EDD Resources in Japanese

Fill-in Forms

Employment Development Department Appeal Form (DE 1000M)
The DE 1000M can be used by claimants and employers to appeal an eligibility decision made by the Department.

Employment Development Department Discrimination Complaint Form (DE 8498)
Use this form to file a discrimination complaint with the EDD.

Sample Forms for Viewing Only

Unemployment Insurance Response Letter (DE 120Z)

Notice of Federal Disaster Unemployment Assistance (DUA) (DE 429DUA)

Notice of Unemployment Insurance Award (DE 429Z)
Provides claimants with specific monetary and eligibility information on their claim.

Notice of Determination and/or Ruling (DE 1080CZ)
Mailed to employers and/or claimants. Contains information on a claimant’s eligibility for benefits.

Notice of Determination (DE 1080MON)
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) (DE 1101CLMT)
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.

Unemployment Insurance Application (DE 1101I)
The DE 1101I can only be printed and completed in English or Spanish, and either faxed or mailed to EDD to file for unemployment benefits. You can find the application in English or Spanish by visiting Unemployment Insurance – Forms and Publications (English only).

Unemployment Insurance Application for Disaster Unemployment Assistance (DUA) (DE 1101ID)
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 for unemployment benefits. You can find the application in English or Spanish by visiting Unemployment Insurance – Forms and Publications (English only).

Notice of Unemployment Insurance Claim Filed (DE 1101ER)

Appointment Notice (DE 1106Z)

Back Pay Award Information Request (DE 1200)
Notice sent to employers requesting information about back pay.

Request for Identity Verification (DE 1326C)
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 (DE 1326CD)
List of documents that are acceptable for identity verification.

Notice of Potential Overpayment (DE 1447)
Mailed to claimants. Contains information on a potential overpayment where a claimant may have been overpaid unemployment benefits.

Notice of Potential Overpayment and False Statement Penalty (DE 1447CO-AZ)
Mailed to claimants. Includes information on a potential overpayment and false statement penalties where a claimant may have been overpaid for unemployment benefits.

Response to Potential Overpayment and False Statement Penalty (DE 1447CO-BZ)
Claimants can use this form to provide corrected or additional information about their potential overpayment or false statement penalty.

Notice of Denial of Benefits and Overpayment (DE 1480Z)
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.

Notice of Reduced Earnings (DE 2063)

Continued Claim Form (DE 4581CTO)
This is a sample of the Continued Claim Form to assist claimants in certifying for unemployment benefits. This is a sample only and cannot be printed and mailed to the EDD. Contact EDD (English only) if you need a replacement form issued to you to certify for UI benefits.

Notification of Unemployment Insurance Benefits Eligibility Interview (DE 4800)
A notice sent to claimants containing the date and time of their telephone interview regarding their eligibility for unemployment insurance benefits.

Notice of Conditional Payment Pending Eligibility Review (DE 5400E)

Returned EDD Debit Card (DE 5613)
Notifies claimants that their debit card was returned for confidential destruction.

EDD Customer Account Number Notification (DE 5614)

Notice of Appeal and Transmittal of Appealed Determination (DE 6315)
Advises claimants that their former employer appealed the Department’s decision to find them eligible for unemployment benefits.

Notice of Right to Receive Unemployment Insurance Benefits Pending Appeal (DE 6315CC)
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.

Notice of Requirement to Register for Work (DE 8405)
Advises unemployment insurance claimants that they must register for work using CalJOBS within 21 days.

Notice of Determination for Disaster Unemployment Assistance (DE 8598DUA-D)
Notifies claimants that they are not eligible for Disaster Unemployment Assistance.

Important: UI Online^SM (English only) is still the fastest way to file your unemployment claim. You can also ask questions about your claim using UI Online by selecting Contact Us at the top of your homepage.

Note: If you receive a phone call from the EDD, your caller ID may show “St of CA EDD” or the UI Customer Service number: 1-800-300-5616.

UI Customer Service  

Get help with filing a claim by phone, general unemployment questions, and technical help with online registration, password resets, and EDD Account Numbers.

Hours: 8 a.m. to 5 p.m. (Pacific time), Monday through Friday, except on state holidays (English only).

