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

March 20, 2014

February 20, 2014

February 3, 2014

January 30, 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/S - Spanish   

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/S - Spanish   

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
DE 2320M - English   DE 2320M/C - Chinese    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/S - Spanish   DE 2323/C - Chinese    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/S - Spanish    DE 2326/C - Chinese    DE 2326/V - Vietnamese

Managing your Unemployment Insurance Claim
Tips for Completing the Continued Claim Form
DE 2327 - English    DE 2327/S - Spanish    DE 2327/C - Chinese    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/S - Spanish   DE 2334/C - Chinese   DE 2334/V - Vietnamese

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

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. 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

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.
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/V - Vietnamese

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

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/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

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/S - Spanish    DE 4581FO/CF - Chinese

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

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   

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