UI / DE 6330MEUC-A

SAMPLE, this page for reference only

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EDD Employment Development Department State of California Logo

RETURN TO:
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EDD Phone 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
EDD Internet Site:
edd.ca.gov
Mail Date:
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EDDCAN:
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Application for the Mixed Earner Unemployment Compensation (MEUC) Program

The Mixed Earner Unemployment Compensation (MEUC) program pays an additional $100 per week in supplemental unemployment benefits to claimants who earned self-employment income in the year prior to their claim, apply for the program, and meet all MEUC eligibility requirements under federal law.

Under federal law, you will not be eligible for MEUC and should not apply if:

  • Your Blank line net income (after all taxes and deductions) from self-employment was under $5,000.
  • You are collecting Pandemic Unemployment Assistance (PUA) or Training Extension (TE).
To complete this application, answer each question below and follow the instructions given for your answer.

Section A: MEUC Questions

  1. Was your Blank line net income (after all taxes and deductions) from self-employment at least $5,000?
    If Yes, go to Question 2. If No, you do not meet MEUC eligibility requirements. You should not complete or return this application.
  2. Did you file yourBlank linetax return?
    If Yes, go to Section B. If No, go to Question 3
  3. Can you provide at least one document to prove your Blank line net income (after all taxes and deductions) from self-employment was at least $5,000?
    If Yes, mark which documents you will submit to prove your income and go to Section B.
    If No, and you did not file your tax return, you should not complete or return this application.

Section B: Documents to Submit

If you filed your
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tax return, you must mail a copy with this application to the EDD. The tax return must clearly prove your net income (after all taxes and deductions) from self-employment was at least $5,000
If you did not file your
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tax return, or it's not available, you must mail a copy of the documents you selected in Section A, Question 3, with this application to the EDD. The documents you submit must prove your net income (after all taxes and deductions) from self-employment was at least $5,000

DE 6330MEUC-A (6-21) (INTRANET)

SAMPLE, this page for reference only

You must mail documents that clearly prove your net income from self-employment to avoid processing delays and prevent disqualification. Depending on the documents you provide, you may need to submit additional documents to prove your income and that you were self-employed.

Important: All documents must be submitted on 8.5" x 11" paper and include on each page your Social Security number or EDD Customer Account Number (EDDCAN) located at the top of this page.

Section C: Signature

Sign this application and mail it with your documents to the EDD in the envelope provided, or to the address on the top of this notice.

I declare under penalty of perjury that the information I have provided is true and correct to the best of my knowledge or belief and that the income documents provided belong to me. I understand that intentional misrepresentation of my income is fraud and that I may be subject to criminal prosecution if I have been found to have committed fraud to receive Mixed Earner Unemployment Compensation.

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Printed Name
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Signature
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Date
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Email
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Phone Number

DE 6330MEUC-A (6-21) (INTRANET)