Unemployment Insurance – Forms and Publications

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Publications

Unemployment Insurance: A Guide to Benefits and Unemployment Services
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 – Traditional Chinese | DE 1275B/CM – Simplified Chinese | 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

A Guide To Unemployment Insurance Benefits for Work Sharing Participants
This booklet contains information about the Work Sharing Unemployment Insurance (UI) program.
DE 1275WS – English | DE 1275WS/S – Spanish | DE 1275WS/CC – Traditional Chinese | DE 1275WS/CM – Simplified Chinese | DE 1275WS/V – Vietnamese

Instructions for Benefit Audit
Instructions on how to complete Benefit audit form outlining the commonly asked questions.
DE 1296E – English

Instructions for New Employee Registry (NER) Benefit Audit
Provides instructions to the employers for completing the New Employee Registry Benefit Audit, DE 1296NER
DE 1296NERE - English

27 Ways to Avoid Losing Your Unemployment Appeal
Guide to assist claimants, employers, and representatives understand the appeal hearing process.
DE 1432 – English

Notice to Employees
Advises employees of potential UI, DI, and PFL Insurance benefits.
DE 1857A – English | DE 1857A/S – Spanish | DE 1857A/A – Armenian | DE 1857A/CC – Traditional Chinese (Cantonese) | DE 1857A/CM – Simplified Chinese (Mandarin) | DE 1857A/P – Punjabi | DE 1857A/T – Tagalog | DE 1857A/V – Vietnamese

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 | DE 1857D/CC – Traditional Chinese (Cantonese) | DE 1857D/CM – Simplified Chinese (Mandarin) | 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/A – Armenian | DE 2320/CC – Traditional Chinese | DE 2320/CM – Simplified Chinese | DE 2320/H – Hmong | DE 2320/K – Korean | DE 2320/L – Laotian | DE 2320/P – Punjabi | DE 2320/R – Russian | DE 2320/S – Spanish | DE 2320/T – Tagalog | 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 California SM .
DE 2320M – English | DE 2320M/A – Armenian DE 2320M/CC – Traditional Chinese | DE 2320M/CM – Simplified Chinese | 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

Unemployment Claim Filing by TTY
For Deaf and Hard of Hearing Customers
DE 2323TTY – English | DE 2323TTY/S – Spanish

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

Tips for Qualifying for California Training Benefits
A quick overview of CTB eligibility and approval process.
DE 2332 – English | DE 2332/S – Spanish | DE 2332/A – Armenian | DE 2332/CC – Traditional Chinese | DE 2332/CM – Simplified Chinese | DE 2332/H – Hmong | DE 2332/K – Korean | DE 2332/L – Laotian | DE 2332/P – Punjabi | DE 2332/R – Russian | DE 2332/T – Tagalog | DE 2332/V – Vietnamese

How to Set Up a UI Online SM Account
DE 2338H – English | DE 2338H/S – Spanish | DE 2338H/A – Armenian | DE 2338H/CC – Traditional Chinese | DE 2338H/CM – Simplified Chinese | DE 2338H/H – Hmong | DE 2338H/K – Korean | DE 2338H/L – Laotian | DE 2338H/P – Punjabi | DE 2338H/R – Russian | DE 2338H/T – Tagalog | DE 2338H/V – Vietnamese

UI Online SM Poster
DE 2338P – English | DE 2338P/S – Spanish

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 CalJOBS SM
Describes what CalJOBS SM 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 resume. (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

Information about the New California Earned Income Tax Credit
This document provides claimants with information regarding the new California Earned Income Tax Credit (EITC).
DE 8341EITC – English/Spanish

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.

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/S – Spanish

State Information Data Exchange System (SIDES) Tip Card
Provides general information to employers and Third Party Administrators about SIDES and how to get started. Learn more at State Information Data Exchange System.
DE 8807 – English

State Information Data Exchange System (SIDES) E-Response User Guide
Provides employers and third party administrators with step-by-step instructions on how to use SIDES.
DE 8808 – English

State Information Data Exchange System (SIDES) Web Service User Guide (DE 8809)
Provides employers and third party administrators with step-by-step instructions on how to use SIDES Web Service.
DE 8809 – English

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

STOP: Avoid the Serious Consequences of Not Properly Reporting Work, Wages, and Other Income When Submitting Certifications for Continuing Benefits
Advises claimants regarding the importance of properly reporting work and wages when certifying for UI benefits.
DE 8815 – English/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
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.
DE 4365REA – English | DE 4365REA/S – 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.
DE 4365REAQ – English | DE 4365REAQ/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

