Forms and Publications
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New and Recently Updated Forms and Publications
February 2, 2016
- DE 5614F – UI OnlineSM Marketing Flyer – English
January 26, 2015
- DE 1101CZ – Notice of Unemployment Insurance Claim Filed (Employer Sample)
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
Unemployment Insurance Benefits: What You Need to Know
Helps claimants understand the eligibility requirements that must be met to receive UI benefits.
DE 1275B – English DE 1275B/A – Armenian DE 1275B/CC – Chinese-Cantonese
DE 1275B/CM – Chinese-Mandarin DE 1275B/H – Hmong DE 1275B/K – Korean DE 1275B/L – Laotian
DE 1275B/P – Punjabi DE 1275B/R – Russian DE 1275B/S – Spanish DE 1275B/T – Tagalog
DE 1275B/V – Vietnamese
Step-By-Step Guide: How to Certify for Ongoing Unemployment Benefits
Chart that can be used when answering the continued claim questions that determine eligibility for UI benefits.
DE 1275C - English DE 1275C/A - Armenian DE 1275C/CC - Chinese-Cantonese
DE 1275C/CM - Chinese-Mandarin DE 1275C/H - Hmong DE 1275C/K - Korean DE 1275C/L - Laotian
DE 1275C/P - Punjabi DE 1275C/R - Russian DE 1275C/T - Tagalog DE 1275C/S - Spanish
DE 1275C/V - Vietnamese
A Guide To Unemployment Insurance Benefits for Work Sharing Participants
This booklet contains information about the Work Sharing Unemployment Insurance (UI) program.
DE 1275WS/S – Spanish DE 1275WS/CM – Chinese-Mandarin DE 1275WS/V – Vietnamese
Instructions for Benefit Audit
Instructions on how to complete Benefit audit form outlining the commonly asked questions.
DE 1296E – English
Notice to Employees-Unemployment Insurance Benefits
Advises employees that an employer is registered under the California Unemployment Insurance Code and reports wage credits accumulated and you may be eligible for UI benefits.
DE 1857D – English DE 1857D/S – Spanish
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
Unemployment Insurance: File Claims, Payment Information, General Information
How to file or reopen an unemployment insurance claim, get payment or general claim information, and other resources available at America’s Job Center of CaliforniaSM.
DE 2320M – English DE 2320M/A – Armenian DE 2320M/C – Chinese
DE 2320M/CC – Chinese-Cantonese DE 2320M/CM – Chinese-Mandarin DE 2320M/H – Hmong
DE 2320M/K – Korean DE 2320M/L – Laotian DE 2320M/P – Punjabi DE 2320M/R – Russian
DE 2320M/S – Spanish DE 2320M/T – Tagalog DE 2320M/V – Vietnamese
Where is My Payment?
Telephone instructions on accessing UI payment information and establishing a PIN.
DE 2323 – English DE 2323/A – Armenian DE 2323/C – Chinese DE 2323/CC – Chinese-Cantonese
DE 2323/H – Hmong DE 2323/K – Korean DE 2323/L – Laotian DE 2323/P – Punjabi
DE 2323/R – Russian DE 2323/S – Spanish DE 2323/T – Tagalog DE 2323/V – Vietnamese
Unemployment Claim Filing by TTY
For Deaf and Hard of Hearing Customers
Information You Need to File an Unemployment Insurance Claim
DE 2326 – English DE 2326/A – Armenian DE 2326/C – Chinese DE 2326/CC – Chinese-Cantonese
DE 2326/H – Hmong DE 2326/K – Korean DE 2326/L – Laotian DE 2326/P – Punjabi
DE 2326/R – Russian DE 2326/S – Spanish DE 2326/T – Tagalog DE 2326/V – Vietnamese
UI OnlineSM Marketing Flyer
DE 5614F – English
Unemployment Insurance Alternate Base Period Program Employer Tip Sheet
A quick overview of the Unemployment Insurance Alternate Base Period Program for employers.
