Homepage Fill Out Your Edd Appeal Form
Article Structure

The EDD Appeal form is an essential document for individuals or employers who wish to challenge a decision made by the California Employment Development Department (EDD). This form provides a structured way to express disagreement with the EDD's Notice of Determination or any related rulings. To initiate the appeal process, you must fill out the form accurately, providing key personal and contact information. The signed form must then be submitted to the EDD office listed in the notice within a specified timeframe. It’s important to pay attention to deadlines, as you have 30 days from the mailing date of the notice to file your appeal. If you miss this deadline, you must include an explanation for the delay, as the administrative law judge (ALJ) will assess whether there was good cause for late submission. While awaiting the outcome of your appeal, continue to certify for benefits to ensure you remain eligible during this period. For those claiming Disaster Unemployment Assistance, a longer filing window of 60 days applies. The form also includes a section where you can clearly outline your reasons for the appeal and any additional evidence you wish to attach.

Edd Appeal Example

APPEAL FORM

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

website:

edd.ca.gov

If you disagree with the Notice of Determination(s) and/or Determination(s)/Rulings by the EDD, you may appeal the decision(s) to the California Unemployment Insurance Appeals Board (CUIAB) by completing this form and explaining why you disagree. You must sign the form and return it to the EDD at the office address listed on the notice that you are appealing. YOU HAVE 30 DAYS FROM THE MAIL DATE OF THE NOTICE TO FILE A TIMELY APPEAL. If you appeal after the 30 day period, you must include the reason for the delay. The administrative law judge (ALJ) will determine whether you had good cause for the delay. If the ALJ determines you did not have good cause to submit your appeal late, your appeal will be dismissed.

CLAIMANTS: While your appeal is pending, you must continue to certify for benefits. If you are found eligible, you can be paid only for periods for which you have certified and have met all other eligibility requirements.

NOTE: Claimants for Disaster Unemployment Assistance (DUA) have 60 days to file an appeal. Employers appealing the Notice of Determination or Assessment (DE 3807), have 30 days to file an appeal.

SECTION I APPELLANT INFORMATION

INSTRUCTIONS: The following information must be provided by the Appellant (the claimant or employer who is appealing a notice), or by the authorized agent or representative of the Appellant. The signature of the Appellant or agent is required. Please use BLACK INK when filling out this form.

Claimant Name:

 

 

 

 

 

 

 

Social Security Number:

 

 

 

 

 

 

 

 

 

 

 

 

Do you need a translator?

Yes

No If yes, what language/dialect?

 

 

Appellant Address:

 

 

 

 

 

 

 

Telephone No.:

 

 

Street No., Apt. No., or PO Box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax No.:

 

 

 

 

City

 

 

State

 

ZIP Code

E-mail Address:

 

 

 

 

 

 

 

 

Cell Phone No.:

 

 

 

 

 

 

 

 

 

 

 

I authorize the CUIAB to send confidential information regarding my appeal to the e-mail address listed above.

I authorize the CUIAB to send confidential information regarding my appeal by text message or voice mail to the cell phone number listed above.

Complete this section for employer appeals only

 

 

 

 

 

 

Employer Account Number:

 

Agent Name (if applicable):

 

 

 

 

 

 

Agent Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

Street No., Apt. No., or PO Box

City

 

State

 

ZIP Code

SECTION II APPELLANT STATEMENT

INSTRUCTIONS: Explain the reason for your appeal and why you disagree with the decision(s). If required, attach additional pages to this form and write your name and Social Security number on each page.

