Unemployment Insurance - Forms and Publications

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Publications
Forms for Completion
Fill-In Forms
Sample Forms for Viewing Only
Fact Sheets

New and Recently Updated Forms and Publications

November 5, 2014

  • Notice of Requirement to Register for Work
    DE 8405/S - Spanish

November 3, 2014

  • Notice of Requirement to Register for Work
    DE 8405

October 31, 2014

Publications

Benefit Determination Guide - Discussion of UI Law

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

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/CC – Chinese-Cantonese    DE 1275B/CM – Chinese-Mandarin
DE 1275B/H – Hmong    DE 1275B/L – Laotian    DE 1275B/R – Russian    DE 1275B/S – Spanish
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/CC – Chinese-Cantonese    DE 1275C/CM – Chinese-Mandarin
DE 1275C/H – Hmong    DE 1275C/L – Laotian    DE 1275C/R – Russian    DE 1275C/S – Spanish
DE 1275C/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

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/C – Chinese    DE 2320M/CC – Chinese-Cantonese
DE 2320M/CM – Chinese-Mandarin    DE 2320M/H – Hmong    DE 2320M/L – Laotian
DE 2320M/R – Russian    DE 2320M/S – Spanish    DE 2320M/V – Vietnamese

Where is My Payment?
Telephone instructions on accessing UI payment information and establishing a PIN.
DE 2323 – English    DE 2323/C – Chinese    DE 2323/CC – Chinese-Cantonese
DE 2323/H – Hmong    DE 2323/L – Laotian   DE 2323/R – Russian    DE 2323/S – Spanish
DE 2323/V – Vietnamese

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

Information You Need to File an Unemployment Insurance Claim
DE 2326 – English    DE 2326/C – Chinese    DE 2326/CC – Chinese-Cantonese
DE 2326/H – Hmong    DE 2326/L – Laotian    DE 2326/R – Russian    DE 2326/V – Vietnamese

Managing your Unemployment Insurance Claim
Tips for Completing the Continued Claim Form
DE 2327 – English    DE 2327/C – Chinese    DE 2327/S – Spanish    DE 2327/V – Vietnamese

Tips for Qualifying for the California Training Benefits Program
A quick overview of CTB eligibility and approval process.
DE 2332 – English    DE 2332/S – Spanish

Tips for Using the EDD Web-Certification - EDD Web-CertSM
DE 2334– English    DE 2334/C – Chinese    DE 2334/S – Spanish    DE 2334/V – Vietnamese

Tips for Using the EDD Telephone Certification - EDD Tele-CertSM
DE 2335 – English    DE 2335/C – Chinese    DE 2335/S – Spanish    DE 2335/V – Vietnamese

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

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

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.

Guide for Work Sharing Employers
Provides employers with information on the Work Sharing program. For more information, review the FAQs – Work Sharing Information for Employers.
DE 8684 – English

Work Sharing Requirements and Criteria
Provides employers with all of the requirements and criteria for the Work Sharing program.
DE 8686RQ – English

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

What is Unemployment Insurance Fraud?
General information on UI fraud and penalties.
DE 8811 – English    DE 8811/S – Spanish

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

You Must Search for Work While Collecting UI Benefits
General information on requirements to report and actively search for work while collecting UI benefits.
DE 8814 – English    DE 8814/S – Spanish

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

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

Fill-In Forms

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/C – Chinese    DE 1000M/CC – Chinese-Cantonese   
DE 1000M/H – Hmong    DE 1000M/L – Laotian    DE 1000M/R – Russian    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

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)

Request for Eligibility Information Due to Failure to Attend a Mandatory Appointment
This four-page form is sent to claimants on a first or second tier federal extension claim who did not attend a mandatory Reemployment and Eligibility Assessment (REA) 2012 appointment. Claimants must complete the multi-page questionnaire (DE 4365REAX) and return it to the address on the form within 10 calendar days. Claimants must report to the America’s Job Center of CaliforniaSM (formerly known as One-Stop Career Centers) listed on the original appointment notice as soon as possible to complete their in-person REA appointment and to minimize the potential number of weeks for which they may be disqualified for failing to attend their original appointment.
DE 4365REAX – English    DE 4365REAX/S – Spanish