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/AR - Arabic | DE 1000M/A – Armenian | DE 1000M/CA – Traditional Chinese (Cantonese) | DE 1000M/CM – Simplified Chinese (Mandarin) | DE 1000M/F – Farsi | DE 1000M/HI - Hindi | DE 1000M/H – Hmong | DE 1000M/J – Japanese | DE 1000M/K – Korean | DE 1000M/L – Laotian | DE 1000M/CA – Mon-Khmer (Cambodian) | DE 1000M/P – Punjabi | DE 1000M/R – Russian | DE 1000M/T – Tagalog | DE 1000M/TH – Thai | DE 1000M/V – Vietnamese

Unemployment Insurance Application
Complete this application to file or reopen a claim for unemployment benefits. The DE 1101I can only be printed and completed in English or Spanish, and either faxed or mailed to the EDD to file an unemployment claim.

Select one of the following applications that best describes your employment. If you have been affected by a disaster, complete the disaster section of the unemployment application.

Unemployment applications in other languages are available in the Sample Forms for Viewing Only section.

Note: If you are not sure which application to complete, select the "Worked in California" option.

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 Traditional Chinese version is a sample and is to be used as a guide when completing the English version. Review the DE 4209, Completion Instructions for Notice of Reduced Earnings for more information on partial claims.
DE 2063 – English/Spanish | DE 2063/AR – Arabic | DE 2063/A – Armenian | DE 2063/CC – Traditional Chinese (Cantonese) | DE 2063/CM – Simplified Chinese (Mandarin) | DE 2063/F – Farsi | DE 2063/HI – Hindi | DE 2063/H – Hmong | DE 2063/J – Japanese | DE 2063/K – Korean | DE 2063/L – Laotian | DE 2063/CA – Mon-Khmer (Cambodian) | DE 2063/P – Punjabi | DE 2063/R – Russian | DE 2063/T – Tagalog | DE 2063/TH – Thai | DE 2063/V - Vietnamese

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 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.
DE 8531 – English | DE 8531/S – Spanish

Sample Forms for Viewing Only

Unemployment Insurance Response Letter
This is a response to claimants about a Notice of Potential Overpayment. It tells claimants that the EDD reviewed information and determined that the claimant was not overpaid.
DE 120Z – English/Spanish | DE 120Z/AR – Arabic | DE 120Z/A – Armenian | DE 120Z/CC – Traditional Chinese (Cantonese) | DE 120Z/CM – Simplified Chinese (Mandarin) | DE 120Z/F – Farsi | DE 120Z/HI – Hindi | DE 120Z/H – Hmong | DE 120Z/J – Japanese | DE 120Z/K – Korean | DE 120Z/L – Laotian | DE 120Z/CA – Mon-Khmer (Cambodian) | DE 120Z/P – Punjabi | DE 120Z/R – Russian | DE 120Z/T – Tagalog | DE 120Z/TH – Thai | DE 120Z/V – Vietnamese

Notice of Federal Disaster Unemployment Assistance (DUA)
Provides claimants with specific monetary and eligibility information on their Disaster Unemployment Assistance claim.
DE 429DUA – English | DE 429DUA/AR – Arabic | DE 429DUA/A – Armenian | DE 429DUA/CC – Traditional Chinese (Cantonese) | DE 429DUA/CM – Simplified Chinese (Mandarin) | DE 429DUA/F – Farsi | DE 429DUA/HI – Hindi | DE 429DUA/H – Hmong | DE 429DUA/J – Japanese | DE 429DUA/K – Korean | DE 429DUA/L – Laotian | DE 429DUA/CA – Mon-Khmer (Cambodian) | DE 429DUA/P – Punjabi | DE 429DUA/R – Russian | DE 429DUA/S – Spanish | DE 429DUA/T – Tagalog | DE 429DUA/TH – Thai | DE 429DUA/V – Vietnamese

