the same time, help control your UI costs.
DE 2360ER - English

How To Report Unemployment Insurance Fraud
Describes the different types of UI fraud and how to report it to EDD.
DE 2360TF - English  DE 2360TF/S - Spanish

Help Us Fight Fraud
Describes the different types of fraud in EDD's programs and how to report it.
DE 2370 - English  

Claims Management Handbook for School Employers
The purpose of this handbook is to provide information to assist School Employees Fund (SEF) employers in managing their Unemployment Insurance (UI) costs.
DE 3450SEF - English  

California Training Benefits and Training Extension Claims
This pamphlet provides information on the California Training Benefits program and Training Extension claims.
DE 3550 - English  DE 3550/S - Spanish

Instructions to Claimants for Reporting Residual Payments and Holding Fees
Explains residual payments and holding fees and provides claimants with guidelines for reporting these payments and fees.
DE 4005 - English   

Completion Instructions for Notice of Reduced Earnings, DE 2063
Employer instructions for completing the Notice of Reduced Earnings.
DE 4209 - English   

Completion Instructions for Notice of Reduced Earnings (Fisherperson), DE 2063F
Employer instructions for completing the Notice of Reduced Earnings (Fisherperson)
DE 4210F - English   

Managing Unemployment Insurance Costs, DE 4527
Provides general information on the UI program and can assist employers in managing UI costs.
DE 4527 - English   

Employment Development Department Procedures For Investigating Trade Disputes, DE 4654
Describes general procedures used by EDD to investigate trade disputes.
DE 4654 - English   

Getting Back to Work After a Trade-Related Layoff
Information related to re-entering the labor market.
DE 8392A - English

Guide for Work Sharing Employers
Provides employers with information on the Work Sharing program. Review our FAQ for more information.
DE 8684 - English

Unemployment Insurance Bookmark
Provides general information about filing an Unemployment Insurance claim.
DE 8717UI/C - Chinese   DE 8717UI - English   DE 8717UI/S - Spanish   DE 8717UI/V - Vietnamese

Forms For Completion

Employment Development Department Appeal Form
The DE 1000M can be used by claimants and employers to appeal an eligibility decision made by the Department.
DE 1000M - English/Spanish

Unemployment Insurance Application
An application for UI benefits. The DE 1101 I is printed, completed and either faxed or mailed to EDD to file a UI claim.
DE 1101I - English    DE 1101I/S - Spanish

Notice of Reduced Earnings
The DE 2063 is a form used by employers to certify their employees for partial benefits. Employers can print and complete the Internet version for submission to EDD. The Chinese version is a sample and is to be used as a guide when completing the English version. Please review the DE 4209, Completion Instructions for Notice of Reduced Earnings for more information on partial claims. Also review our FAQ.
DE 2063 - English/Spanish  DE 2063/C/ - Chinese (facsimile)

Notice of Reduced Earnings (Fisherperson)
The DE 2063F is a form used by employers to certify their employees for partial benefits for fisherpersons. Employers can print and complete the Internet version for submission to EDD. Please review the DE 4210F, Completion Instructions for Notice of Reduced Earnings, (Fisherperson), for more information on partial claims for fisherpersons.
DE 2063F - English

Request for Eligibility Information
This form is sent to claimants who did not attend a required Reemployment and Eligibility Assessment appointment. Claimants must complete the four page form (DE 4365REA) and questionnaire (DE 4365REAQ), and mail it to the EDD within 10 days of the mailing date listed on the form. This form may be printed, completed, and mailed to the EDD.
DE 4365REA/REAQ - English  DE 4365REA/S/REAQ/S - Spanish

Reemployment And Eligibility Assessment Questionnaire
This form is sent to claimants who have been scheduled to attend a Reemployment And Eligibility Assessment (REA) appointment. Claimants must complete the form prior to the REA appointment and bring the completed form to the REA appointments.
DE 8531 - English   DE 8531/S - Spanish

Work Sharing - Unemployment Insurance Plan Application
This application is completed by employers who wish to participate in the Work Sharing program.
DE 8686 - English

Fill-In Forms

Authorization for Release Unemployment Insurance Records for Retired Annuitant
This form is used by a retired annuitant to request UI records for the hiring state agency to ascertain whether he/she received benefits within the previous 12-month period.
DE 1181 - English

Wages Notice Request-Holiday/Vacation Pay (Work Sharing and Non-Work Sharing Employers)
Complete this form if on the last day of work some or all of the affected employees will have a definite date to return to work, and those employees will receive holiday or vacation pay. This form may be completed online, printed, and mailed or faxed to EDD.
DE 4806 - English

Wages Notice Request, Bonus Pay
Complete this form only if your company is paying some type of bonus pay to the affected employees. This form may be completed online, printed, and mailed or faxed to EDD.
DE 4807 - English

Wages Notice Request Separation Pay/Or In-Lieu-Of-Notice Pay Information
Complete this form only if your company is paying in lieu-of-notice pay or making other types of post-employment payments to terminated employees (excluding their regular wages). This form may be completed online, printed, and mailed or faxed to EDD.
DE 4808 - English

