Edd affidavit form 2025

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Work dates and earnings: Specify the exact dates you worked for each employer and the gross wages or income you earned during those periods. Include any tips, commissions, bonuses, or other forms of compensation received. Remember to report your income before any deductions or taxes.
Employers have 10 days to respond to the EDDs request for wages. In addition, the EDD will mail the unemployed individual an Affidavit of Wages (DE 23A) to request the wage information from the unemployed individual.
An affidavit of employment is a sworn statement confirming that an individual was or is currently working for a specific employer. The document contains information on the employee, the employer, the length of employment, and the employees position and duties.
Employment and Wages Verification A paystub, payment statement, or tax form from last year that shows: A date within the 12 months before your claim. Your first name (or initial) and last name.
To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader. To search and order brochures and forms from the EDD, visit Online Forms and Publications. All are available at no cost, whether you download or order for delivery by mail.
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Notice of Unemployment Insurance Award (DE 429Z) (PDF) This tells you your weekly benefit amount and the maximum benefit amount for your claim, based on what your employers reported. If you notice any mistakes, contact us within 30 days of the Mail Date.
When it is necessary for the EDD to obtain wages from an employer, a Request for Wages (DE 1919) will be mailed to the employer. Employers will be asked to provide specific wage information related to specific quarters and to respond ing to the instructions provided on the form.

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