DE 1101I PDF

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You may need to download the free Adobe Reader to view and print linked documents. Unemployment Insurance Benefit Table Chart that can be used to calculate weekly benefits.

Instructions for Benefit Audit Instructions on how to complete Benefit audit form outlining the commonly asked questions. DE E — English. DE — English. Notice to Employees-Unemployment Insurance Benefits Advises employees that an employer is registered under the California Unemployment Insurance Code and reports wage credits accumulated and you may be eligible for UI benefits. DE ER — 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.

Work Sharing Requirements and Criteria Provides employers with all of the requirements and criteria for the Work Sharing program. DE RQ — English. Unemployment Insurance Bookmark Provides general information about filing an Unemployment Insurance claim. Learn more at www. What is Unemployment Insurance Fraud? General information on UI fraud and penalties. Notice of Reduced Earnings Fisherperson The DE F 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. DE F — English. Claimants are required to fill-out a page questionnaire and mail it to the EDD within 10 days of the mailing date listed on the form.

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.

This form may be printed, completed, and mailed to the EDD. DE - English. Unemployment Insurance Application Complete this application to file or reopen a claim for UI benefits. The application is available to assist claimants in other languages under Sample Forms for Viewing Only.

Select one of the following UI applications that best describes your employment. If you have been affected by a disaster, complete the disaster section of the UI application. Notice of Reduced Earnings The DE is a form used by employers to certify their employees for partial benefits.

The Chinese version is a sample and is to be used as a guide when completing the English version. This form may be completed online, printed, and mailed or faxed to EDD. Wages Notice Request, Bonus Pay Complete this form only if your company is paying some type of bonus pay to the affected employees. 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.

Notice of Unemployment Insurance Award Provides claimants with specific monetary and eligibility information on their claim. Notice of Modification Advises an employer that a prior disqualification period has ended, and the claimant may begin receiving benefits. DE M — English. Notice of Determination Mailed to claimants to notify them of their ineligibility for unemployment insurance benefits and information on their appeal rights.

Notice of Unemployment Insurance Claim Filed Claimant Provides claimants with a copy of their claim information as processed by the Department. 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.

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. This application includes the supplemental form for Disaster Unemployment Assistance DUA if you are unemployed or partially unemployed due to a disaster. 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.

Acceptable Documents for Identity Verification List of documents that are acceptable for identity verification. Request for Information Notice requesting additional information when there is a question regarding the identity of the claimant.

Request for Additional Information Notice to employers requesting validation of information provided by a claimant. The notice requests identity information. Notice of Potential Overpayment Mailed to claimants. Contains information on a potential overpayment where a claimant may have been overpaid UI benefits.

Base period employers complete portions of the form and return it to EDD. DE I — English. DE RI — English. Notice of Request for School or Training Information California Training Benefits Program request from department for information regarding claimants school or training. This is a sample only and cannot be printed and mailed to the EDD.

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.

Reemployment Services and Eligibility Assessment Appointment Notice This form is used to notify claimants of a scheduled re-employment and eligibility assessment appointment. DE BB — English. DE S — English. DE X — English. Federal Disaster Unemployment Assistance for the December and January 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 Z — English. 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. Some forms and publications are translated by the department in other languages. For those forms, visit the Online Forms and Publications section. More Information. Show All. Forms for Completion. Fill-In Forms. Sample Forms for Viewing Only.

DE M — English Notice of Determination Mailed to claimants to notify them of their ineligibility for unemployment insurance benefits and information on their appeal rights. Fact Sheets. Forms and Publications Labor Market Information.

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