UI / DE 6316DUA-I

SAMPLE, this page for reference only

Action Is Required on Your Disaster Unemployment Assistance Claim

We have filed your Federal Disaster Unemployment Insurance (DUA) claim for the Disaster starting MM/DD/YYYY.

Submit Proof of Employment or Self-Employment

You must submit proof that you were employed or self-employed when the disaster occurred. Or that you were to begin work on or after the date of the disaster. If you do not submit proof as instructed on the attached Notice of Benefits Paid Pending Verification of Employment (DE 6316DUA) you will be denied benefits for the entire Disaster Assistance Period of MM/DD/YYYY – MM/DD/YYYY. You will also have to repay any benefits you received.

To avoid having to repay any DUA benefits, you must submit proof that you were unemployed due to the disaster no later than the date provided on the attached Notice of Benefits Paid Pending Verification of Employment (DE 6316DUA) to the address below.

EDD UI Center Oakland 853 ATTN: DUA UNIT PO Box 12906 Oakland, CA 94604-2906
Documents must have your full name on each page. A list of acceptable documents and other information can be found on the back of this form.

Certify for Benefits

Certifying includes answering basic questions every two weeks to tell us if you’re still unemployed and eligible to continue receiving benefits. If you do not certify for a week, you cannot receive a benefit payment for that week. You can certify by either:

  • UI Online at edd.ca.gov/UI_Online.
  • Mailing the Continued Claim Certification (DE 4581DUA) to the address on that form.

Visit edd.ca.gov/UICertify or refer to the enclosed Unemployment Insurance Benefits: What You Need To Know (DE 1275B) for instructions.

Examples of Employment and Self-Employment Documents

The following are examples of documents you can submit to prove that you are unemployed due to the disaster. Please make sure your name is clearly shown on all documents.

Regular Employment
  • Paycheck stub from around the time of the disaster.
  • Employer letter or other proof providing details of your employment, including (but not limited to) the employer’s contact information, your dates of employment, and how the disaster impacted your employment.

DE 6316DUA-I Rev. (4-23) (INTRANET)

SAMPLE, this page for reference only

  • Printout of schedule, attendance record, etc., from an online employee portal (must show employer name and your name).
  • Account statement with payroll deposit record (showing your employer’s name) in the pay period prior to the disaster.
Scheduled Regular Employment
  • Official employment offer letter or similar reliable notice. The letter must show the new employer’s name, worksite location, date that work was scheduled to begin, type of work, duration of work (permanent, temporary), whether the job was to be full-time or part-time, rate of pay, and the employer’s contact information, including phone number.
Self-Employment
  • Business records – may include business account information from the time of the disaster, sales records, permit filings, insurance, or other documents.
  • Profit and Loss from Business, Sole-Proprietorship (IRS Form 1040 Schedule C), or other business-related tax forms.
  • Business license.
  • Professional license.
  • Resale permit.
  • Account books, partnership statements, or other documents.
  • Affidavit from individuals who have knowledge of the business (bankers, clients, suppliers, etc.). The affidavit must include the type or nature of the work that was to be performed, the duration of the work, and the full name and phone number of the person providing the information.
Scheduled Self-Employment
  • Business premises rental or lease agreement.
  • Business license.
  • Receipts or other records for merchandise, supplies, and/or equipment.
  • Account books, partnership statements, or other documents.
  • Affidavit (statement or letter) from a client or customer verifying that a self-employment contract for services was scheduled to start on or immediately following the disaster. The document must include the type or nature of the work that was to be performed, the duration of the work, and the full name and phone number of the person providing the information.
Additional Information
We may contact you by phone or mail for additional information and documents.
You can avoid delays in benefit payments by keeping your address and phone number up to date. You can update your contact information and obtain additional information through UI Online, or by calling ‎1-800-300-5616.

DE 6316DUA-I Rev. (4-23) (INTRANET)