This Google™ translation feature, provided on the Employment Development Department (EDD) website, is for informational purposes only. The web pages currently in English on the EDD website are the official and accurate source for the program information and services the EDD provides.
Any discrepancies or differences created in the translation are not binding and have no legal effect for compliance or enforcement purposes. If any questions arise related to the information contained in the translated website, please refer to the English version.
The EDD is unable to guarantee the accuracy of this translation and is therefore not liable for any inaccurate information or changes in the formatting of the pages resulting from the translation application tool. Forms and publications provided on the EDD website cannot be translated using Google™ Translate. Some forms and publications are translated by the department in other languages. For those forms, visit the Online Forms and Publications section.
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, Completion Instructions for Notice of Reduced Earnings, (Fisherperson), for more information on partial claims for fisherpersons. – English Request for Eligibility Information A form sent to claimants who did not attend a mandatory Reemployment Services and Eligibility Assessment (RESEA) appointment.
Claimants are required to fill-out a 1-2 page questionnaire and mail it to the EDD within 10 days of the mailing date listed on the form. – English – Spanish Reemployment Services and Eligibility Assessment (RESEA) Questionnaire A form sent to claimants who did not attend a mandatory reemployment service appointment.
Claimants must complete the 1-2 page form (along with the DE 4365REA) and mail it to the EDD within 10 days of the mailing date listed on the form. – English – 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. – English – 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. – English Work Sharing - Unemployment Insurance Plan Application This application is completed by employers who wish to participate in the Work Sharing program. Review the before completing the application.
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. – English/Spanish – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Tagalog – 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.
– English – 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. – English – 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. – 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, Completion Instructions for Notice of Reduced Earnings for more information on partial claims. Also review our. – English/Spanish – 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. – 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. – 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.
– 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. – 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. – English Reemployment Services and Eligibility Assessment (RESEA) Questionnaire This form is sent to claimants who have been scheduled to attend a Reemployment Services and Eligibility Assessment (RESEA) appointment. Claimants must complete the form prior to the RESEA appointment and bring the completed form to the RESEA appointments. – English – Spanish.
Sample Forms for Viewing Only Notice of Unemployment Insurance Award Provides claimants with specific monetary and eligibility information on their claim. – English – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Spanish – Tagalog – Vietnamese Notice of Determination and/or Ruling Mailed to employers and/or claimants.
Contains information on a claimant’s eligibility for benefits. Review our for more information. – English – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Spanish – Tagalog – Vietnamese Notice of Modification Advises an employer that a prior disqualification period has ended, and the claimant may begin receiving benefits. Review our for more information. – English Notice of Determination Mailed to claimants to notify them of their ineligibility for unemployment insurance benefits and information on their appeal rights. – English/Spanish – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Tagalog – 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 for more information. – English – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Spanish – Tagalog – 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 for more information. The last employer can electronically receive and respond to the EDD’s Notice of Unemployment Insurance Claim Filed (DE 1101CZ) using the State Information Data Exchange System (SIDES). – 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. – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Tagalog – 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.
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The application is available in English or Spanish under. – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Spanish – Tagalog – Vietnamese Appointment Notice Notification to claimants of upcoming Initial Assistance Workshop (IAW) appointment. – English - Spanish 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. – English – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Spanish – Tagalog – Vietnamese Acceptable Documents for Identity Verification List of documents that are acceptable for identity verification. – English – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Tagalog – Vietnamese Request for Information Notice requesting additional information when there is a question regarding the identity of the claimant.
– English – Spanish Request for Additional Information Notice to employers requesting validation of information provided by a claimant. – 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. – English – Spanish Notice of Potential Overpayment Mailed to claimants. Contains information on a potential overpayment where a claimant may have been overpaid UI benefits.
– English – Armenian – Chinese-Cantonese – Chinese-Mandarin – Hmong – Korean – Laotian – Punjabi – Russian – Tagalog – 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 for more information. – 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. – 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.
– English California Training Benefits Program Information and Application California Training Benefits Program Application for UI Claimants. – English – Spanish Notice of Request for School or Training Information California Training Benefits Program request from department for information regarding claimants school or training.
4581 Continued Claim Form Pdf Sri Lanka
– English – Spanish 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. If you need a replacement form issued to you to certify for UI benefits. English - Armenian - Chinese-Cantonese - Chiniese-Mandarin - Hmong - Korean - Laotian - Punjabi - Russian - Spanish - Tagalog - 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. Fact Sheets Services For Victims of Domestic Violence Abuse An informational sheet that provides details on EDD Services for Victims of Domestic Violence Abuse. – English – 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.
– English – Spanish Unemployment Insurance Program An informational sheet, or “EDD Fact Sheet” that provides details on the unemployment insurance program. – English – Spanish Work Sharing Program An informational sheet, or “EDD Fact Sheet” that provides details on the Work Sharing program. – English Appeals Board An informational sheet, or “EDD Fact Sheet” that provides details on the unemployment insurance appeal process.
– English – Spanish UI Online SM – English/Spanish CalJOBS SM An informational sheet, or “EDD Fact Sheet” that provides details on the CalJOBS SM program. – English State Information Data Exchange System (SIDES) An informational sheet that provides details on SIDES for employers and third party administrators.
– English California Training Benefits Program An informational sheet, or “EDD Fact Sheet” that provides details on the California Training Benefits (CTB) program. – English – Spanish Trade Adjustment Assistance An informational sheet, or “EDD Fact Sheet” that provides details on Trade Adjustment Assistance (TAA). – English Disaster Unemployment Assistance An informational sheet, or “EDD Fact Sheet” that provides details on Disaster Unemployment Assistance (DUA). – English – Spanish Unemployment Insurance Alternate Base Period Program An informational sheet, or “EDD Fact Sheet” that provides details on Alternate Base Period (ABP).