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Unemployment Insurance – Forms and Publications

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Publications

Benefit Determination Guide
Explains details about Unemployment Insurance law, including references to state and federal laws and regulations, as well as case law.
Benefit Determination Guide

Unemployment Insurance: A Guide to Benefits and Employment Services
Explains your rights, responsibilities, and benefits related to the California Unemployment Insurance program.
DE 1275A – English | DE 1275A/C – Chinese | DE 1275A/S – Spanish | DE 1275A/V – Vietnamese

A Guide To Unemployment Insurance Benefits for Work Sharing Participants
Explains unemployment benefits available through the Work Sharing 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
Gives employers instructions on how to complete the Benefit Audit form. Also answers common questions.
DE 1296E – English

Instructions for New Employee Registry (NER) Benefit Audit
Gives employers instructions on how to complete the New Employee Registry Benefit Audit, DE 1296NER.
DE 1296NERE - English

Unemployment Insurance: File Claims, Payment Information, General Information
Gives general information about unemployment benefits including how to apply for benefits, reopen an unemployment claim, get payment information, and find other help through the America’s Job Center of California.
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/P – Punjabi | DE 2320M/R – Russian | DE 2320M/S – Spanish | DE 2320M/T – Tagalog | DE 2320M/V – Vietnamese

Unemployment Insurance for Deaf, Hard of Hearing, and Speech Disabled
Provides unemployment information for customers who are deaf, hard of hearing, or have speech disabilities.
DE 2323TTY – English | DE 2323TTY/S – Spanish

Managing your Unemployment Insurance Claim
Tips for completing the Continued Claim Form.
DE 2327 – English | DE 2327/S – Spanish

UI Online Poster
Provides general information about UI Online.
DE 2338P – English | DE 2338P/S – Spanish

Unemployment Insurance: Alternate Base Period Program Employer Tip Sheet
Explains the Alternate Base Period (ABP) program for employers.
DE 2339 – English

Protect Your Identity and Stop Unemployment Insurance Imposter Fraud
Offers tips to protect you from identity theft and unemployment imposter fraud. This type of imposter fraud is when someone intentionally files a claim for unemployment benefits with another person’s information, such as their name, Social Security number (SSN), and employment information.
DE 2360EE – English | DE 2360EE/S – Spanish

How You Can Prevent Unemployment Insurance Imposter Fraud
Tips for employers to help prevent unemployment imposter fraud and identity theft. Preventing fraud and identity theft will also help protect your employer account.
DE 2360ER – English

How To Report Unemployment Insurance Fraud
Explains different types of unemployment fraud and how to report it.
DE 2360TF – English | DE 2360TF/S – Spanish

Unemployment Insurance Important Information: The Employment Development Department (EDD) Fraud Prevention and Detection Activities
Will sometimes be mailed with a Continued Claim Form (DE 4581). It is a reminder that you are required to report all work and wages while receiving benefits. It also tells our customers that we check data from the California Department of Child Support Services to make sure work and wages are reported correctly.
DE 2361CS – English/Spanish

Help Us Fight Fraud
Describes the types of fraud that affect our programs and how to report it.
DE 2370 – English

Claims Management Handbook for School Employers
Helps School Employees Fund employers manage their unemployment costs.
DE 3450SEF – English

Instructions to Claimants for Reporting Residual Payments and Holding Fees
Explains residual payments and holding fees and how claimants should report them.
DE 4005 – English

Completion Instructions for Notice of Reduced Earnings, DE 2063
Instructions for employers on how to complete the Notice of Reduced Earnings.
DE 4209 – English

Completion Instructions for Notice of Reduced Earnings (Fisherperson), DE 2063F
Instructions for employers on how to complete the Notice of Reduced Earnings (Fisherperson). A fisherperson is an employee of a fishing vessel.
DE 4210F – English

Managing Unemployment Insurance Costs
Provides employers with general information about the Unemployment Insurance program and help for managing unemployment costs.
DE 4527 – English