DE 2339 – English
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
Unemployment Insurance Important Information: The Employment Development Department (EDD) Fraud Prevention and Detection Activities
An insert periodically mailed with the Continued Claim Form (DE 4581) to remind claimants to report work and wages when collecting Unemployment Insurance benefits. Also, advises claimants that EDD uses the California Department of Child Support Services (DCSS) data to ensure work and wages are properly reported.
DE 2361CS – English/Spanish
Help Us Fight Fraud
Describes the different types of fraud in EDD’s programs and how to report it.
DE 2370 – English
Your New CalJOBSSM
Describes what CalJOBSSM is, how to access it, how to register and the fact that thousands of jobs are available, and the ability to create and post a résumé. (Trifold brochure)
DE 2456 – English DE 2456/S – Spanish
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
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
Trade Adjustment Assistance (TAA) benefits and services available to trade-affected workers.
DE 8392A – English - TAA benefits and services under the 2002 Trade Act program.
DE 8392B – English - TAA benefits and services under the 2009 Trade Act program.
Work Sharing Requirements and Criteria
Provides employers with all of the requirements and criteria for the Work Sharing program.
DE 8686RQ – English
Protect Your Business from Higher Taxes
Tips for employers to help prevent improper payment of UI benefits.
DE 8812 – English
Top 10 Things You Should Know About the UI System When Filing Your Claim
General rules for UI claimants when filing a claim to prevent legal consequences of fraud.
DE 8813 – English DE 8813/S – Spanish
STOP: Avoid the Serious Consequences of Not Properly Reporting Work, Wages, and Other Income When Submitting Certifications for Continuing Benefits
Advising claimants regarding the importance of properly reporting work and wages when certifying for UI benefits.
DE 8815 – English
Forms For Completion
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
Request for Eligibility Information for Non-Attendance at Mandatory Additional Service
This form is sent to claimants who did not attend a mandatory additional reemployment service appointment. Claimants must complete the one-page form (DE 4365RES) questionnaire, and mail it to the EDD within 10 days of the mail date listed on the form. This form may be printed, completed, and mailed to the EDD.
DE 4365RES – English DE 4365RES/S - Spanish
Alternative Trade Adjustment Assistance (ATAA) Individual Application
Complete this application. It must be submitted within two years of an individual’s qualifying re-employment.
DE 8330 – English
Work Sharing - Unemployment Insurance Plan Application
This application is completed by employers who wish to participate in the Work Sharing program. Review the Work Sharing Employer Requirements and Criteria (DE 8686RQ) before completing the application.
DE 8686 – English
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 DE 1000M/A – Armenian DE 1000M/CC – Chinese-Cantonese
DE 1000M/CM – Chinese-Mandarin DE 1000M/H – Hmong DE 1000M/K – Korean DE 1000M/L – Laotian
DE 1000M/P – Punjabi DE 1000M/R – Russian DE 1000M/T – Tagalog DE 1000M/V – Vietnamese
Unemployment Insurance Application
Complete this application to file a claim for UI benefits. The DE 1101I can only be printed and completed in English or Spanish, and either faxed or mailed to EDD to file a UI claim. The application is available to assist claimants in other languages under Sample Forms for Viewing Only.
DE 1101I – English DE 1101I/S – Spanish
Unemployment Insurance Application for Disaster Unemployment Assistance (DUA)
Complete this application to file a claim for UI benefits if you are unemployed or partially unemployed due to a disaster. This application includes the supplemental form for Disaster Unemployment Assistance (DUA). The DE 1101ID can only be printed and completed in English or Spanish, and either faxed or mailed to EDD to file a UI claim. The application is available to assist claimants in other languages under Sample Forms for Viewing Only.
DE 1101ID – English DE 1101ID/S – Spanish
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
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)
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 workers certified under a trade-affected company, to apply for participation in the Trade Adjustment Assistance (TAA) program.
