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UI / DE 120H
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SAMPLE
, this page for reference only.
Date:
Case #:
Dear:
This is in response to your telephone call/correspondence of
Blank line
__________________________.
This office has taken the following action:
Based on new information, we determined that an overpayment did not occur; therefore, no further action is necessary regarding the
Notice of Potential Overpayment,
DE 1447CO-AZ, dated
Blank line
__________________________.
Based on new information, we have determined that you were not overpaid. Therefore, the
Notice of Denial of Benefits and Overpayment,
DE 1480Z, dated
Blank line
________________________________
has been canceled.
Since conflicting information exists, we have forwarded all correspondence to the Unemployment Insurance Field Office nearest you for further investigation. If the Department reaches a decision in your favor, you will receive no further notification.
We have processed an appeal on your behalf with the Appeals Board. We have forwarded all correspondence to the appeals office nearest you, who will notify you of the date and time of your hearing. We have also transferred your file records to the Unemployment Insurance Field Office nearest you.
Other:
Please refer to the
Notice of Potential Overpayment
, DE 1447CO-AZ, mailed to you. If you reported earnings of $25.99 or less, the “You Reported” column will show $000.00 since these earnings did not reduce your benefit amount.
Department Representative
Centralized Overpayment Establishment Group
1-866-401-2849
P.O. Box 2228
Rancho Cordova, CA 95741-2228
DE 120H Rev. 6 (3-18)
(INTRANET)
Email Address:
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