I disagree with the determination in the notice dated

 

because

Signature of

 

Appellant or Agent: __________________________________________________

Date:

DE 1000M Rev. 8 (5-19) (INTERNET)

- Versión en español en el dorso -

CU

 

Page 1 of 2

 

Números de Teléfono del EDD:

INGLÉS

1-800-300-5616

ESPAÑOL

1-800-326-8937

TTY (no voz)

1-800-815-9387

sitio de Internet:

edd.ca.gov

FORMULARIO DE APELACIÓN

Si usted no está de acuerdo con la Notificación de Decisión(es) y/o con la(s) Decisión(es)/Fallos legales por parte del Departamento del Desarrollo del Empleo, usted puede apelar la(s) decisión(es) ante la Junta de Apelaciones del Seguro de Desempleo de California (CUIB, por sus siglas en inglés) completando este formulario y explicando por qué no está de acuerdo. Usted debe firmar el formulario y devolverlo al Departamento del Desarrollo del Empleo a la dirección de la oficina que aparece en este aviso que está apelando. USTED TIENE 30 DÍAS A PARTIR DE LA FECHA DE ENVÍO DE ESTA NOTIFICACIÓN PARA PRESENTAR UNA APELACIÓN. Si usted presenta la apelación después del plazo de 30 días, usted debe explicar la razón por la demora. El juez de justicia administrativa determinará si usted tiene razón justificada por la demora. Si el juez de justicia administrativa determina que usted no tiene una razón justificada para presentar su petición tarde, su apelación será descartada.

SOLICITANTES DE BENEFICIOS: Mientras que su apelación está pendiente, usted tiene que continuar presentando su Solicitud de Beneficios Continuos. Si se determina que usted es elegible para beneficios, sólo se le puede pagar por los períodos para los cuales usted ha presentado su Solicitud de Beneficios Continuos y para los cuales haya reunido todos los otros requisitos de elegibilidad.

NOTA: Los solicitantes de Asistencia de Desempleo por Desastres (DUA, por sus siglas en inglés) tienen 60 días para presentar una apelación. Los empleadores que están apelando la Notificación de Decisión o Evaluación (DE 3807), tienen 30 días para presentar una apelación.

SECCIÓN I INFORMACIÓN DEL APELANTE

INSTRUCCIONES: La siguiente información tiene que ser proporcionada por el Apelante (el solicitante o el empleador que está apelando esta notificación), o por el agente autorizado o por el representante del Apelante. Se requiere la firma del Apelante o del agente. Favor de usar TINTA NEGRA para llenar este formulario.

Nombre del Solicitante:

 

 

 

 

 

 

 

 

Número de Seguro Social:

 

 

 

 

 

 

 

 

 

 

 

 

¿Necesita un traductor?

No

Si marcó sí, ¿para qué idioma/dialecto?

 

 

Dirección del Apelante:

 

 

 

 

 

 

 

 

N° de Teléfono:

 

 

 

 

N° de calle, N° de Apto., o Apartado Postal

 

 

 

 

 

 

 

 

 

N° de Fax:

 

 

 

 

Ciudad

 

Estado Código Postal

Dirección de Correo Electrónico:

 

 

 

 

 

 

 

N° de Teléfono Celular:

 

 

 

 

 

 

 

 

 

 

Autorizo a la Junta de Apelaciones del Seguro de Desempleo de California de enviar información confidencial con respecto a mi apelación a la dirección de correo electrónico que aparece arriba.

Autorizo a la Junta de Apelaciones del Seguro de Desempleo de California de enviar información confidencial con respecto a mi apelación por medio de mensaje de texto o correo de voz al número de teléfono celular que aparece arriba.

Complete esta sección para apelaciones del empleador solamente

Número de Cuenta del Empleador: Dirección del Agente:

Nombre del Agente (si aplica):

 

 

 

 

 

 

 

N° de calle, N° de Apto., o Apartado Postal

 

Ciudad

Estado Código Postal

SECCIÓN II DECLARACIÓN DEL APELANTE

INSTRUCCIONES: Explique la razón por presentar su apelación y por qué no está de acuerdo con la(s) decisión(es). Si necesita más espacio, adjunte hojas adicionales a este formulario y escriba su número de Seguro Social en cada hoja.

