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Click ‘Get Form’ to open the EDD notice in the editor.
Begin by reviewing the claimant's information at the top of the form, including their name, Social Security Number, and effective date of claim. Ensure accuracy as this information is crucial for processing.
In Section A, report any relevant facts regarding the claimant’s employment status. This includes reasons for separation such as voluntary quit or discharge. Use clear and concise language to provide complete details.
Complete Section B if there are any other compensations paid to the claimant after the effective date of the claim. Specify the type of payment and amount clearly.
In Section C, certify your responses by providing your contact information and signing where indicated. This ensures that your submission is valid and can be followed up if necessary.
Finally, review all sections for completeness before submitting your response to the designated EDD office address provided on the form.
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