UI / DE 1503D (BAM)

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EDD Employment Development Department State of California Logo

Date:
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SSA Number:
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Batch Number:
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Appointment Notice for Denied Cases

The Employment Development Department (EDD) is conducting a Benefit Accuracy Measurement (BAM) Audit to determine if Unemployment Insurance benefits are properly denied in accordance with State Law, Regulation and Policy. Your Unemployment Insurance claim has been randomly selected by the Department of Labor (DOL) for this review and we need to review your claim in order to determine the accuracy of the decision.

This review will not replace the appeal hearing if you have filed an appeal of your ineligibility. Continue to file for benefits in the event the appeal results in your eligibility for unemployment benefits.

An important part of this audit is a telephone interview. An Unemployment Insurance BAM Questionnaire is included to assist you in preparing for this interview. Please have this form in front of you when I call.

You are scheduled for a telephone interview on
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between
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am/pm and
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am/pm If this time is not convenient and/or if you will be at a phone number other than
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, please contact me as soon as possible so I can reschedule the telephone interview. If you are available before this date, call me and I can try and do the interview sooner
I was unable to reach you on
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Therefore I have scheduled the following date and time for you to call me at
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on
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between
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am/pm  and 
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 am/pm  If you are not available for this telephone interview you will need to complete, sign and return the BAM Questionnaire within five (5) days in the enclosed envelope with a copy of your ID
If you were denied benefits due to insufficient wages, please provide proof of wages (including a W- 2 or 1099, pay stubs, cash receipts or other documents showing your earnings) and any employment information covering the period  from 
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to
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Other:
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If you have questions about this audit, please feel free to call me  at 
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,  between  Blank line  am/pm  and Blank line  am/pm  weekdays. Collect calls will be accepted. Thank you for your cooperation
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BAM Analyst #
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DE 1503D (BAM) Rev. 1 (12-23) (INTRANET)