No estoy de acuerdo con la decisión en la notificación fechada el

 

porque

Firma del

 

Apelante o Agente: __________________________________________________

Fecha:

DE 1000M Rev. 8 (5-19) (INTERNET)

- English version on the other side -

MIC 38/CU

 

Page 2 of 2

 

Form Characteristics

Fact Name Details
Filing Period You have 30 days from the mail date of the Notice to file an appeal. For Disaster Unemployment Assistance (DUA), claimants have 60 days. Employers must also file within 30 days.
Appeal Submission To appeal, complete the form and send it to the EDD at the specified office address on your notice. Ensure you provide a reason for any delay if you file late.
Continued Certification While your appeal is pending, you must continue to certify for benefits. Payments are only made for periods certified, provided eligibility criteria are met.
Contact Information The EDD offers various language support services. Telephone assistance is available in English, Spanish, Cantonese, Mandarin, and Vietnamese.
Governing Law This process is governed by the California Unemployment Insurance Code, specifically regarding appeals to the California Unemployment Insurance Appeals Board (CUIAB).

Guidelines on Utilizing Edd Appeal

Filing the EDD Appeal form is an important step in challenging a decision made by the Employment Development Department. To ensure the process goes smoothly, it’s essential to follow the required steps carefully and provide all necessary information. Once submitted, the appeal will be reviewed, and you will be informed about the next steps regarding your case.

  1. Obtain the form: Download or print the EDD Appeal form from the EDD website or use the version provided with your notice.
  2. Use black ink: Fill out the form using black ink to ensure clarity.
  3. Appellant Information: In Section I, provide your name, Social Security Number, and contact information. Indicate if a translator is needed and specify the language if applicable.
  4. Employer Details (if applicable): If you are an employer appealing, complete the employer-specific fields, including the Employer Account Number.
  5. Statement of Appeal: In Section II, clearly explain your reasons for appealing the decision. If you need more space, attach additional pages, making sure to include your name and Social Security Number on each page.
  6. Sign and Date: Sign the form in the designated area and include the date of your signature.
  7. Submit the Form: Mail the completed form to the EDD office address indicated on the notice you received. Ensure it is sent within the 30-day period to avoid dismissal.

After submission, keep track of your appeal's status and continue certifying for benefits while your appeal is being processed. Stay informed about deadlines and any additional information that may be requested by the EDD or the appeals board.

What You Should Know About This Form

What is the EDD Appeal form for?

The EDD Appeal form is used to contest decisions made by the Employment Development Department (EDD) regarding unemployment benefits or other related matters. If you receive a Notice of Determination that you disagree with, you can complete this form to explain your reasons for the appeal. This form must be submitted to the California Unemployment Insurance Appeals Board (CUIAB) within a specified timeframe.

How long do I have to file an appeal?

You have 30 days from the mail date of the Notice of Determination to file your appeal. It is important to act quickly. If you file after this period, you will need to include a reason for the delay. The administrative law judge (ALJ) will then determine if your reason is acceptable. Missing the deadline could result in your appeal being dismissed.

What should I include when filling out the form?

When completing the form, provide your personal details, including your name, Social Security number, and contact information. Explain clearly why you disagree with the EDD's decision in the designated section. If there is not enough space, you can attach additional pages but make sure to put your name and Social Security number on each of them. Your signature is also necessary for the form to be valid.

Do I need to continue to certify for benefits while my appeal is pending?

Yes, you must continue to certify for benefits even while your appeal is being reviewed. This is crucial because if you are found eligible for benefits, you can only be paid for the periods you have certified. Failing to certify could affect your chances of receiving benefits during the appeal process.

What if I am appealing as an employer?

Employers have the same time frame as claimants — they must file their appeal within 30 days of the Notice of Determination. If you're completing the form on behalf of a business, make sure to include the employer account number and any related agent information. The process is similar, so all instructions for filling out the form still apply.

What should I do if I need help filling out the form?

If you have questions or need assistance while completing the EDD Appeal form, don't hesitate to contact the EDD directly. They provide telephone support in various languages, such as English, Spanish, Cantonese, Mandarin, and Vietnamese. Reach out to the appropriate number for guidance in your preferred language to ensure all your questions are properly addressed.