Notice of Unemployment Insurance Award
Provides claimants with specific monetary and eligibility information on their claim.
DE 429Z – English | DE 429Z/AR - Arabic | DE 429Z/A – Armenian | DE 429Z/CC – Traditional Chinese (Cantonese) | DE 429Z/CM – Simplified Chinese (Mandarin) | DE 429Z/F - Farsi | DE 429Z/HI - Hindi | DE 429Z/H – Hmong | DE 429Z/J - Japanese | DE 429Z/K – Korean | DE 429Z/L – Laotian | DE 429Z/CA - Mon-Khmer (Cambodian) | DE 429Z/P – Punjabi | DE 429Z/R – Russian | DE 429Z/S – Spanish | DE 429Z/T – Tagalog | DE 429Z/TH - Thai | 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.
DE 1080CZ – English | DE 1080CZ/AR - Arabic | DE 1080CZ/A – Armenian | DE 1080CZ/CC – Traditional Chinese (Cantonese) | DE 1080CZ/CM – Simplified Chinese (Mandarin) | DE 1080CZ/F - Farsi | DE 1080CZ/HI - Hindi | DE 1080CZ/H – Hmong | DE 1080CZ/J - Japanese | DE 1080CZ/K – Korean | DE 1080CZ/L – Laotian | DE 1080CZ/CA - Mon-Khmer (Cambodian) | DE 1080CZ/P – Punjabi | DE 1080CZ/R – Russian | DE 1080CZ/S – Spanish | DE 1080CZ/T – Tagalog | DE 1080CZ/TH - Thai | DE 1080CZ/V – Vietnamese

Notice of Modification
Advises an employer that a prior disqualification period has ended, and the claimant may begin receiving benefits.
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/AR - Arabic | DE 1080MON/A – Armenian | DE 1080MON/CC – Traditional Chinese (Cantonese) | DE 1080MON/CM – Simplified Chinese (Mandarin) | DE 1080MON/F - Farsi | DE 1080MON/HI - Hindi | DE 1080MON/H – Hmong | DE 1080MON/J - Japanese | DE 1080MON/K – Korean | DE 1080MON/L – Laotian | DE 1080MON/CA - Mon-Khmer (Cambodian) | DE 1080MON/P – Punjabi | DE 1080MON/R – Russian | DE 1080MON/T – Tagalog | DE 1080MON/TH - Thai | 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.
DE 1101CLMT – English | DE 1101CLMT/AR – Arabic | DE 1101CLMT/A – Armenian | DE 1101CLMT/CC – Traditional Chinese (Cantonese) | DE 1101CLMT/CM – Simplified Chinese (Mandarin) | DE 1101CLMT/F – Farsi | DE 1101CLMT/HI – H indi | DE 1101CLMT/H – Hmong | DE 1101CLMT/J – Japanese | DE 1101CLMT/K – Korean | DE 1101CLMT/L – Laotian | DE 1101CLMT/CA - Mon-Khmer (Cambodian) | DE 1101CLMT/P – Punjabi | DE 1101CLMT/R – Russian | DE 1101CLMT/S – Spanish | DE 1101CLMT/T – Tagalog | DE 1101CLMT/TH – T hai | DE 1101CLMT/V – Vietnamese

Notice of Unemployment Insurance Claim Filed (Employer)
The EDD sends this form to a person’s last employer when a new claim is filed, or an existing claim is reopened. You may receive a DE 1101CZ or a DE 1101ER. The form will include information that is specific to the claimant. The last employer completes portions of the form and returns it to the EDD. (The forms on this webpage are samples only and should not be used to provide information to us.) Employers can also submit information in a letter. Include the claimant’s Social Security number and use the return address on the DE 1101CZ/ER, or DE 1545 for mailing. 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). Learn more at State Information Data Exchange System.
DE 1101CZ – English | DE 1101ER – English | DE 1101ER/AR – Arabic | DE 1101ER/A – Armenian | DE 1101ER/CC – Traditional Chinese (Cantonese) | DE 1101ER/CM – Simplified Chinese (Mandarin) | DE 1101ER/F – Farsi | DE 1101ER/HI – Hindi | DE 1101ER/H – Hmong | DE 1101ER/J – Japanese | DE 1101ER/K – Korean | DE 1101ER/L – Laotian | DE 1101ER/CA – Mon-Khmer (Cambodian) | DE 1101ER/P – Punjabi | DE 1101ER/R – Russian | DE 1101ER/S – Spanish | DE 1101ER/T – Tagalog | DE 1101ER/TH – Thai | DE 1101ER/V – Vietnamese