Employment Development Department Procedures for Investigating Trade Disputes
Explains how we investigate trade disputes.
DE 4654 – English

Information About the California Earned Income Tax Credit
Provides information about the California Earned Income Tax Credit.
DE 8341EITC – English/Spanish

Getting Back to Work After a Trade-Related Layoff
Explains Trade Adjustment Assistance (TAA) benefits and services available to workers who lost their job due to impacts of foreign trade or companies moving to places outside the United States.
DE 8392A – English

Guide for Work Sharing Employers
Gives employers information about the Work Sharing program. See FAQs – Work Sharing Information for Employers.
DE 8684 – English

Work Sharing Employer Requirements and Criteria
Explains employer requirements and criteria for participating in the Work Sharing program.
DE 8686RQ – English

Unemployment Insurance Bookmark
A bookmark that customers can use. It has helpful information about applying for unemployment benefits and managing a claim.
DE 8717UI – English | DE 8717UI/S – Spanish

State Information Data Exchange System (SIDES) Tip Card
General information for employers and third-party administrators (TPAs) about SIDES and how to get started. See State Information Data Exchange System.
DE 8807 – English

State Information Data Exchange System (SIDES) E-Response User Guide
Provides instructions to employers and TPAs on how to use SIDES.
DE 8808 – English

State Information Data Exchange System (SIDES) Web Service User Guide (DE 8809)
Instructions to employers and TPAs on how to use the SIDES Web Service.
DE 8809 – English

STOP: Avoid the Serious Consequences of Not Properly Reporting Work, Wages, and Other Income When Submitting Certifications for Continuing Benefits
Advises claimants to properly report work and wages when certifying for benefits.
DE 8815 – English/Spanish

Forms for Completion

Notice of Reduced Earnings (Fisherperson)
Employers use this form to certify their fisherperson employees for partial benefits. You can print this form, complete it, and then give it to your employee. 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
Sent to customers who missed a mandatory Reemployment Services and Eligibility Assessment (RESEA) appointment. It must be filled out and mailed to us 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
Sent to customers who missed a mandatory reemployment services appointment. It must be filled out (along with the DE 4365REA) and mailed to us 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
Sent to customers who missed a mandatory additional reemployment service appointment. It must be filled out and mailed to us within 10 days of the mail date listed on the form.
DE 4365RES – English | DE 4365RES/S – Spanish

Alternative Trade Adjustment Assistance (ATAA) Individual Application
Complete this application and submit within two years of qualifying re-employment.
DE 8330 – English

Work Sharing Unemployment Insurance Plan Application
Employers who join the Work Sharing program must complete this form. See Work Sharing Employer Requirements and Criteria (DE 8686RQ) before completing the application.
DE 8686 – English

Fill-In Forms

Appeal Form
Used by claimants and employers to appeal an eligibility decision.
DE 1000M – English/Spanish

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

Choose the application that best matches your job situation. If a disaster has affected you, fill out the disaster section of the unemployment application.

Unemployment applications in other languages can be found in the Sample Forms for Viewing Only section.

Worked in California English | Spanish
Worked in California and Another State English | Spanish
Served in the Military English | Spanish
Worked for the Federal Government English | Spanish

If you’re not sure which application to complete, use “Worked in California.”

Authorization for Release of Unemployment Insurance Records for Retired Annuitant
This form is for former State of California Civil Service employees who are now Retired Annuitants. The Retired Annuitant completes the form to allow us to release unemployment records. The hiring state agency checks if the person received benefits in the last 12 months.
DE 1181 – English

Wages Notice Request – Holiday/Vacation Pay (Work Sharing and Non-Work Sharing Employer)
Employers fill out this form if, on the last day of work, some or all employees will have a set date to return to work and will get holiday or vacation pay. Return to the department by mail or fax to the contact information found at the bottom of the form.
DE 4806 – English

Wages Notice Request – Bonus Pay
Employers fill out this form if they are paying some type of bonus pay to affected employees. The form can be completed online, printed, and mailed or faxed.
DE 4807 – English