Common mistakes

Filling out the EDD Appeal form can be a straightforward process if approached with care. However, many individuals make common mistakes that can jeopardize their appeals. One frequent error is failing to meet the submission deadline. Claimants have 30 days from the mail date of their notice to file an appeal. Missing this deadline without a valid reason can lead to dismissal.

Another mistake is not signing the appeal form. A signature is required from the appellant or an authorized representative. Without this, the EDD will consider the form incomplete, further delaying the appeal process. Additionally, some individuals neglect to provide a clear explanation in the appellant statement section. If the reasoning for the appeal is vague or unsubstantiated, the appeal may not be taken seriously.

A specific detail often overlooked is the importance of using black ink on the form. While this may seem trivial, different ink colors can affect the readability of the document. Incomplete contact information is another prevalent problem. Providing an inaccurate phone number or email address can hinder communication, leading to missed notifications regarding the appeal.

Moreover, some claimants forget to certify for benefits while their appeal is pending. It is crucial to continue this process to potentially receive payments for eligible periods. Attachments are an additional area where mistakes occur. Many fail to include extra pages when needed, or they forget to write their name and Social Security number on each additional page.

Lastly, overlooking the option for translation assistance can pose challenges for non-English speakers. Clearly indicating the need for a translator ensures that all parties involved understand the appeal process effectively. Addressing these common pitfalls can significantly improve the chances of a successful appeal outcome.

Documents used along the form

Filing an appeal with the EDD is a crucial step for anyone who disagrees with a decision made regarding their unemployment benefits. Along with the EDD Appeal form, there are several other documents that can help support your case. Understanding these forms can provide clarity and assist you in the appeals process.

  • Notice of Determination: This document explains the reasons for the EDD’s decision regarding your unemployment claim. It outlines the findings and provides essential details you may need to reference in your appeal.
  • Certification of Benefits: This form is used to confirm that you continue to meet the eligibility requirements for benefits while your appeal is pending. Make sure to submit this consistently to avoid interruptions in your benefits.
  • Power of Attorney (POA): If you choose to have someone represent you in your appeal, a POA form must be completed. This document authorizes your representative to act on your behalf in all matters related to your appeal.
  • Additional Evidence: If you have documents, such as pay stubs or unemployment records, that support your appeal, attach them. A well-documented case can significantly strengthen your position.
  • Request for Hearing: This form is essential if you want to have an in-person hearing regarding your appeal. Submitting this helps you officially state your desire for a hearing to discuss the decisions further.
  • Legal Representation Information: If you are being represented by a legal professional, including their information helps streamline communication. It ensures that all documents related to your appeal are sent to the correct representative.

Each of these forms plays a vital role in the appeals process. Gathering the necessary documentation ensures that your case is presented effectively. Stay organized and keep a copy of every document for your records. With the right preparation, you can navigate this process with confidence.

Similar forms

  • Notice of Determination: Similar to the EDD Appeal form, this document outlines the reasons for a decision made regarding unemployment benefits. It provides the necessary information for a claimant to understand what prompted the decision and what can be appealed.
  • Claimant Certification Form: This form is essential for maintaining eligibility for benefits while an appeal is pending. Like the EDD Appeal form, it requires information specific to the claimant and ensures that the appeal does not delay benefit claims.
  • Request for Hearing: This document formally initiates the process for a hearing before an appeals board. It shares the purpose of disputing a decision, similar to how the EDD Appeal form outlines why the decision should be contested.
  • Employer Appeal Form: This is tailored for employers who wish to dispute EDD determinations, mirroring the process for claimants. Both forms require details about the individual or entity appealing and the nature of the disagreement.
  • Written Statement of Appeal: Instructed to articulate disagreement with a determination, this document serves the same function as the statement section of the EDD Appeal form. It invites the appellant to present their case clearly and effectively.
  • Eligibility Review Form: This form requests a review of a claimant's eligibility for unemployment benefits similarly to how the EDD Appeal form seeks to challenge a decision affecting benefits.
  • Benefit Overpayment Notice: If a claimant receives a notice that they have been overpaid benefits, they may use a similar appeal process. The appeal form helps contest the decision regarding the overpayment, much like the EDD Appeal form challenges other determinations.
  • Request for Waiver of Overpayment Repayment: This document allows claimants to request a waiver for repaying overpaid benefits. Like the EDD Appeal form, it outlines the reasons for a disagreement with a determination regarding owed amounts.