DE 8309 – English
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
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/A – Armenian DE 429Z/CC – Chinese-Cantonese
DE 429Z/CM – Chinese-Mandarin DE 429Z/H – Hmong DE 429Z/K – Korean DE 429Z/L – Laotian
DE 429Z/P – Punjabi DE 429Z/R – Russian DE 429Z/S – Spanish DE 429Z/T – Tagalog
DE 429Z/V – Vietnamese
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/A – Armenian DE 1080CZ/CC – Chinese-Cantonese
DE 1080CZ/CM – Chinese-Mandarin DE 1080CZ/H – Hmong DE 1080CZ/K – Korean
DE 1080CZ/L – Laotian DE 1080CZ/P – Punjabi DE 1080CZ/R – Russian DE 1080CZ/S – Spanish
DE 1080CZ/T – Tagalog DE 1080CZ/V – Vietnamese
Notice of Determination
Mailed to claimants to notify them of their ineligibility for unemployment insurance benefits and information on their appeal rights.
DE 1080MON – English/Spanish DE 1080MON/A – Armenian DE 1080MON/CC – Chinese-Cantonese
DE 1080MON/CM – Chinese-Mandarin DE 1080MON/H – Hmong DE 1080MON/K – Korean
DE 1080MON/L – Laotian DE 1080MON/P – Punjabi DE 1080MON/R – Russian
DE 1080MON/T – Tagalog DE 1080MON/V – Vietnamese
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 1101CLMT – English DE 1101CLMT/A – Armenian DE 1101CLMT/CC – Chinese-Cantonese
DE 1101CLMT/CM – Chinese-Mandarin DE 1101CLMT/H – Hmong DE 1101CLMT/K – Korean
DE 1101CLMT/L – Laotian DE 1101CLMT/P – Punjabi DE 1101CLMT/R – Russian
DE 1101CLMT/S – Spanish DE 1101CLMT/T – Tagalog DE 1101CLMT/V – Vietnamese
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
Unemployment Insurance Application
This is a sample application for UI benefits to assist claimants in filing a claim in languages other than English or Spanish. The DE 1101I can only be printed and completed in English or Spanish, and either faxed or mailed to EDD to file a UI claim. The application is available in English or Spanish under Fill-In Forms.
DE 1101I/A – Armenian DE 1101I/CC – Chinese-Cantonese DE 1101I/CM – Chinese-Mandarin
DE 1101I/H – Hmong DE 1101I/K – Korean DE 1101I/L – Laotian DE 1101I/P – Punjabi
DE 1101I/R – Russian DE 1101I/T – Tagalog DE 1101I/V – Vietnamese
Unemployment Insurance Application for Disaster Unemployment Assistance (DUA)
This is a sample application for UI benefits to assist claimants in filing a claim in languages other than English or Spanish. This application includes the supplemental form for Disaster Unemployment Assistance (DUA) if you are unemployed or partially unemployed due to a disaster. The DE 1101ID can only be printed and completed in English or Spanish, and either faxed or mailed to EDD to file a UI claim. The application is available in English or Spanish under Fill-In Forms.
DE 1101ID/A – Armenian DE 1101ID/CC – Chinese-Cantonese DE 1101ID/CM – Chinese-Mandarin
DE 1101ID/H – Hmong DE 1101ID/K – Korean DE 1101ID/L – Laotian DE 1101ID/P – Punjabi
DE 1101ID/R – Russian DE 1101ID/S – Spanish DE 1101ID/T – Tagalog DE 1101ID/V – Vietnamese
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/A – Armenian DE 1326C/CC – Chinese-Cantonese
DE 1326C/CM – Chinese-Mandarin DE 1326C/H – Hmong DE 1326C/K – Korean DE 1326C/L – Laotian
DE 1326C/P – Punjabi DE 1326C/R – Russian DE 1326C/S – Spanish DE 1326C/T – Tagalog
DE 1326C/V – Vietnamese
Acceptable Documents for Identity Verification
List of documents that are acceptable for identity verification.
DE 1326CD – English DE 1326CD/A – Armenian DE 1326CD/CC – Chinese-Cantonese
DE 1326CD/CM – Chinese-Mandarin DE 1326CD/H – Hmong DE 1326CD/K – Korean
DE 1326CD/L – Laotian DE 1326CD/P – Punjabi DE 1326CD/R – Russian DE 1326CD/T – Tagalog
DE 1326CD/V – Vietnamese
Request for Additional Information
Notice to employers requesting validation of information provided by a claimant.
