Sample Form DE429Z "Notice of Unemployment Insurance Award" - California

What Is Form DE429Z?

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 September 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 DE429Z by clicking the link below or browse more documents and templates provided by the California Employment Development Department.

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Download Sample Form DE429Z "Notice of Unemployment Insurance Award" - California

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EDD Call Center
PO Box
City, CA ZIP Code
Mail Date: 00/00/0000
SSN: 000-00-0000
EDD Phone 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
1-866-303-0706
Mandarin
Vietnamese
1-800-547-2058
TTY (nonvoice)
1-800-815-9387
website:
www.edd.ca.gov
NOTICE OF UNEMPLOYMENT INSURANCE AWARD
00/00/0000
00/00/0000
1.
Claim Beginning Date:
2. Claim Ending Date:
4. Weekly Benefit Amount:
3.
Maximum Benefit Amount:
$0000
$000
00,000.00
0,000.00
5.
Total Wages:
6. Highest Quarter Earnings:
7.
This item does not apply to your claim. For more information, see item 7 on the reverse.
You must look for full time work each week. For more information, refer to the handbook,
A Guide to Benefits
8.
, DE 1275A, available online at www.edd.ca.gov/forms/.
and Employment Services
9.
This item does not apply to your claim.
This Claim Award is calculated based on the (Standard or Alternate) Base Period.
10.
11. Employee Name: 12. Employee Wages for the Quarter Ending:
13. Employer Name:
Month/Year
Month/Year
Month/Year
Month/Year
Claimant's Name
0,000
0,000
0,000
0,000
ABC CO
0,000
0,000
0,000
0,000
14. TOTALS:
Important Information On Next Page
CU
DE 429Z Rev. 9 (9-15) (INTERNET)
Page 1 of 2
EDD Call Center
PO Box
City, CA ZIP Code
Mail Date: 00/00/0000
SSN: 000-00-0000
EDD Phone 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
1-866-303-0706
Mandarin
Vietnamese
1-800-547-2058
TTY (nonvoice)
1-800-815-9387
website:
www.edd.ca.gov
NOTICE OF UNEMPLOYMENT INSURANCE AWARD
00/00/0000
00/00/0000
1.
Claim Beginning Date:
2. Claim Ending Date:
4. Weekly Benefit Amount:
3.
Maximum Benefit Amount:
$0000
$000
00,000.00
0,000.00
5.
Total Wages:
6. Highest Quarter Earnings:
7.
This item does not apply to your claim. For more information, see item 7 on the reverse.
You must look for full time work each week. For more information, refer to the handbook,
A Guide to Benefits
8.
, DE 1275A, available online at www.edd.ca.gov/forms/.
and Employment Services
9.
This item does not apply to your claim.
This Claim Award is calculated based on the (Standard or Alternate) Base Period.
10.
11. Employee Name: 12. Employee Wages for the Quarter Ending:
13. Employer Name:
Month/Year
Month/Year
Month/Year
Month/Year
Claimant's Name
0,000
0,000
0,000
0,000
ABC CO
0,000
0,000
0,000
0,000
14. TOTALS:
Important Information On Next Page
CU
DE 429Z Rev. 9 (9-15) (INTERNET)
Page 1 of 2
THE FOLLOWING IS ADDITIONAL INFORMATION REGARDING THE ITEMS
ON THE
REVERSE
OF
THIS
PAGE
1.
Claim Beginning Date: The date your claim begins.
2.
Claim Ending Date: The date your claim ends.
3.
Maximum Benefit Amount: The total amount of money you can
receive
from this claim.
4.
Weekly Benefit Amount: The maximum amount you can be paid each
week,
if you meet the weekly eligibility requirements.
5.
Total
Wages: The
total
amount of earnings reported by
the
employer(s) during
the
quarters listed on the reverse page in item 12.
These earnings were used to compute your maximum benefit amount.
6.
Highest
Quarter Earnings: The calendar
quarter
listed on the reverse page
in
item 12 with the highest amount of earnings. These
earnings determine your weekly benefit amount.
7.
The
award
listed
on the
reverse
page
in
item
7
is your award without
the
wages earned
from
a public or nonprofit school.
If
you
worked for a public or nonprofit school during any of the quarters
listed
on the
reverse
page
in
item
12,
you may not be able to use
those wages in your claim during a school recess period.
8.
You must follow the
instructions
on the
reverse
page in item 8 to be eligible for benefits. By
law
you must make all reasonable
efforts
to find work when claiming benefits.
9.
The Unemployment Insurance Code
(Section
1277)
requires
that
you work between the beginning and
the