Prior Wages Notice Correction/Update Request
Complete this form only if EDD has issued a Wages Notice for you in the past. You may report information that needs to be corrected on a current notice, or provide information regarding a more recent layoff. If there is a substantial difference in the type of payments that employees affected by the current layoff will receive, you may find it more convenient to complete the other more comprehensive forms. This form may be completed online, printed, and mailed or faxed to EDD.
DE 4809 - English

Application for Trade Adjustment Assistance (TAA)
Initial application, completed by trade affected workers, to apply for participation in the Trade Adjustment Assistance (TAA) or North American Free Trade Agreement-Transitional Adjustment Assistance (NAFTA-TAA) programs.
DE 8309 - English

Sample Forms For Viewing Only

Notice of Unemployment Insurance Award
Provides claimants with specific monetary and eligibility information on their claim.
DE 429Z - English    DE 429Z/S/ - Spanish

Notice of Determination and/or Ruling
Mailed to employers and/or claimants. Contains information on a claimant's eligibility for benefits. Review our FAQ for more information.
DE 1080CZ - English    DE 1080CZ/S/ - Spanish

Notice of Modification
Advises an employer that a prior disqualification period has ended, and the claimant may begin receiving benefits. Review our FAQ for more information.
DE 1080M - English

Notice of Unemployment Insurance Claim Filed (Claimant)
Provides claimants with a copy of their claim information as processed by the Department. This notice also advises claimants of their right to correct errors and/or omissions, and instructions on how to contact the Department. Review our FAQ for more information.
DE 1101/CLMT - English    DE 1101CLMT/S - Spanish

Notice of Unemployment Insurance Claim Filed (Employer)
The DE 1101CZ is mailed to the last employer when a new claim is filed, or an existing claim is reopened. Specific information regarding the claimant will be entered on the form. The last employer completes portions of the form and returns it to EDD. (The version on this website is a sample only and should not be used to provide information to EDD.) Employers can also submit information in a letter. Include the claimant's Social Security Number and use the return address on the DE 1101CZ, or DE 1545 for mailing. Review our FAQ for more information.
DE 1101CZ - English

Request for Identity Verification
Notification advising the claimant that the Department is unable to verify his or her identity and identifying documents must be provided.
DE 1326C - English    DE 1326C/S - Spanish

Acceptable Documents for Identity Verification
List of documents that are acceptable for identity verification.
DE 1326CD - English

Request for Information
Notice requesting additional information when there is a question regarding the identity of the claimant.
DE 1326E - English    DE 1326E/S - Spanish

Request for Additional Information
Notice to employers requesting validation of information provided by a claimant.
DE 1326ER - English

Notice of Overpayment
Mailed to claimants. Contains information on an overpayment charged to a claimant's account.
DE 1444CT - English    DE 1444CT/S/ - Spanish

Notice of Wages Used for Unemployment Insurance Claim
The DE 1545 is mailed to base period employers after the first payment has been made on a claim. Specific information regarding the claimant will be entered on the form. Base period employers complete portions of the form and return it to EDD. (The version on this website is a sample only and should not be used to provide information to EDD.) Employers can also submit information in a letter. Include the claimant's Social Security Number and use the return address on the DE 1101CZ, or DE 1545 for mailing. Review our FAQ for more information.
DE 1545 - English

Explanations and Instructions for Notice of Wages Used for Unemployment Insurance (UI) Claim (DE 1545 - DE 1545T)
The DE 1545I provides employers with information about the Notice of Wages Used for Unemployment Insurance Claim and contains instructions about when and how employers should respond to the notice.
DE 1545I - English

Explanations and Instructions for Notice of Wages Used for Unemployment Insurance (UI) Claim (DE 1545R - DE 1545TR)
The DE 1545RI provides reimbursable employers with information about the Notice of Wages Used for Unemployment Insurance Claim and contains instructions about when and how employers should respond to the notice.
DE 1545RI - English

Reemployment and Eligibility Assessment Appointment Notice
This form is used to notify claimants of a scheduled re-employment and eligibility assessment appointment.
DE 8530 - English  DE 8530/S - Spanish

Fact Sheets

Services For Victims of Domestic Violence Abuse
An informational sheet that provides details on EDD Services for Victims of Domestic Violence Abuse.
DE 8323 - English    DE 8323/S/ - Spanish

Unemployment Insurance Program
An informational sheet, or "EDD Fact Sheet" that provides details on the unemployment insurance program.
DE 8714B - English    DE 8714B/S/ - Spanish

Work Sharing Program
An informational sheet, or "EDD Fact Sheet" that provides details on the Work Sharing program.
DE 8714BB - English

Appeals Board
An informational sheet, or "EDD Fact Sheet" that provides details on the unemployment insurance appeal process.
DE 8714F - English

California Training Benefits Program
An informational sheet, or "EDD Fact Sheet" that provides details on the California Training Benefits (CTB) program.
DE 8714U - English    DE 8714U/S/ - Spanish

Trade Adjustment Assistance
An informational sheet, or "EDD Fact Sheet" that provides details on Trade Adjustment Assistance (TAA).
DE 8714X - English

Trade Act
An informational sheet, or "EDD Fact Sheet" that provides details on the Trade Act.
DE 8714XX - English

Disaster Unemployment Assistance
An informational sheet, or "EDD Fact Sheet" that provides details on Disaster Unemployment Assistance (DUA).
DE 8714Y - English    DE 8714Y/S/ - Spanish