UI / DE 1445

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Employment Development Department

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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BYB

MM/DD/YYYY

NOTICE OF DENIAL OF WAIVER

WAIVER OF THIS OVERPAYMENT IS DENIED IN COMPLIANCE WITH SECTIONS 1375-1(d) OF TITLE 22, CALIFORNIA CODE OF REGULATIONS. THIS DECISION IS FINAL UNLESS AN APPEAL IS FILED ON OR BEFORE MM/DD/YYYY.

AMOUNT OF OVERPAYMENT $

REASON FOR DENIAL OF WAIVER:

This overpayment was received with fault on your part. The Department has determined that you knew or reasonably should have known you were not legally entitled to receive these benefits.
The Department has determined that repayment of this overpayment would not cause you extraordinary hardship as defined in Section 1375-1(d) of Title 22, California Code of Regulations. This decision was made by comparing your average monthly family income for the past six months with your present assets and liabilities.
In accordance with Title 20, Code of Federal Regulations, Section 617.55, the Department has determined that repayment of this overpayment would not result in your loss of or inability to obtain food, medicine and/or shelter for a substantial period of time, enduring at least three months.

Repayment of this overpayment should be mailed to:

EDD Benefit Recovery

P.O. Box 826806

Sacramento, CA 94206-0001

TO INSURE PROPER CREDIT, BE SURE TO INCLUDE THE NAME AND SOCIAL SECURITY NUMBER WITH THE PAYMENT. Do not send cash in the mail. If unable to pay in full, contact the Department to make repayment arrangements. Failure to repay this overpayment may result in legal action.

If you are totally or partially unemployed, you can file a claim for Unemployment Insurance. If eligible, Unemployment Insurance benefits may be used to repay the non-penalty portion of an overpayment.

If you feel this decision is incorrect you may file an appeal. Please see the reverse side of this form for complete appeal instructions and time limits.

DE 1445 Rev. 9 (12-21) (INTRANET)

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APPEAL RIGHTS:

Any appeal from this notice must be filed on or before MM/DD/YYYY to be timely.

This decision is final unless appealed to an Administrative Law Judge of the California Unemployment Insurance Appeals Board within thirty days from the date this notice was mailed to you. You may appeal this notice by completing the enclosed appeal form or by writing a letter. In your appeal you must state the reasons why you do not agree with this decision. Appeals should be sent to the office listed at the top of this notice. While an appeal is pending you must continue to certify for benefits for each week that you contend you are eligible. If the final decision by the California Unemployment Insurance Appeals Board finds you eligible, you can be paid only for those weeks you certified for benefits and met all other eligibility requirements.

The handbook, A Guide to Benefits and Employment Services, DE 1275A gives more information about appeals. If you do not have a handbook, you can read, download, or order the handbook online by visiting the EDD website at www.edd.ca.gov/forms. Enter the publication number “1275A” to search for the form, and follow the online instructions.

DE 1445 Rev. 9 (12-21) (INTRANET)

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UI / DE 1445

NOTICE OF DENIAL OF WAIVER