UI / DE 1080CSICHG

SAMPLE, this page for reference only

Employment Development Department
< FO Name >
< Address >
< City, State, ZIP >

EDD Employment Development Department State of California Logo

 
EDD Telephone Numbers
English:
1-800-300-5616
Spanish:
1-800-326-8937
Cantonese:
1-800-547-3506
Mandarin:
1-866-303-0706
Vietnamese:
1-800-547-2058
TTY (non-voice):
1-800-815-9387
Website:
 www.edd.ca.gov
< Claimant Name >
< Address >
< City, State, ZIP >
MAIL DATE:
Blank line 
FOR OFFICE USE ONLY:
Blank line 

CHILD SUPPORT INTERCEPT COUNTY CHANGE NOTICE

The county that was receiving the child support deductions that are being taken from your Unemployment Insurance (UI) benefits has changed. Effective Blank line , the deductions are being sent to the Department of Child Support Services office listed below.

LEGAL AUTHORITY:

Family Code Section 17518 and California Unemployment Code Section 1255.7 require the Employment Development Department (EDD) to deduct overdue child support obligations from a claimant's UI benefits.

INFORMATION:

If you have any questions about the distribution of the deductions, contact the:
< County Name > Dept. of Social Services
< Street Address >
< City, State, ZIP >
< Telephone >

APPEAL:

You have the right to file an appeal if you believe that the EDD did not receive instructions to make the deductions according to the law. To file an appeal:

  1. Write a letter stating that you want to file an appeal. Explain why you do not agree. Write your Social Security number on your letter.
  2. Mail your letter to the EDD address listed on the top of this form.
  3. File your appeal within thirty (30) days of the mail date of this notice or no later than Blankline .
(See back of notice for more information about appeals.)

DE 1080CSICHG Rev. 7 (8-21) (INTRANET)

SAMPLE, this page for reference only

The handbook, A Guide to Benefits and Employment Services, DE 1275A, gives more information about appeals. If you do not have a handbook, you can read, download, or order the handbook online by visiting the EDD website at www.edd.ca.gov/formsEnter the publication number "1275A" to search for the form and follow the online instructions.

APPEAL INFORMATION:

Appeal forms are also available on the EDD website at www.edd.ca.gov/forms Enter the form number “DE 1000M” to search for the form and follow the online instructions. You can fill out the form online, then print and mail to the address listed on this notice. You can also print a copy and complete by hand, then mail it.
When your appeal is received, we will send your appeal to the Office of Appeals. If you appeal after the thirty (30) days, you must give a good reason for the delay or the Administrative Law Judge may dismiss your appeal.
The Office of Appeals will send you a letter with the date, place, and time of your hearing. At the hearing, the Administrative Law Judge will listen to you, examine the facts, and make a decision. You may bring a representative or someone else to help you.
For more information or help with your appeal, please call the number on the front of this form.

IF YOU ARE CLAIMING BENEFITS:

While you wait for the Judge's decision, you must continue to certify for benefits and mail your weekly claim forms. If you do not receive claim forms or a hearing letter, please call the number on the front of this form.

OTHER SERVICES:

Your local EDD office has information about:
  • Job referrals.
  • Other EDD services.
  • Disability Insurance.
  • Services offered by other agencies.

DE 1080CSICHG Rev. 7 (8-21) (INTRANET)