Fill-In Forms

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Note: You are reporting your employees' confidential information to EDD on these forms. Do not use e-mail or other unsecured methods of communication to send forms to EDD.

Download the form that you want to use. Load it into the Acrobat Reader. Place your cursor on a blank field, click, and begin to enter your data into the field (Note: The numbers will not line up with the boxes - this is okay). You can tab to the next field until the form is completed. If you are using the free Acrobat Reader, you cannot save your data, so you will need to print a copy for your records and one to mail to EDD.

If you have questions about or problems with filling out or downloading the forms, please see Frequently Asked Questions About EDD Tax Forms and Publications on the Internet. For completed samples of most EDD forms, see our Sample Forms Guide (DE 45).

Hint: Most check boxes can be checked by clicking on the box or hitting the space bar.

Fill-in forms to download:

• DE 1 - Rev. 75 (1-11) - Registration Form for Commercial Employers, Pacific Maritime, and Fishing Boats (most employers should use this form)
• DE 1AG - Rev. 9 (1-11) - Registration Form for Agricultural Employers
• DE 1GS - Rev. 8 (1-11) - Registration Form for Governmental Organizations, Public Schools, & Indian Tribes
• DE 1HW - 9 (1-11) - Registration Form for Employers of Household Workers
• DE 1NP - Rev. 5 (1-11) - Registration Form for Nonprofit Employers
• DE 1P - Rev. 7 (1-11) - Registration Form for Employers Depositing Only Personal Income Tax Withholding
• DE 1PE - Rev. 9 (4-06) - Selection of Financing Method; Election to Cover Excluded Services for Unemployment Insurance Purposes Only by a Public Entity or Indian Tribe
• DE 3BHW - Rev. 8 (9-10) - Quarterly Report of Wages and Withholdings for Employers of Household Workers
• DE 3HW - Rev. 9 (9-10) for all years except 2000 - Employer of Household Worker(s) Annual Payroll Tax Return
• DE 4 - Rev. 40 (1-12) - Employee’s Withholding Allowance Certificate online calculator ^New available
• DE 4P - Rev. 31 (1-12) - Withholding Certificate for Pension or Annuity Payments
• DE 6 - Rev. 5 (1-08) - Quarterly Wage and Withholding Report (2010 and prior)
• DE 7 - Rev. 5 (7-08) for all years except 2000 - Annual Reconciliation Statement (2010 and prior)
• DE 9 (1-11) - Quarterly Contribution Return and Report of Wages (Effective 1st quarter of 2011)
• DE 9ADJ (1-11) - Quarterly Contribution and Wage Adjustment Form (Effective 1st quarter of 2011)
• DE 9C (1-11) - Quarterly Contribution Return and Report of Wages (Continuation) (Effective 1st quarter of 2011)
• DE 24 - Rev. 5 (3-11) - Change of Employer Account Information
• DE 26 - Rev. 7 (12-10) - Electronic Funds Transfer Authorization Agreement
• DE 34 - Rev. 7 (1-11) - Report of New Employee(s)
• DE 48 - Rev. 5 (11-11) - Power of Attorney Declaration
  • BOE-392 - Rev. 9 (3-11) - Power of Attorney - joint form for EDD, Board of Equalization, and Franchise Tax Board
• DE 88ALL - Rev. 17 (12-09) - Payroll Tax Deposit (for simplified instructions, see DE 88ALLSI; for detailed instructions, see DE 88ALL-I. They are located in the Forms section) Payment by electronic funds transfer or credit card also available.
• DE 166 - Rev. 8 (4-06) - Magnetic Media - Submittal Sheet - Quarterly Wage and Withholding Information
• DE 459 - Rev. 17 (10-11) - Sole Shareholder/Corporate Officer Exclusion Statement
• DE 542 - Rev. 5 (1-11) - Report of Independent Contractor(s)
• Underground Economy Operations Lead Referral/Complaint Form
  • DE 660 - Rev. 1 (12-06) - English Version
  • DE 660/S/ - Rev. 1 (12-06) - Spanish Version
• DE 678 - Rev. 4 (5-11) for all years except 2000 - Tax and Wage Adjustment Form (instructions are on the DE 678-I)
• DE 926B - Rev. 15 (5-02) - Financial Statement
• DE 926C - Rev. 12 (7-03) - Financial Statement for Businesses
• DE 927B - (6-04) - Installment Agreement Request
• DE 938 - Rev. 43 (4-11) - Quarterly Adjustment Form for Voluntary Plan Disability Insurance Employers
• DE 938SEF - Rev. 10 (8-11) - Quarterly Return Adjustment Form for School Employers
• DE 945 - Rev. 5 (2-11) - Annual Income Report for Disability Insurance Elective Coverage
• DE 972 - Rev. (1-11) - MOU: Certification of Payroll Agent
• DE 973B - Rev. (2-11) - Payroll Reporting Agent Registration Form
• DE 974A - Rev. (2-11) - Counseling Services Agent Registration
• DE 999 - Rev. 1 (6-07) - Request for Offer in Compromise
• DE 999A - Rev. 1 (6-07) - Offer in Compromise Application
• DE 999B - (7-03) - Offer in Compromise Financial Statement
• DE 999CA - Rev. 1 (5-08) - Multi-Agency Form for Offer in Compromise
• DE 999D - (7-03) - Installment Plan Agreement
• DE 1378DI - Rev. 42 (6-11) - Application for Disability Insurance Elective Coverage (for self-employed, partners, or LLC managing members)
• DE 2220R - Rev. 4 (5-11) - Release of Buyer Request Form
• DE 2251A - Rev. 21 (9-11) - Affidavit of Mailing
• DE 2325 - Rev. 15 (7-08) - Employer’s Election to Cover a Multi-State Worker Under the California Unemployment Insurance Code
• DE 3086M - Rev. 2 (1-11) - Waiver Request From Filing Quarterly Wage Report(s) Electronically
• DE 4453 - Rev. 68 (1-12) - Application for Transfer of Reserve Account
• DE 9402 - Rev. 1 (3-00) - Authorization for Representation
• DE 9406 - Rev. 3 (2-11) - Combined Statement of Financial Condition and Income and Expense Declaration
• DE 9423 - Rev. 12 (11-11) - Quarterly Contribution Return for School Employers

For assistance with downloading or filling in forms, call the Tax Branch Internet Coordinator at (916) 653-9356 or call our Taxpayer Assistance Center at (888) 745-3886. To have a form faxed or mailed to you, please call our toll-free number (888) 745-3886.