Wages Notice Request – Separation Pay/Or In-Lieu-Of-Notice Pay Information
Employers fill out this form only if they are issuing or other types of post-employment payments to terminated employees (not including regular wages). The form can be completed online, printed, and mailed or faxed.
DE 4808 – English

Prior Wages Notice Correction/Update Request
Employers fill out this form only if we sent a previous Wages Notice. The form is used to correct information on a current notice or provide details about a recent layoff. The form can be completed online, printed, and mailed or faxed to EDD.
DE 4809 – English

Application for Trade Adjustment Assistance (TAA)
For workers who are certified under a trade-affected company. Fill out to apply for the TAA program. See Trade Adjustment Assistance for more information.
DE 8309 – English

Reemployment Services and Eligibility Assessment (RESEA) Questionnaire
Customers who are scheduled to attend a RESEA appointment must complete and bring this questionnaire to the RESEA appointment.
DE 8531 – English | DE 8531/S – Spanish

Sample Forms for Viewing Only

Notice of Modification
Tells an employer that a prior claimant’s disqualification period has ended and the claimant can start receiving benefits.
DE 1080M – English

Notice of Unemployment Insurance Claim Filed (Employer)
Sent to a person’s last employer when a new claim is filed, or an existing claim is reopened. The employer may receive either a DE 1101CZ or a DE 1101ER. The form has information that is specific to the claimant. The last employer fills out parts of the form and sends it to the EDD. (The forms on this webpage are just samples. Don’t use them to send information.) Employers can also send information in a letter. Include the claimant’s Social Security Number (SSN) 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 SIDES. See SIDES FAQs.
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
Sample application to help customers apply for unemployment benefits in a language other than English or Spanish. The DE 1101I can only be printed and filled out in English or Spanish. You must fax or mail a completed application to apply for benefits. You can find the English or Spanish applications 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)
Sample application to help customers apply for unemployment benefits in a language other than English. This application includes the extra form for DUA if lost your job or have fewer hours because of a disaster. The DE 1101ID can only be printed and filled out in English or Spanish. You must fax or mail a completed application to the EDD to apply for benefits. You can find the English application 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

New Hire Benefit Audit
Helps prevent and detect unemployment benefit fraud.
DE 1296NBA – English

Instructions for Federally Mandated New Hire Benefit Audit
Instructions to employers on how to complete the New Hire Benefit Audit form.
DE 1296NBAE – English

Request for Identity Information
Requests more information when there is a question about a claimant’s identity.
DE 1326E – English | DE 1326E/S – Spanish

Request for Additional Information
Notice sent to employers to confirm information provided by a claimant.
DE 1326ER – English

Request for Identity Information Regarding an Overpayment Debt
Notice sent to people who contact us about overpayment debt. If you receive this notice, you must complete the form and mail identity verification documents within 10 days.
DE 1326T – English | DE 1326T/S – Spanish

Notice of Potential Overpayment and False Statement Penalty
Tells customers that they may have been overpaid for unemployment benefits. Includes information about penalties related to false statements. Also tells customers how to contact us if they disagree with the information in the notice.
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 1447CO-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

Notice of Wages Used for Unemployment Insurance Claim
Sent to base period employers after the first payment on a claim is paid. Base period employers fill out and return the form. (The form on this website is only a sample and should not be used to provide information to EDD.) Employers can send information in a letter. Include the claimant’s SSN and use the return address on the DE 1101CZ or DE 1545 when mailing.
DE 1545 – English

Explanations and Instructions for Notice of Wages Used for Unemployment Insurance (UI) Claim (DE 1545/DE 1545A/DE 1545T/DE 1545TA)
Explains the Notice of Wages Used for Unemployment Insurance Claim. Also tells employers when and how they should respond.
DE 1545I – English

Explanations and Instructions for Notice of Wages Used for Unemployment Insurance (UI) Claim (DE 1545R and DE 1545TR)
Explains how reimbursable employers should respond to the Notice of Wages Used for Unemployment Insurance Claim.
DE 1545RI – English

