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UI / DE 8320A
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SAMPLE
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Notice of Determination to Receive Subsistence/ Transportation Allowances While in Approved Training under Trade Adjustment Assistance Program
Blank Box
Petition Number:
Blank space
Social Security Number:
XXX
-
XX
-
Blank space
Field Office Number:
Blank space
Mail Date:
MM/DD/YYYY
YOU ARE ELIGIBLE to receive Subsistence Allowances. You must submit a Weekly Request for Allowances by Worker in Training, DE 8322 when subsistence is claimed. The DE 8322 will be issued by Special Claims Office 850.
Subsistence Allowances are approved for payment of the following:
Food
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______
per
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______
Lodging
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______
per
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______
Rent
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______
per
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______
Other
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______
per
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______
YOU ARE ELIGIBLE to receive Transportation Allowances. You must submit a Weekly Request for Allowances by Worker in Training, DE 8322 when transportation is claimed. The DE 8322 will be issued by Special Claims Office 850.
Transportation Allowances are approved for payment of the following:
Blank Line
______
Per mile when driving own automobile
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_______
Per week
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______
Parking,
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______
Toll (type
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______
)
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______
Per day
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_______
Per week
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______
Bus Fare Per day
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_______
Per week
Other
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__________
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_______
Per week
Other
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__________
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__________________
Special Instructions regarding receipts:
Blank space
YOU ARE NOT ELIGIBLE to receive
Subsistence Allowances
Transportation Allowances
Your request is denied for the following reason(s):
Blank space
INTERVIEWER/
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Initials
Blank line
Date Signed
Special Claims Office
1-888-697-1760
-APPEAL RIGHTS ON REVERSE-
DE 8320A Rev. 3 (9-21)
(INTRANET)
SAMPLE
, this page for reference only
APPEAL RIGHTS
(Please Read Carefully)
You have the right to file an appeal if you do not agree with all or part of this decision. To appeal, you must write a letter stating that you want to appeal. Explain why you do not agree with the decision. Write your Social Security number on your letter. (
Title 22
, California Code of Regulations,
section 5022
). Mail your letter to the address shown on the front of this form. (
Title 22
, California Code of Regulations,
section 5023
and 20
CFR
,
section 617.51
) File your appeal within 20 days of the mail date of this notice or no later than
Blank line
__________ .
When your appeal is received, your case will be reviewed. If the decision is still the same, we will send your appeal to the Office of Appeals. If you appeal after 20 days, you must show good cause 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 to help you. For more information or help with your appeal, please call the Employment Development Department (EDD) at
1-888-697-1760
.
When an appeal is pending, you must continue to complete and mail Weekly Request for Allowances by Worker in Training claim forms. If you do not get any response or a hearing letter, contact the local Employment Development Department (EDD) office where you filed the application for subsistence/transportation allowances or the Employment Development Department (EDD) at
1-888-697-1760
. If the judge decides you can be paid, we can only pay if the claim forms were received.
DE 8320A Rev. 3 (9-21)
(INTRANET)
Email Address:
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