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 in the Fill-In Forms section.
DE 1101I/AR – Arabic | DE 1101I/A – Armenian | DE 1101I/CC – Traditional Chinese (Cantonese) | DE 1101I/CM – Simplified Chinese (Mandarin) | DE 1101I/F – Farsi | DE 1101I/HI – Hindi | DE 1101I/H – Hmong | DE 1101I/J – Japanese | DE 1101I/K – Korean | DE 1101I/L – Laotian | DE 1101I/CA – Mon-Khmer (Cambodian) | DE 1101I/P – Punjabi | DE 1101I/R – Russian | DE 1101I/T – Tagalog | DE 1101I/TH – Thai | 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 in the Fill-In Forms section .
DE 1101ID/AR – Arabic | DE 1101ID/A – Armenian | DE 1101ID/CC – Traditional Chinese (Cantonese) | DE 1101ID/CM – Simplified Chinese (Mandarin) | DE 1101ID/F – Farsi | DE 1101ID/HI – Hindi | DE 1101ID/H – Hmong | DE 1101ID/J – Japanese | DE 1101ID/K – Korean | DE 1101ID/L – Laotian | DE 1101ID/CA – Mon-Khmer (Cambodian) | DE 1101ID/P – Punjabi | DE 1101ID/R – Russian | DE 1101ID/S – Spanish | DE 1101ID/T – Tagalog | DE 1101ID/TH – Thai | DE 1101ID/V – Vietnamese

Appointment Notice
Notifies claimants that they have an upcoming Initial Assistance Workshop (IAW) appointment.
DE 1106Z – English | DE 1106Z/AR – Arabic | DE 1106Z/A – Armenian | DE 1106Z/CC – Traditional Chinese (Cantonese) | DE 1106Z/CM – Simplified Chinese (Mandarin) | DE 1106Z/F – Farsi | DE 1106Z/HI – Hindi | DE 1106Z/H – Hmong | DE 1106Z/J – Japanese | DE 1106Z/K – Korean | DE 1106Z/L – Laotian | DE 1106Z/CA – Mon-Khmer (Cambodian) | DE 1106Z/P – Punjabi | DE 1106Z/R – Russian | DE 1106Z/S – Spanish | DE 1106Z/T – Tagalog | DE 1106Z/TH – Thai | DE 1106Z/V – Vietnamese

Back Pay Award Information Request
Notice sent to employers requesting information about back pay.
DE 1200 – English/Spanish | DE 1200/AR – Arabic | DE 1200/A – Armenian | DE 1200/CC – Traditional Chinese (Cantonese) | DE 1200/CM – Simplified Chinese (Mandarin) | DE 1200/F – Farsi | DE 1200/HI – Hindi | DE 1200/H – Hmong | DE 1200/J – Japanese | DE 1200/K – Korean | DE 1200/L – Laotian | DE 1200/CA – Mon-Khmer (Cambodian) | DE 1200/P – Punjabi | DE 1200/R – Russian | DE 1200/T – Tagalog | DE 1200/TH – Thai | DE 1200/V – Vietnamese

New Hire Benefit Audit
The New Hire Benefit Audit helps prevent and detect UI benefit fraud.
DE 1296NBA – English

Instructions for Federally Mandated New Hire Benefit Audit
Provides instructions to employers on how to complete the DE 1296NBA.
DE 1296NBAE – 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/AR – Arabic | DE 1326C/A – Armenian | DE 1326C/CC – Traditional Chinese (Cantonese) | DE 1326C/CM – Simplified Chinese (Mandarin) | DE 1326C/F – Farsi | DE 1326C/HI – Hindi | DE 1326C/H – Hmong | DE 1326C/J – Japanese | DE 1326C/K – Korean | DE 1326C/L – Laotian | DE 1326C/CA – Mon-Khmer (Cambodian) | DE 1326C/P – Punjabi DE 1326C/R – Russian | DE 1326C/S – Spanish | DE 1326C/T – Tagalog | DE 1326C/TH – Thai | DE 1326C/V – Vietnamese

Acceptable Documents for Identity Verification
List of documents that are acceptable for identity verification.
DE 1326CD – English/Spanish | DE 1326CD/AR - Arabic | DE 1326CD/A – Armenian | DE 1326CD/CC – Traditional Chinese (Cantonese) | DE 1326CD/CM – Simplified Chinese (Mandarin) | DE 1326CD/F - Farsi | DE 1326CD/HI - Hindi | DE 1326CD/H – Hmong | DE 1326CD/J – Japanese | DE 1326CD/K – Korean | DE 1326CD/L – Laotian | DE 1326CD/CA - Mon-Khmer (Cambodian) | DE 1326CD/P – Punjabi | DE 1326CD/R – Russian | DE 1326CD/T – Tagalog | DE 1326/TH - Thai | DE 1326CD/V – Vietnamese