California Training Benefits Program Information and Application
Provides unemployment claimants with information about the CTB Program. Also explains how to apply for the program.
DE 3100T – English | DE 3100T/S – Spanish

Notice of Request for School or Training Information
Explains the CTB Program and requests information about a claimant’s school or training.
DE 4365T – English | DE 4365T/S – Spanish

Important: Information About Your Unemployment Insurance Benefits
Gives important information about the phone interview process.
DE 4800I – English/Spanish

Verification of Participation in Trade Adjustment Assistance (TAA), Alternative TAA (ATAA), or Reemployment TAA (RTAA) for Federal Health Coverage Tax Credit (HCTC)
Notice sent to people who qualify as a TAA or ATAA/RTAA recipient for the Internal Revenue Service HCTC program.
DE 8340HCTC – English/Spanish

Reemployment Services and Eligibility Assessment Appointment Notice
Notifies customers of a scheduled re-employment and eligibility appointment.
DE 8530 – English | DE 8530/S – Spanish

Additional Translated Forms for Viewing Only

DE 17 (BAM)

DE 17C

DE 23A

DE 120A

DE 120C

DE 120D

DE 120E

DE 120F

DE 120G

DE 120H

DE 238

DE 238SWP

DE 239FED

DE 400-A

DE 400-B

DE 429L

DE 432

DE 647

DE 713

DE 731

DE 791B

DE 791CO

DE 817A

DE 817D

DE 903SD

DE 1000M

DE 1080CSICHG

DE 1080CSINEW

DE 1080CZM

DE 1080SSSB

DE 1080TE

DE 1099A

DE 1099G-DI-M-OP

DE 1101ER

DE 1101IA

DE 1101IAB

DE 1101IABD

DE 1101IAD

DE 1101IAZ

DE 1101IB

DE 1101IBD

DE 1101IBZ

DE 111IDZ

DE 1157WS

DE 1158WS

DE 1159 SSSB

DE 1159P

DE 1159WS

DE 1180PA

DE 1180PH

DE 1180TP

DE 1181

DE 1275

DE 1296E

DE 1326MDC

DE 1326E

DE 1326T

DE 1444CT

DE 1444FPUC

DE 1444LWA

DE 1444MEUC

DE 1444PUA

DE 1445

DE 1446TRA

DE 1447ALJ

DE 1447FED

DE 1447TRA

DE 1480C

DE 1480FPUC

DE 1480LWA

DE 1480MEUC

DE 1480REDZ

DE 1480REDZ-F

DE 1480REDZ-L

DE 1480REDZ-M

DE 1480Z (Coupon)

DE 1503D (BAM)

DE 1503D-WC (BAM)

DE 1503T (BAM)

DE 1516-CLT (BAM)

DE 17RTW (BAM)

DE 2060UI

DE 2063F

DE 2320M

DE 2323TTY

DE 2327

DE 2361CS

DE 238 IOC

DE 238 IOK

DE 238BPC-I

DE 238CTB

DE 238DOC

DE 238EN-UI

DE 238IB

DE 238T

DE 238TR

DE 239FEDA

DE 3100D

DE 3100T

DE 3100TP

DE 3100TQ

DE 3394

DE 3422D RR

DE 3422T RR

DE 3807

DE 4005

DE 4250DM (BAM)

DE 4250NSD

DE 4250P

DE 4250SD

DE 4365

DE 4365ER

DE 4365ESW

DE 4365FF

DE 4365INC

DE 4365LWA

DE 4365MA

DE 4365Minor

DE 4365PFS

DE 4365PFS-T

DE 4365PQ

DE 4365REA

DE 4365REAQ

DE 4365RES

DE 4365RID

DE 4365RSW

DE 4365RTX

DE 4365T

DE 4365TP

DE 4365TQ

DE 4365TRA

DE 4365WS

DE 4464

DE 4511WS

DE 4581 DUAU

DE 4581 PT CTO

DE 4581DUA

DE 4581FO

DE 4581PT-DUA

DE 4581PT-DUAU

DE 4581PT-FO

DE 4581PUA

DE 4581RETRO

DE 4800 (BAM)