DE 1326ER – English
Request for Identity Information Regarding an Overpayment Debt
Notice sent to individuals who contact the EDD regarding an overpayment debt. The notice requests identity information.
DE 1326T – English DE 1326T/S – Spanish
Notice of Potential Overpayment
Mailed to claimants. Contains information on a potential overpayment where a claimant may have been overpaid UI benefits.
DE 1447 – English DE 1447/A – Armenian DE 1447/CC – Chinese-Cantonese
DE 1447/CM – Chinese-Mandarin DE 1447/H – Hmong DE 1447/K – Korean DE 1447/L – Laotian
DE 1447/P – Punjabi DE 1447/R – Russian DE 1447/T – Tagalog DE 1447/V – Vietnamese
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
Continued Claim Form
This is a sample of the Continued Claim Form to assist claimants in certifying for UI Benefits. This is a sample only and cannot be printed and mailed to the EDD. Contact EDD if you need a replacement form issued to you to certify for UI benefits.
DE 4581CTO - English DE 4581CTO/A - Armenian DE 4581CTO/CC - Chinese-Cantonese
DE 4581CTO/CM - Chiniese-Mandarin DE 4581CTO/H - Hmong DE 4581CTO/K - Korean
DE 4581CTO/L - Laotian DE 4581CTO/P - Punjabi DE 4581CTO/R - Russian DE 4581CTO/S - Spanish
DE 4581CTO/T - Tagalog DE 4581CTO/V - Vietnamese
Notification of Unemployment Insurance Benefits Eligibility Interview
A notice sent to claimants containing the date and time of their telephone interview regarding their eligibility for unemployment insurance benefits.
DE 4800 - English DE 4800/A - Armenian DE 4800/CC - Chinese/Cantonese
DE 4800/CM - Chinese/Mandarin DE 4800/H - Hmong DE 4800/K - Korean
DE 4800/L - Laotian DE 4800/P - Punjabi DE 4800/R - Russian DE 4800/S - Spanish
DE 4800/T - Tagalog DE 4800/V - Vietnamese
Employment Development Department (EDD) Customer Account Number
DE 5614 – English DE 5614/A – Armenian DE 5614/CC – Chinese/Cantonese
DE 5614/CM – Chinese/Mandarin DE 5614/H – Hmong DE 5614/K – Korean
DE 5614/L – Laotian DE 5614/P – Punjabi DE 5614/R – Russian DE 5614/S – Spanish
DE 5614/T – Tagalog DE 5614/V – Vietnamese
Notice of Requirement to Register for Work
Advises unemployment insurance claimants that they must register for work using CalJOBSSM within 21 days.
DE 8405 – English DE 8405/A – Armenian DE 8405/CC – Chinese-Cantonese
DE 8405/CM – Chinese-Mandarin DE 8405/H – Hmong DE 8405/K – Korean DE 8405/L – Laotian
DE 8405/P – Punjabi DE 8405/R – Russian DE 8405/S – Spanish DE 8405/T – Tagalog
DE 8405/V – Vietnamese
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
How Unemployment Benefits Are Computed
An informational sheet, or “EDD Fact Sheet” that provides details on the Standard Base Period and Alternate Base Period.
DE 8714AB – English DE 8714AB/S – Spanish
Work Sharing Program
An informational sheet, or “EDD Fact Sheet” that provides details on the Work Sharing program.
DE 8714BB – English
DE 8714H – English/Spanish
An informational sheet, or “EDD Fact Sheet” that provides details on the CalJOBSSM program.
DE 8714JS – English
Trade Adjustment Assistance
An informational sheet, or “EDD Fact Sheet” that provides details on Trade Adjustment Assistance (TAA).
DE 8714X – English
Unemployment Insurance Alternate Base Period Program
An informational sheet, or “EDD Fact Sheet” that provides details on Alternate Base Period (ABP).
DE 8714Z – English