Request for Identity Verification
Insert advising the claimant that they can complete the Identity Verification request online with UI Online SM .
DE 1326CI – English/Spanish

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

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/AR - Arabic | DE 1447/A – Armenian | DE 1447/CC – Traditional Chinese (Cantonese)| DE 1447/CM – Simplified Chinese (Mandarin) | DE 1447/F - Farsi | DE 1447/HI - Hindi | DE 1447/H – Hmong | DE 1447/J - Japanese | DE 1447/K – Korean | DE 1447/L – Laotian | DE 1447/CA - Mon-Khmer (Cambodian) | DE 1447/P – Punjabi | DE 1447/R – Russian | DE 1447/S – Spanish | DE 1447/T – Tagalog | DE 1447/TH - Thai | DE 1447/V – Vietnamese

Notice of Potential Overpayment and False Statement Penalty
Mailed to claimants. Includes information on a potential overpayment and false statement penalties where a claimant may have been overpaid for unemployment benefits.
DE 1447CO-AZ – English | DE 1447CO-AZ/AR – Arabic | DE 1447CO-AZ /A – Armenian | DE 1447CO-AZ /CC – Traditional Chinese (Cantonese) | DE 1447CO-AZ /CM – Simplified Chinese (Mandarin) | DE 14447CO-AZ/F – Farsi | DE 1447CO-AZ/HI – Hindi | DE 1447CO-AZ/H – Hmong | DE 1447CO-AZ/J – Japanese | DE 1447CO-AZ /K – Korean | DE 1447CO-AZ /L – Laotian | DE 1447CO-AZ/CA – Mon-Khmer (Cambodian) | DE 1447CO-AZ/P – Punjabi | DE 1447CO-AZ/R – Russian | DE 1447CO-AZ/S – Spanish | DE 1447CO-AZ/T – Tagalog | DE 1447CO-AZ/TH – Thai | DE 1447CO-AZ/V – Vietnamese

Response to Potential Overpayment and False Statement Penalty
Claimants can use this form to provide corrected or additional information about their potential overpayment or false statement penalty.
DE 1447CO-BZ – English | DE 1447CO-BZ/AR – Arabic | DE 1447CO-BZ /A – Armenian | DE 1447CO-BZ /CC – Traditional Chinese (Cantonese) | DE 1447CO-BZ /CM – Simplified Chinese (Mandarin) | DE 14447CO-BZ/F – Farsi | DE 1447CO-BZ/HI – Hindi | DE 1447CO-BZ/H – Hmong | DE 1447CO-BZ/J – Japanese | DE 1447CO-BZ /K – Korean | DE 1447CO-BZ /L – Laotian | DE 1447CO-BZ/CA – Mon-Khmer (Cambodian) | DE 1447CO-BZ/P – Punjabi | DE 1447CO-BZ/R – Russian | DE 1447CO-BZ/S – Spanish | DE 1447CO-BZ/T – Tagalog | DE 1447CO-BZ/TH – Thai | DE 1447CO-BZ/V – Vietnamese

Notice of Denial of Benefits and Overpayment
Notifies claimants that they were overpaid for unemployment benefits. The notice lists the time period(s) for which the claimants were not eligible for benefits. It also includes information on how to file an appeal.
DE 1480Z – English | DE 1480Z/AR – Arabic | DE 1480Z/A – Armenian | DE 1480Z/CC – Traditional Chinese (Cantonese) | DE 1480Z/CM – Simplified Chinese (Mandarin) | DE 1480Z/F – Farsi | DE 1480Z/HI – Hindi | DE 1480Z/H – Hmong | DE 1480Z/J – Japanese | DE 1480Z/K – Korean | DE 1480Z/L – Laotian | DE 1480Z/CA – Mon-Khmer (Cambodian) | DE 1480Z/P – Punjabi | DE 1480Z/R – Russian | DE 1480Z/S – Spanish | DE 1480Z/T – Tagalog | DE 1480Z/TH – Thai | DE 1480Z/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.
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

California Training Benefits Program Information and Application
California Training Benefits Program Application for UI Claimants.
DE 3100T – English | DE 3100T/S – Spanish

