NOTICE OF RETURNED APPLICATION

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Date Mailed:

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Please follow the instructions checked below. Failure to do so may result in delay or denial of your benefits Please include your name and Social Security number on any additional forms you submit to EDD.

The Department is unable to file your Unemployment Insurance claim as submitted. Your application is being returned because:

1. You did not complete the required information and/or there are conflicting answers to some of the questions. Complete the original application and mail or fax to the address above or call the ‎1-800-telephone number above for assistance. This should be done within ten (10) days of the date of this request.
2. The answers you provided indicate special handling is required to file your claim. Please call the ‎1-800-telephone number above for assistance to complete the filing of your claim. This should be done within ten (10) days of the date of this request. DO NOT RETURN THIS APPLICATION.

NOTE: REFER TO THIS NOTICE IF CALLING EDD

DE 238 IB Rev. 2 (3-18) (INTRANET)

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UI / DE 238IB

NOTICE OF RETURNED APPLICATION