Phone numbers:

• English: 1-800-300-5616. To speak with an interpreter, make a request to the representative during your call.
• California Relay Service (711): Provide the UI number (1-800-300-5616) to the operator
• TTY: 1-800-815-9387

UI Automated Self-Service Line    

Get information on how to file a new claim or reopen an existing claim and your last payment issued. You can also certify for benefits using EDD Tele-Cert^SM, request copies of your 1099G tax information, and find your local America’s Job Center of California.

Hours: 24 hours per day, seven days per week.

Phone number: 1-866-333-4606 (English only).

For more information and a listing of office locations, visit State Disability Insurance Office Locations (English only).

To contact a DI representative, use the DI Automated Phone Information System (English only):

• To request an interpreter:
  1. Call 1-800-480-3287.
  2. Select English.
  3. Select the option to speak to a representative.
  4. Request an interpreter.
• California Relay Service (711): Provide the DI number (1-800-480-3287) to the operator
• TTY: 1-800-563-2441

Representatives are available 8 a.m. to 5 p.m. (Pacific time), Monday through Friday, except on state holidays (English only).

Important: SDI Online is the fastest way to file and get information about your DI claim. Using SDI Online (English only), you can ask confidential questions about your claim and receive a direct response. From your home page:

1. Select the Claim ID of your current claim.
2. Select Request Claim Update in the Claim Information section.
3. Choose a Request Type from the dropdown menu and select Next.
4. Add your specific question to your claim.

For more information, visit Disability Insurance (English only).

For more information and a listing of office locations, visit State Disability Insurance Office Locations (English only).

To contact a PFL representative, use the PFL Automated Phone Information System (English only):

• English: 1-877-238-4373. If you call the English phone line, you can speak to an interpreter by following these steps:
  • Select English.
  • Select the option to speak to a representative.
  • Request an interpreter.
• California Relay Service (711): Provide the PFL number (1-877-238-4373) to the operator
• TTY: 1-800-445-1312

Representatives are available 8 a.m. to 5 p.m. (Pacific time), Monday through Friday, except on state holidays (English only).

Important: You can ask a PFL question by visiting Ask EDD (English).

1. Select the category Paid Family Leave.
2. Select the sub-category Miscellaneous Inquiry.
3. Select the topic Other (Questions).

For more information, visit Paid Family Leave (English only).

Contact the Benefit Overpayment Collection Section at 1-800-676-5737 (English) during normal business hours and request a Japanese-speaking interpreter. We can help you with:

• Questions about your benefit overpayment.
• Updating your address or phone number.
• Enrolling in Benefit Overpayment Services.

You can also visit Ask EDD to change your mailing address or phone number.

Representatives are available 8 a.m. to 5 p.m. (Pacific time), Monday through Friday, except on state holidays. Our bilingual staff and vendors can help provide translation and interpreter services for more than 100 languages, at no cost to you.

To contact a Payroll Taxes representative or to use the Automated Phone Information System (English only):

• English: Call 1-888-745-3886 and request an interpreter.
• California Relay Service (711): Provide the Payroll Tax Assistance number (1-888-745-3886) to the operator
• TTY: 1-800-547-9565

Representatives are available 8 a.m. to 5 p.m. (Pacific time), Monday through Friday, except on state holidays (English only).

For more information and a listing of office locations, visit Contact Payroll Taxes (English only). Visit Office Locator (English only) to find an employment tax office near you.

America’s Job Center of California   

Visit Office Locator (English only) to contact an America’s Job Center of California near you. For general workforce services information:

• English: Call 1-916-654-7799 and request an interpreter.
• California Relay Service (711): Provide the Workforce Services number (916-654-7799) to the operator

To find a job, list a job opening, and browse other online employment services, visit CalJOBS^SM (English only). For assistance, call CalJOBS at 1-800-758-0398.

Labor Market Information       

For labor market information questions, comments, or suggestions:

• English: Call 916-262-2162 and request an interpreter.
• English Fax: 916-651-5784
• California Relay Service (711): Provide the Labor Market Information number (916-262-2162) to the operator

Note: We offer labor market consulting services to help workforce partners and employers find, access, and use labor market information and services. View Labor Market Consultants by County (PDF) (English only) for a phone and email listing of Labor Market consultants in California.