Notice of Potential False Statement
This is a sample of the Notice of Potential False Statement.
DE 4365PFS – English | DE 4365PFS-T – English | DE 4365PFS/A – Armenian | DE 4365PFS-T/A – Armenian | DE 4365PFS/CC – Traditional Chinese (Cantonese) | DE 4365PFS-T/CC – Traditional Chinese (Cantonese) | DE 4365PFS/CM – Simplified Chinese (Mandarin) | DE 4365PFS-T/CM – Simplified Chinese (Mandarin) | DE 4365PFS/H – Hmong | DE 4365PFS-T/H – Hmong | DE 4365PFS/K – Korean | DE 4365PFS-T/K – Korean | DE 4365PFS/L – Laotian | DE 4365PFS-T/L – Laotian | DE 4365PFS/P – Punjabi | DE 4365PFS-T/P - Punjabi | DE 4365PFS/R – Russian | DE 4365PFS-T/R – Russian | DE 4365PFS/S – Spanish | DE 4365PFS-T/S – Spanish | DE 4365PFS/T – Tagalog | DE 4365PFS-T/T – Tagalog | DE 4365PFS/V – Vietnamese | DE 4365PFS-T/V - Vietnamese

Notice of Request for School or Training Information
California Training Benefits Program request from department for information regarding claimants' school or training.
DE 4365T – English | DE 4365T/S – 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. Contact EDD if you need a replacement form issued to you to certify for UI benefits.
DE 4581CTO - English | DE 4581CTO/AR - Arabic | DE 4581CTO/A - Armenian | DE 4581CTO/CC - Traditional Chinese (Cantonese) | DE 4581CTO/CM - Simplified Chinese (Mandarin) | DE 4581CTO/F - Farsi | DE 4581CTO/HI - Hindi | DE 4581CTO/H - Hmong | DE 4581CTO/J - Japanese | DE 4581CTO/K - Korean | DE 4581CTO/L - Laotian | DE 4581CTO/CA - Mon-Khmer (Cambodian) | DE 4581CTO/P - Punjabi | DE 4581CTO/R - Russian | DE 4581CTO/S - Spanish | DE 4581CTO/T - Tagalog | DE 4581CTO/TH - Thai | DE 4581CTO/V - Vietnamese

Notice of Required Retroactive Certification
Due a historically high number of unemployment claims, the EDD automatically processed Unemployment Insurance and Pandemic Unemployment Assistance benefits early in the pandemic through the week ending May 9, 2020. Claimants are now required to certify for those weeks known as retroactive certification. The UI Branch will be referencing this form in other forms once the retroactive certification period has ended.
DE 4581RETRO – English and Spanish

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/AR - Arabic | DE 4800/A - Armenian | DE 4800/CC - Traditional Chinese (Cantonese) | DE 4800/CM - Simplified Chinese (Mandarin) | DE 4800/F - Farsi | DE 4800/HI - Hindi | DE 4800/H - Hmong | DE 4800/J - Japanese | DE 4800/K - Korean | DE 4800/L - Laotian | DE 4800/CA – Mon- Khmer (Cambodian) | DE 4800/P - Punjabi | DE 4800/R - Russian | DE 4800/S - Spanish | DE 4800/T - Tagalog | DE 4800/TH - Thai | DE 4800/V - Vietnamese

Important: Information about your Unemployment Insurance Benefits
Helpful information about the phone interview process
DE 4800I – English/Spanish

Notice of Conditional Payment Pending Eligibility Review
Tells claimants that the EDD identified a potential eligibility issue and will process conditional payment while eligibility is determined.
DE 5400E – English | DE 5400E/S – Spanish | DE 5400E/AR – Arabic | DE 5400E/A – Armenian | DE 5400E/CC – Traditional Chinese (Cantonese) | DE 5400E/CM – Simplified Chinese (Mandarin) | DE 5400E/F – Farsi | DE 5400E/HI – Hindi | DE 5400E/H - Hmong | DE 5400E/J – Japanese | DE 5400E/K – Korean | DE 5400E/L - Laotian | DE 5400E/CA – Mon-Khmer (Cambodian) | DE 5400E/P – Punjabi | DE 5400E/R – Russian | DE 5400E/T – Tagalog | DE 5400E/TH – Thai | DE 5400E/V – Vietnamese