ending dates of a prior
claim to
have
a valid claim the next year.
If
this applies to your claim you will
receive
additional instructions.
10.
The
type of base period
used
to establish your claim; it will be either the Standard Base Period or the Alternate Base Period.
If
you
do not
have
sufficient wages
in
the Standard Base Period
to
establish a valid
claim,
you may be eligible to use
the
Alternate Base
Period.
For more
information,
review the
handbook,
A GUIDE
TO BENEFITS AND EMPLOYMENT
SERVICES,
DE 1275A, available
at www.edd.ca.gov/forms/.
11.
Employee's
Name:
The
name
used
by your
employer(s)
to
report
your earnings
to
the
Employment
Development Department (EDD)
during
each
calendar quarter listed on the
reverse
page in
item 11.
12.
Employee's Wages for
the
Calendar Quarter Ending: These are the potentially usable wages for unemployment
insurance
purposes
that
your employer(s) reported you earned during each calendar quarter
listed.
These
earnings determine the amount of your
Unemployment Insurance (UI) award.
13.
Employer
Name:
The name(s) of the
employer(s)
you worked
for
during the calendar quarters
listed
on
the
reverse page on item 13.
14. Totals: The
total
amount of earnings
reported
by all employer(s) in each calendar quarter listed on
the
reverse page in item
12.
YOUR CLAIM
IS INVALID IF:
a.
Your earnings were not
enough
to meet
the
minimum requirements.
b.
You had a prior UI claim and did not meet the requirements for working and earning wages necessary to
have
a later valid claim.
IMPORTANT:
Check
this notice
carefully
to
make sure
that
all employers you worked for in the calendar quarters
shown,
(on
the
reverse
page in
item
12)
are listed and that the wages you earned are shown. If an employer
is
listed
and
you did
not
work for them, or if an employer is
not
listed,
or your wages are
incorrect,
contact an EDD office
immediately
to protest the accuracy of the computation. You
may
be
subject
to
disqualifications,
overpayments, and/or
criminal
penalties
for failure
to
notify the
EDD
immediately of any inaccurate
employment and
wage
information displayed
in
item
12.
Notice of Amended
If you worked
for
a
federal
agency your wages must be
requested
from
that
federal agency. You will
receive a
Unemployment Insurance Award with these wages added.
If
this
notice or amended notice is incorrect and you
want
to protest
the
accuracy of the computation or recomputation, you must contact
the EDD within 30 days after
the mail
date of
the
notice or amended
notice. Otherwise,
a wage investigation or recomputation of wages
may be
denied.
The 30-day period
may
be extended
for
good
cause.
If
you need to contact
the
EDD,
you will need to
provide
your full
name,
address, and Social Security number and, if
necessary,
any wage and
employment information
you would like to add to your
claim, or to remove any
employers for
whom you did not work and
earn
wages.
YOU
ARE RESPONSIBLE FOR
KNOWING
THE
CONTENT OF THE UNEMPLOYMENT INSURANCE BENEFITS: WHAT YOU NEED
TO KNOW, DE 1275B, AND THE CONTENT OF THE
HANDBOOK,
A
GUIDE
TO BENEFITS AND EMPLOYMENT
SERVICES,
DE
1275A. BOTH PUBLICATIONS
EXPLAIN
YOUR UNEMPLOYMENT
RIGHTS AND RESPONSIBILITIES AND ARE AVAILABLE AT
WWW.EDD.CA.GOV/FORMS/.
TO RECEIVE Ul
BENEFITS,
YOU
MUST
CERTIFY
FOR BENEFITS USING
ONE OF
THE FOLLOWING
METHODS: UI ONLINE
SM
,
CONTINUED CLAIM
FORM
EDD TELE-CERT
SM
, OR SUBMIT
A PAPER
, DE 4581. FOR
MORE
INFORMATION ON
CERTIFYING
FOR
BENEFITS,
REFER
TO
THE
DE
1275A
HANDBOOK WHICH IS AVAILABLE ONLINE AT WWW.EDD.CA.GOV/FORMS/.
HOW TO CANCEL A UI CLAIM
You have an option of cancelling a regular California UI claim after you have been mailed your Unemployment Insurance Award
notice. If you want to cancel your claim, you need to contact the EDD right away. Do not certify for UI benefits using UI Online
SM
,
EDD Tele-Cert
, or by submitting a paper Continued Claim Form, DE 4581. The law only allows you to cancel a UI claim if no benefits
SM
have been paid, no notice of disqualification has been mailed to you, no overpayment has been established on the claim, and the
benefit year of your claim has not ended. If the claim is cancelled, it cannot be reopened. You must file a claim with a later date.
DE 429Z Rev.9 (9-15) (INTERNET)
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