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/CC – Chinese-Cantonese    DE 429Z/CM – Chinese-Mandarin
DE 429Z/H – Hmong    DE 429Z/L – Laotian    DE 429Z/R – Russian    DE 429Z/S – Spanish
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/CC – Chinese-Cantonese    DE 1080CZ/CM – Chinese-Mandarin
DE 1080CZ/H – Hmong    DE 1080CZ/L – Laotian    DE 1080CZ/R – Russian    DE 1080CZ/S – Spanish
DE 1080CZ/V – Vietnamese

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 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/CC – Chinese-Cantonese
DE 1080MON/CM – Chinese-Mandarin    DE 1080MON/H – Hmong    DE 1080MON/L – Laotian
DE 1080MON/R – Russian    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/CC – Chinese-Cantonese    DE 1101CLMT/CM – Chinese-Mandarin
DE 1101CLMT/H – Hmong    DE 1101CLMT/L – Laotian    DE 1101CLMT/R – Russian
DE 1101CLMT/S – Spanish    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/CC – Chinese-Cantonese    DE 1101I/CM – Chinese-Mandarin    DE 1101I/H – Hmong
DE 1101I/L – Laotian    DE 1101I/R – Russian    DE 1101I/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/CC – Chinese-Cantonese    DE 1326C/CM – Chinese-Mandarin
DE 1326C/H – Hmong    DE 1326C/L – Laotian    DE 1326C/R – Russian    DE 1326C/S – Spanish
DE 1326C/V – Vietnamese

Acceptable Documents for Identity Verification
List of documents that are acceptable for identity verification.
DE 1326CD – English   DE 1326CD/CC – Chinese-Cantonese    DE 1326CD/CM – Chinese-Mandarin
DE 1326CD/R – Russian    DE 1326CD/V – Vietnamese

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 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/CC – Chinese-Cantonese    DE 1447/CM – Chinese-Mandarin
DE 1447/H – Hmong    DE 1447/L – Laotian    DE 1447/R – Russian    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 for Unemployment Insurance (UI) claimants to use to certify for UI Benefits.
DE 4581FO – English    DE 4581FO/CF – Chinese    DE 4581FO/S – Spanish

Notice of Exhausted Unemployment Benefits
Informational notice for claimants who have collected all available regular and extended benefits. The notice suggests community resources which may be helpful to claimants and their families.
DE 6331BX-EXT – English/Spanish

End of the Federal Emergency Unemployment Compensation (EUC) Extension Program for Unemployment Benefits
Informational notice mailed to claimants advising of the end to the federal EUC extension program. The notice suggests community resources which may be helpful to claimants and their families.
DE 6331EU-EN2 – English    DE 6331EU-EN2/S/ – Spanish

End of the Fourth Federal Emergency Unemployment Compensation (EUC) Extension (Tier 4 Extension Benefits)
Informational notice mailed to claimants certifying for benefits on a Tier 3 federal extension and qualified for the Deferred New Claim Payment Program advising of the end to the Tier 4 federal extension. The notice suggests community resources which may be helpful to claimants and their families.
DE 6331EUZ-DNCP1 – English    DE 6331EUZ-DNCP1/S – Spanish

End of the Fourth Federal Emergency Unemployment Compensation (EUC) Extension (Tier 4 Extension Benefits)
Informational notice mailed to claimants certifying for benefits on a Tier 3 federal extension advising of the end to the Tier 4 federal extension. The notice suggests community resources which may be helpful to claimants and their families.
DE 6331EUZ-EN1 – English    DE 6331EUZ-EN1/S – Spanish

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/S – Spanish

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

Critical Information About Cuts to Federal Extension Benefits
This notification provides information about the sequestration reduction cuts to federal extension benefits.
DE 6331SEQ – English and Spanish

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

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

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    DE 8714F/S – Spanish

CalJOBSSM
An informational sheet, or “EDD Fact Sheet” that provides details on the CalJOBSSM program.
DE 8714JS – 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

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

Unemployment Insurance Alternate Base Period Program
An informational sheet, or “EDD Fact Sheet” that provides details on Alternate Base Period (ABP).
DE 8714Z – English

This Google Translate™ translation service is provided for informational purposes only as the EDD is unable to guarantee the accuracy of this translation. View Disclaimer

 

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