UI / DE 6315AL

SAMPLE, this page for reference only.

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
 
Date:
MM/DD/YYYY
For Office Use Only:
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NOTICE OF UNEMPLOYMENT INSURANCE (UI) BENEFITS TO BE PAID PENDING VERIFICATION OF IMMIGRATION AND RIGHT-TO-WORK STATUS

The block checked below applies to you:

Your claim is invalid under Section 1277 for the reason(s) checked below:

CONFIDENTIALITY NOTICE: This notice is for the sole use of the intended recipients. It contains confidential or sensitive information. Under Penal Code 502 and Civil Code 1768.53, any unauthorized review, use, disclosure, or distribution of this document is prohibited and subject to criminal penalties/fines. If you are not the intended recipient, please contact the EDD.

DE 6315AL Rev. 9 (12-21) (INTRANET)