Returned EDD Debit Card
Notifies claimants that their debit card was returned for confidential destruction.
DE 5613 – English | DE 5613/AR – Arabic | DE 5613/A – Armenian | DE 5613/CC – Traditional Chinese (Cantonese) | DE 5613/CM – Simplified Chinese (Mandarin) | DE 5613/F – Farsi | DE 5613/HI – Hindi | DE 5613/H – Hmong | DE 5613/J – Japanese | DE 5613/K – Korean | DE 5613/L – Laotian | DE 5613/CA – Mon-Khmer (Cambodian) | DE 5613/P – Punjabi | DE 5613/R – Russian | DE 5613/S – Spanish | DE 5613/T – Tagalog | DE 5613/TH – Thai | DE 5613/V – Vietnamese

Employment Development Department (EDD) Customer Account Number
DE 5614 – English | DE 5614/AR – Arabic | DE 5614/A – Armenian | DE 5614/CC – Traditional Chinese (Cantonese) | DE 5614/CM – Simplified Chinese (Mandarin) | DE 5614/F – Farsi | DE 5614/HI – Hindi | DE 5614/H – Hmong | DE 5614/J – Japanese | DE 5614/K – Korean | DE 5614/L – Laotian | DE 5614/CA – Mon-Khmer (Cambodian) | DE 5614/P – Punjabi | DE 5614/R – Russian | DE 5614/S – Spanish | DE 5614/T – Tagalog | DE 5614/TH – Thai | DE 5614/V – Vietnamese

Notice of Appeal and Transmittal of Appealed Determination
Advises claimants that their former employer appealed the Department’s decision to find them eligible for unemployment benefits.
DE 6315 – English/Spanish | DE 6315/AR – Arabic | DE 6315/A – Armenian | DE 6315/CC – Traditional Chinese (Cantonese) | DE 6315/CM – Simplified Chinese (Mandarin) | DE 6315/F – Farsi | DE 6315/HI – Hindi | DE 6315/H – Hmong | DE 6315/J – Japanese | DE 6315/K – Korean | DE 6315/L – Laotian | DE 6315/CA – Mon-Khmer (Cambodian) | DE 6315/P – Punjabi | DE 6315/R – Russian | DE 6315/T – Tagalog | DE 6315/TH – Thai | DE 6315/V – Vietnamese

Notice of Right to Receive Unemployment Insurance Benefits Pending Appeal
Advises claimants that their appeal has been forwarded to the Office of Appeals and explains the right to be paid benefits pending the outcome of the appeal.
DE 6315CC – English/Spanish | DE 6315CC/AR – Arabic | DE 6315CC/A – Armenian | DE 6315CC/CC – Traditional Chinese (Cantonese) | DE 6315CC/CM – Simplified Chinese (Mandarin) | DE 6315CC/F – Farsi | DE 6315CC/HI – Hindi | DE 6315CC/H – Hmong | DE 6315CC/J – Japanese | DE 6315CC/K – Korean | DE 6315CC/L – Laotian | DE 6315CC/CA – Mon-Khmer (Cambodian) | DE 6315CC/P – Punjabi | DE 6315CC/R – Russian | DE 6315CC/T – Tagalog | DE 6315CC/TH – Thai | DE 6315CC/V – Vietnamese

Verification of Participation in Trade Adjustment Assistance (TAA), Alternative TAA (ATAA), or Reemployment TAA (RTAA) for Federal Health Coverage Tax Credit (HCTC)
Verification that an individual qualifies as a TAA or ATAA/RTAA recipient for purposes of qualifying for the IRS Health Coverage Tax Credit (HCTC).
DE 8340HCTC – English/Spanish

Notice of Requirement to Register for Work
Advises unemployment insurance claimants that they must register for work using CalJOBS SM within 21 days.
DE 8405 – English | DE 8405/AR - Arabic | DE 8405/A – Armenian | DE 8405/CC – Traditional Chinese (Cantonese) | DE 8405/CM – Simplified Chinese (Mandarin) | DE 8405/F - Farsi | DE 8405/HI - Hindi | DE 8405/H – Hmong | DE 8405/J - Japanese | DE 8405/K – Korean | DE 8405/L – Laotian | DE 8405/CA - Mon-Khmer (Cambodian) | DE 8405/P – Punjabi | DE 8405/R – Russian | DE 8405/S – Spanish | DE 8405/T – Tagalog | DE 8405/TH - Thai | DE 8405/V – Vietnamese