DE 4800-FS (BAM)

DE 4800STD

DE 4800TTY

DE 4800TWC

DE 4800WC

DE 4800WT

DE 4800WWC

DE 5611

DE 5617

DE 5617PDE

DE 6315A

DE 6315AL

DE 6315DUA

DE 6315INC

DE 6316DUA

DE 6316DUA-I

DE 6316WGS

DE 6330FED-D

DE 6330FED-E

DE 6330FED-R

DE 6330FED-TRA

DE 6330LWA-D

DE 6330MEUC

DE 6330MEUC-A

DE 6330MEUC-D

DE 6330MEUC-E

DE 6330PAC-D

DE 6330PEUC-D

DE 6330PEUC-E

DE 6330PEUX-E

DE 6330PEUY-E

DE 6330PNZA

DE 6331DP-PEUC

DE 6331EN-DNCP

DE 6331EN-FED-ED

DE 6331EN-MEUC

DE 6331EN-PAC

DE 6331EN-PEUC

DE 8309

DE 8309A

DE 8313C

DE 8313D

DE 8314

DE 8315

DE 8320A

DE 8321

DE 8321A

DE 8321B

DE 8321D

DE 8322

DE 8330

DE 8330A

DE 8330RTAA

DE 8331

DE 8333

DE 8334

DE 8341EITC

DE 8356

DE 8360

DE 8391F

DE 8396

DE 8406

DE 8498

DE 8530

DE 8530V

DE 8531

DE 8591

DE 8595

DE 8595DUA

DE 8597

DE 8598

DE 8784

DE 8815

DE 8817

Fact Sheets

Services For Victims of Domestic Violence Abuse
Fact sheet about our services for victims of domestic violence.
DE 8323 – English | DE 8323/S – Spanish

How Unemployment Benefits Are Computed
Fact sheet about the Standard Base Period and Alternate Base Period.
DE 8714AB – English | DE 8714AB/S – Spanish

Unemployment Insurance Program
Fact sheet about the Unemployment Insurance program.
DE 8714B – English | DE 8714B/S – Spanish

Work Sharing Unemployment Insurance Program
Fact sheet about the Work Sharing program.
DE 8714BB – English

Appeals Board
Fact sheet about the appeal process for unemployment, disability, and employment tax liability.
DE 8714F – English | DE 8714F/S – Spanish

CalJOBS
Fact sheet about the CalJOBS program.
DE 8714JS – English/Spanish

State Information Data Exchange System (SIDES)
Fact sheet about SIDES for employers and third-party administrators.
DE 8714S – English

Trade Adjustment Assistance
Fact sheet about TAA.
DE 8714X – English

Disaster Unemployment Assistance
Fact sheet about DUA.
DE 8714DUA – English | DE 8714DUAS – Spanish

Federal Disaster Unemployment Assistance for the July 2018 Lake County Wildfire (Mendocino Complex Fire)
Fact sheet about federal DUA benefits for people affected by the July 2018 Mendocino Complex Fire in Lake County.
DE 8714YA – English | DE 8714YA/S – Spanish

Federal Disaster Unemployment Assistance for the July 2018 Shasta County Wildfire (Carr Fire)
Fact sheet about federal DUA benefits for people affected by the July 2018 Carr Fire in Shasta County.
DE 8714YB – English | DE 8714YB/S – Spanish

Federal Disaster Unemployment Assistance for the November 2018 Camp Fire in Butte County
Fact sheet about federal DUA benefits for people affected 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
Fact sheet about federal DUA benefits for people affected 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
Fact sheet about federal DUA benefits for people affected by the November 2018 Hill Fire in Ventura County.
DE 8714YE – English | DE 8714YE/S - Spanish

Unemployment Insurance Alternate Base Period Program
Fact sheet about the Alternate Base Period.
DE 8714Z – English