Sample Form DE1080CZ "Notice of Determination/Ruling" - California

What Is Form DE1080CZ?

This is a legal form that was released by the California Employment Development Department - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the California Employment Development Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DE1080CZ by clicking the link below or browse more documents and templates provided by the California Employment Development Department.

ADVERTISEMENT
ADVERTISEMENT

Download Sample Form DE1080CZ "Notice of Determination/Ruling" - California

443 times
Rate (4.4 / 5) 24 votes
EDD OFFICE NAME
P.O. BOX
CITY
CA ZIP CODE
N O T I C E
O F
D E T E R M I N A T I O N / R U L I N G
DATE MAILED 00 / 00 / 00
BENEFIT YEAR BEGAN 00 / 00 / 00
EDD TELEPHONE NUMBERS:
ENGLISH
1-800-300-5616
CLAIMANT’S NAME
SPANISH
1-800-326-8937
CLAIMANT’S ADDRESS
CANTONESE
1-800-547-3506
CITY
CA ZIP CODE
MANDARIN
1-866-303-0706
VIETNAMESE
1-800-547-2058
TTY
1-800-815-9387
SSA NUMBER 000-00-0000
YOU ARE NOT ELIGIBLE TO RECEIVE BENEFITS UNDER CALIFORNIA UNEMPLOYMENT INSURANCE CODE
SECTION 1256 BEGINNING 00 / 00 / 00 AND CONTINUING UNTIL YOU RETURN TO WORK AFTER THE
DISQUALIFYING ACT AND EARN $0.00 OR MORE IN BONA FIDE EMPLOYMENT, AND YOU CONTACT THE
ABOVE OFFICE TO REOPEN YOUR CLAIM.
YOU QUIT YOUR LAST JOB WITH (EMPLOYER NAME). YOU HAVE NOT SHOWN THAT THE QUIT WAS
NECESSARY OR THAT YOU HAD EXPLORED ALL REASONABLE OPTIONS BEFORE QUITTING. AFTER
CONSIDERING AVAILABLE INFORMATION, THE DEPARTMENT FINDS THAT YOU DO NOT MEET THE
LEGAL REQUIREMENTS FOR PAYMENT OF BENEFITS. SECTION 1256 PROVIDES – AN INDIVIDUAL IS
DISQUALIFIED IF THE DEPARTMENT FINDS HE VOLUNTARILY QUIT HIS MOST RECENT WORK
WITHOUT GOOD CAUSE OR WAS DISCHARGED FOR MISCONDUCT FROM HIS MOST RECENT WORK.
SECTION 1260A PROVIDES – AN INDIVIDUAL DISQUALIFIED UNDER SECTION 1256 IS DISQUALIFIED
UNTIL HE/SHE, SUBSEQUENT TO THE DISQUALIFYING ACT, PERFORMS SERVICES IN BONA FIDE
EMPLOYMENT FOR WHICH HE/SHE RECEIVES REMUNERATION EQUAL TO OR IN EXCESS OF FIVE
TIMES HIS OR HER WEEKLY BENEFIT AMOUNT.
APPEAL:
YOU HAVE THE RIGHT TO FILE AN APPEAL IF YOU DO NOT AGREE WITH ALL OR PART OF THIS
DECISION.
TO APPEAL, YOU MUST DO ALL OF THE FOLLOWING:
A.
COMPLETE THE ENCLOSED APPEAL FORM (DE 1000M) OR WRITE A LETTER STATING THAT
YOU WANT TO APPEAL THIS DECISION. IF YOU WRITE A LETTER TO APPEAL, EXPLAIN THE
REASON WHY YOU DO NOT AGREE WITH THE DEPARTMENT’S DECISION. WRITE YOUR
SOCIAL SECURITY NUMBER ON EACH DOCUMENT YOU SUBMIT TO THE DEPARTMENT.
(TITLE 22, CALIFORNIA CODE OF REGULATIONS (CCR), SECTION 5008).
B.
MAIL THE DE 1000M OR YOUR LETTER TO THE ADDRESS OF THE OFFICE LISTED ON THE
FIRST PAGE OF THIS DECISION.
C.
FILE YOUR APPEAL WITHIN THIRTY (30) DAYS OF THE MAIL DATE OF THIS NOTICE OR NO
LATER THAN 00 / 00 / 00.
THE HANDBOOK, “A GUIDE TO BENEFITS AND EMPLOYMENT SERVICES,” GIVES MORE
INFORMATION ABOUT APPEALS. IF YOU DO NOT HAVE A HANDBOOK, CONTACT THE OFFICE
LISTED ON THE FIRST PAGE OF THIS NOTICE.
DE1080CZ Rev. 2 (3-15) (INTERNET)
Page 1 of 2
CU
EDD OFFICE NAME
P.O. BOX
CITY
CA ZIP CODE
N O T I C E
O F
D E T E R M I N A T I O N / R U L I N G
DATE MAILED 00 / 00 / 00
BENEFIT YEAR BEGAN 00 / 00 / 00
EDD TELEPHONE NUMBERS:
ENGLISH
1-800-300-5616
CLAIMANT’S NAME
SPANISH
1-800-326-8937
CLAIMANT’S ADDRESS
CANTONESE
1-800-547-3506
CITY
CA ZIP CODE
MANDARIN
1-866-303-0706
VIETNAMESE
1-800-547-2058
TTY
1-800-815-9387
SSA NUMBER 000-00-0000