Reemployment Services 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

Notice of Determination for Disaster Unemployment Assistance (DUA)
Notifies claimants that they are not eligible for Disaster Unemployment Assistance.
DE 8598DUA-D – English | DE 8598DUA-D/AR – Arabic | DE 8598DUA-D/A – Armenian | DE 8598DUA-D/CC – Traditional Chinese (Cantonese) | DE 8598DUA-D/CM – Simplified Chinese (Mandarin) | DE 8598DUA-D/F – Farsi | DE 8598DUA-D/HI – Hindi | DE 8598DUA-D/H – Hmong | DE 8598DUA-D/J – Japanese | DE 8598DUA-D/K – Korean | DE 8598DUA-D/L – Laotian | DE 8598DUA-D/CA – Mon-Khmer (Cambodian) | DE 8598DUA-D/P – Punjabi | DE 8598DUA-D/R – Russian | DE 8598DUA-D/S – Spanish | DE 8598DUA-D/T – Tagalog | DE 8598DUA-D/TH – Thai | DE 8598DUA-D/V – Vietnamese

Fact Sheets

Unemployment Insurance Benefits for Federal Employees Impacted by the Federal Government Shutdown
Provides information on Unemployment Insurance Benefits for Federal Employees that have been impacted by the federal government shutdown.
DE 2338FED – English

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

CalJOBS SM
An informational sheet, or “EDD Fact Sheet” that provides details on the CalJOBS SM program.
DE 8714JS – English/Spanish

State Information Data Exchange System (SIDES)
An informational sheet that provides details on SIDES for employers and third party administrators.
DE 8714S – 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 | DE 8714U/A - Armenian | DE 8714U/CC – Traditional Chinese (Cantonese) | DE 8714U/CM – Simplified Chinese (Mandarin) | DE 8714U/H – Hmong | DE 8714U/K – Korean | DE 8714U/L – Laotian | DE 8714U/P – Punjabi | DE 8714U/R – Russian | DE 8714U/T – Tagalog | DE 8714U/V – Vietnamese

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 8714DUA – English | DE 8714DUAS – Spanish

Federal Disaster Unemployment Assistance for the July 2018 Lake County Wildfire (Mendocino Complex Fire)
Provides federal Disaster Unemployment Assistance (DUA) benefits for victims who are unemployed as a direct result of the wildfires, mudslides, or debris flows and who do not qualify for regular Unemployment Insurance (UI) benefits.
DE 8714YA – English | DE 8714YA/S – Spanish

Federal Disaster Unemployment Assistance for the July 2018 Shasta County Wildfire (Carr Fire)
Provides federal Disaster Unemployment Assistance (DUA) benefits for victims who are unemployed as a direct result of the wildfires, mudslides, or debris flows and who do not qualify for regular Unemployment Insurance (UI) benefits.
DE 8714YB – English | DE 8714YB/S – Spanish

Federal Disaster Unemployment Assistance for the November 2018 Camp Fire in Butte County
Provides federal Disaster Unemployment Assistance (DUA) benefits for victims impacted by the November 2018 Camp Fire in Butte County.
DE 8714YC – English | DE 8714YC/S - Spanish

Federal Disaster Unemployment Assistance for the November 2018 Woolsey Fire in Ventura and Los Angeles Counties
Provides information about federal Disaster Unemployment Assistance (DUA) benefits available for victims impacted by the November 2018 Woolsey Fire in Ventura and Los Angeles Counties.
DE 8714YD – English | DE 8714YD/S - Spanish

Federal Disaster Unemployment Assistance for the November 2018 Hill Fire in Ventura County
Provides information about federal Disaster Unemployment Assistance (DUA) benefits available for victims impacted by the November 2018 Hill Fire in Ventura County.
DE 8714YE – English | DE 8714YE/S - Spanish

Federal Disaster Unemployment Assistance for the December 2017 and January 2018 California Wildfires and Mudslides
Provides federal Disaster Unemployment Assistance (DUA) benefits for victims who are unemployed as a direct result of the wildfires, mudslides, or debris flows and who do not qualify for regular Unemployment Insurance (UI) benefits.
DE 8714YZ – English | DE 8714YZ/S - Spanish

Form 1099G Information Sheet
An informational sheet, or “EDD Fact Sheet,” that provides general information about Form 1099G.
DE 8714Q – English | DE 8714Q/S – Spanish | DE 8714Q/A – Armenian | DE 8714Q/CC – Traditional Chinese (Cantonese) | DE 8714Q/CM – Simplified Chinese (Mandarin) | DE 8714Q/K – Korean | DE 8714Q/T – Tagalog | DE 8714Q/V – Vietnamese

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