UI/ DE 791B

SAMPLE, this page for reference only

EDD Employment Development Department State of California Logo

 

REQUEST FOR INFORMATION

 
EDD Phone Numbers:
English:
1-800-300-5616
Spanish:
1-800-326-8937
Cantonese:
1-800-547-3506
Mandarin:
1-800-547-2058
TTY (nonvoice):
1-800-815-9387
 
Postmark date of
 
correspondence:
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We are unable to take any action on a document you mailed without a complete and accurate Social Security Number (SSN) or Employment Development Department Customer Account Number.

DEPARTMENT REPRESENTATIVE

Enc.

EDD return address

DE 791B Rev 18 (3-18) (INTERNET)