YOU ARE NOT ELIGIBLE TO RECEIVE BENEFITS UNDER CALIFORNIA UNEMPLOYMENT INSURANCE CODE
SECTION 1256 BEGINNING 00 / 00 / 00 AND CONTINUING UNTIL YOU RETURN TO WORK AFTER THE
DISQUALIFYING ACT AND EARN $0.00 OR MORE IN BONA FIDE EMPLOYMENT, AND YOU CONTACT THE
ABOVE OFFICE TO REOPEN YOUR CLAIM.
YOU QUIT YOUR LAST JOB WITH (EMPLOYER NAME). YOU HAVE NOT SHOWN THAT THE QUIT WAS
NECESSARY OR THAT YOU HAD EXPLORED ALL REASONABLE OPTIONS BEFORE QUITTING. AFTER
CONSIDERING AVAILABLE INFORMATION, THE DEPARTMENT FINDS THAT YOU DO NOT MEET THE
LEGAL REQUIREMENTS FOR PAYMENT OF BENEFITS. SECTION 1256 PROVIDES – AN INDIVIDUAL IS
DISQUALIFIED IF THE DEPARTMENT FINDS HE VOLUNTARILY QUIT HIS MOST RECENT WORK
WITHOUT GOOD CAUSE OR WAS DISCHARGED FOR MISCONDUCT FROM HIS MOST RECENT WORK.
SECTION 1260A PROVIDES – AN INDIVIDUAL DISQUALIFIED UNDER SECTION 1256 IS DISQUALIFIED
UNTIL HE/SHE, SUBSEQUENT TO THE DISQUALIFYING ACT, PERFORMS SERVICES IN BONA FIDE
EMPLOYMENT FOR WHICH HE/SHE RECEIVES REMUNERATION EQUAL TO OR IN EXCESS OF FIVE
TIMES HIS OR HER WEEKLY BENEFIT AMOUNT.
APPEAL:
YOU HAVE THE RIGHT TO FILE AN APPEAL IF YOU DO NOT AGREE WITH ALL OR PART OF THIS
DECISION.
TO APPEAL, YOU MUST DO ALL OF THE FOLLOWING:
A.
COMPLETE THE ENCLOSED APPEAL FORM (DE 1000M) OR WRITE A LETTER STATING THAT
YOU WANT TO APPEAL THIS DECISION. IF YOU WRITE A LETTER TO APPEAL, EXPLAIN THE
REASON WHY YOU DO NOT AGREE WITH THE DEPARTMENT’S DECISION. WRITE YOUR
SOCIAL SECURITY NUMBER ON EACH DOCUMENT YOU SUBMIT TO THE DEPARTMENT.
(TITLE 22, CALIFORNIA CODE OF REGULATIONS (CCR), SECTION 5008).
B.
MAIL THE DE 1000M OR YOUR LETTER TO THE ADDRESS OF THE OFFICE LISTED ON THE
FIRST PAGE OF THIS DECISION.
C.
FILE YOUR APPEAL WITHIN THIRTY (30) DAYS OF THE MAIL DATE OF THIS NOTICE OR NO
LATER THAN 00 / 00 / 00.
THE HANDBOOK, “A GUIDE TO BENEFITS AND EMPLOYMENT SERVICES,” GIVES MORE
INFORMATION ABOUT APPEALS. IF YOU DO NOT HAVE A HANDBOOK, CONTACT THE OFFICE
LISTED ON THE FIRST PAGE OF THIS NOTICE.
DE1080CZ Rev. 2 (3-15) (INTERNET)
Page 1 of 2
CU
APPEAL INFORMATION:
WHEN YOUR APPEAL IS RECEIVED, YOUR CASE WILL BE REVIEWED. IF THE DECISION REMAINS
THE SAME, WE WILL SEND YOUR APPEAL TO THE OFFICE OF APPEALS. IF YOU APPEAL AFTER THE
30 DAYS, YOU MUST INCLUDE THE REASON FOR THE DELAY. THE ADMINISTRATIVE LAW JUDGE
WILL DETERMINE WHETHER YOU HAD GOOD CAUSE FOR THE DELAY. IF THE ADMINISTRATIVE LAW
JUDGE DETERMINES YOU DID NOT HAVE GOOD CAUSE FOR SUBMITTING YOUR APPEAL LATE,
YOUR APPEAL WILL BE DISMISSED.
THE OFFICE OF APPEALS WILL SEND YOU A LETTER WITH THE DATE, PLACE, AND TIME OF YOUR
HEARING AND A PAMPHLET EXPLAINING APPEAL HEARING PROCEDURES. AT THE HEARING, THE
ADMINISTRATIVE LAW JUDGE WILL LISTEN TO YOU, EXAMINE THE FACTS, AND MAKE A DECISION.
YOU MAY HAVE A REPRESENTATIVE OR SOMEONE ELSE HELP YOU.
IF YOU ARE CLAIMING CONTINUING BENEFITS:
WHILE YOU WAIT FOR THE ADMINISTRATIVE LAW JUDGE’S DECISION, YOU MUST CONTINUE TO
MAIL YOUR CLAIM FORMS TO THE EDD. IF YOU DO NOT RECEIVE CLAIM FORMS OR A FORM FROM
THE OFFICE OF APPEALS, CONTACT THE OFFICE LISTED ON THE FIRST PAGE OF THIS NOTICE. IF
THE ADMINISTRATIVE LAW JUDGE DECIDES YOU ARE ELIGIBLE FOR BENEFITS; WE CAN ONLY PAY
BENEFITS IF CLAIM FORMS WERE RECEIVED FOR THAT WEEK.
OTHER SERVICES: CONTACT EDD FOR INFORMATION ABOUT (1) JOB REFERRALS, (2) DISABILITY
INSURANCE, (3) OTHER EDD SERVICES (4) SERVICES OFFERED BY OTHER AGENCIES.
DE1080CZ Rev. 2 (3-15) (INTERNET)
Page 2 of 2
CU
Page of 2