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UI / DE 3394
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SAMPLE
, this page for reference only
DETERMINATION ON CLAIMANT’S REQUEST FOR RECONSIDERATION OF WAGES
Name:
Blank space
For Office Use Only:
Blank space
Address:
Blank space
Date Of Claim:
Blank space
Date Of Issue:
Blank space
Prepared By:
Blank space
This is in reference to your Request for Reconsideration for Transfer of Wages
(IB14)
Wages
Some wages
have not been transferred to
Blank Line
__________________
for the reason(s) checked below.
Wages not allowed. Claimant performed services in the employ of an organization which is operated, supervised, controlled or principally supported by a church or association of churches. These services are excluded from employment. Section
634.5(a)
, California Unemployment Insurance Code (CUIC).
Wages not allowed. Claimant performed services as an elected official in the employ of a public entity as defined by Section
605
of the California Unemployment Insurance Code (CUIC). These wages cannot be used for Unemployment Insurance (UI) purposes. Section
634.5(c) (1)
, CUIC.
Wages not allowed. Claimant performed services in the employ of a college while enrolled as a student and attending classes at that college/university. These services are excluded from employment. Section
642 (a)
, California Unemployment Insurance Code (CUIC).
Wages not allowed. Claimant did not perform services within California. Wages requested with the employer
Blank Line
__________________
were reportable to the State of
Blank Line
__________________
. Sections
602
and
603
, California Unemployment Insurance Code (CUIC).
Wages not allowed. Wages requested with the employer
Blank Line
__________________
are outside the base period of this claim. The base period is from
MM/DD/YYYY
to
MM/DD/YYYY
. Wages are reportable
when paid and not when earned
. Benefit Decision
352
, California Unemployment Insurance Appeals Board (CUIAB) Precedents, Section
926
of the California Unemployment Insurance Code (CUIC).
Wages not allowed. Wages have not been transferred to
Blank Line
__________________
as these wages were previously used to establish a
Blank Line
__________________
claim with an effective date of
MM/DD/YYYY
. The Interstate Arrangement for Combining Employment and Wages, Codes of Federal Regulations at
20
CFR part
616.
.
Wages
Some wages
Additional wages
are not allowed for the following reason:
Blank line
Blank line
Other:
Blank line
You may appeal the denial of the California wages to an Administrative Law Judge of the California Unemployment Insurance Appeals Board (CUIAB) within
30
days from the mailing date of this notice and provide any additional information not previously made available to the Department.
To file an appeal, you may return a copy of this document and complete the enclosed EMPLOYMENT DEVELOPMENT DEPARTMENT APPEAL FORM (DE 1000M) and mail the form to:
Combined Wage Transferring Unit
Employment Development Department (EDD)
Unemployment Insurance Integrity and Accounting Division – MIC 16
P.O. Box 826880
Sacramento, CA 94280-0001
DE 3394 Rev. 14 (3-22)
(INTRANET)
Email Address:
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