Dos and Don'ts

When filling out the EDD Appeal form, you should keep several important points in mind. Here’s a straightforward list of dos and don’ts to guide you:

  • Do fill out the form completely and accurately.
  • Do use BLACK INK to fill in your information.
  • Do sign the form before sending it.
  • Do keep a copy of the completed form for your records.
  • Don't wait until the last minute to file your appeal.
  • Don't ignore the 30-day filing deadline.
  • Don't forget to include any additional pages if needed, and write your name and Social Security number on each.
  • Don't leave any required information blank; it may delay your appeal.

These steps will help ensure that your appeal process goes smoothly. Take your time and double-check everything before sending it off.

Misconceptions

Misconceptions about the EDD Appeal form can lead to confusion and mistakes. Here are six common misunderstandings clarified:

  1. Appeals must be filed immediately. Many believe they must submit their appeal right after receiving the notice. In reality, you have 30 days from the mail date of the notice to file the appeal.
  2. Filing late is impossible. Some claimants fear that filing after the 30-day period is not an option. However, you can appeal late if you explain the reason for the delay, and an administrative law judge will assess your explanation.
  3. Continuing to certify for benefits is unnecessary. It's a common belief that once an appeal is filed, certification for benefits ceases. In fact, you must continue to certify for benefits while your appeal is pending.
  4. Only claimants can appeal decisions. Some employers think they cannot appeal a ruling. In truth, both claimants and employers have the right to file an appeal using the same process outlined in the EDD Appeal form.
  5. Supporting documentation isn’t required. Some individuals assume they only need to fill out the form. However, it’s essential to provide details on why you disagree, and additional pages can be added if necessary.
  6. Help is not available for completing the form. Many feel overwhelmed by the process, believing assistance is unavailable. In fact, the EDD provides resources, including language assistance services, to support individuals during this process.

Understanding these points can make the appeal process smoother and more manageable. Take your time, follow the instructions carefully, and reach out for help if needed.

Key takeaways

When it comes to navigating the appeal process for unemployment claims, understanding certain important aspects can make a significant difference. Below are key takeaways regarding filling out and using the EDD Appeal form:

  • File Within the Deadline: You must submit your appeal within 30 days from the date on the notice you are appealing. Ensure you track this date meticulously.
  • Explanation for Delays: If you need to file your appeal after the 30-day deadline, include a valid reason for the delay. The Administrative Law Judge (ALJ) will assess if your reason qualifies as good cause.
  • Continuing Benefits during Appeal: While your appeal is pending, it is crucial that you continue to certify for benefits. If found eligible during this time, payments can only be made for the periods you certified.
  • Different Deadlines for Different Claimants: Claimants for Disaster Unemployment Assistance (DUA) have a longer window of 60 days to file their appeals, in contrast to standard claimants and employers who have 30 days.
  • Contacting the EDD: Ensure you have the right contact numbers at hand. The EDD provides different numbers based on language preferences, making it more accessible for non-English speakers.
  • Provide Accurate Information: Fill out your appeal form carefully. Ensure all sections are completed with accurate details, including your name, Social Security number, and contact information.
  • Signature Requirement: Don't forget to sign the form. An unsigned appeal will not be processed, delaying any potential benefits.
  • Utilizing Authorized Agents: If you're unable to fill out the form yourself, you can designate an authorized agent. Make sure that the agent's contact details are included and authorized in the document.

Following these guidelines can help streamline the appeal process and ensure that your rights are protected throughout this challenging time. Proper preparation and adherence to deadlines will enhance the chances of a successful outcome.