De 2063 Form PDF Details

At the crossroads of the workplace and the state's unemployment system stands the DE 2063 form, a critical document for both employers and employees navigating the complexities of reduced earnings. This form serves a dual purpose: it notifies the Employment Development Department (EDD) of a worker's partial unemployment status and lays the groundwork for potentially qualifying for unemployment benefits. Tailored specifically for instances when an employee's work hours are cut due to economic downturns or seasonal adjustments, the DE 2063 form must be issued for the seven-consecutive-day period aligning with the employer's payroll week. It demands detailed information, ranging from gross earnings before deductions to reasons behind the reduction of work hours, be it a layoff, discharge, or voluntary quit. Employers are also required to verify whether the employee was available for all work offered during this period and to document the last day the employee performed work. This careful documentation is essential not only for the immediate benefit of the affected employee but also for maintaining accurate records should any discrepancies arise concerning the claim. Completing the DE 2063 is therefore not just a bureaucratic task but a vital step in ensuring that workers who find themselves earning less through no fault of their own can receive the support they need to navigate periods of financial instability.

QuestionAnswer
Form NameDe 2063 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnotice of reduced earnings de 2063 online, de2063 notice of reduced earnings, notice of reduced earnings de 2063, pma 2063

Form Preview Example

NOTICE OF REDUCED EARNINGS

LAST NAME

FIRST NAME

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

NOTE: Issue a DE 2063 only for the seven-consecutive-day period corresponding to your payroll week. If you pay your workers less often than once each seven days, you must issue a DE 2063 for each calendar week (Sunday through Saturday) of partial unemployment.

PLEASE ANSWER ALL OF THE FOLLOWING QUESTIONS.

EMPLOYER’S STATEMENT FOR THE PAYROLL WEEKENDING DATE:

 

(MM/DD/YY)

EDD USE ONLY Interviewer’s Initial

AC

_________________

1.

Gross earnings (before deductions) were (if there were no earnings, enter Ø)

 $

 

 

2.

...............................................................Did this employee report for all work that was available during this payroll week?

Yes

No

(a)If the answer is “NO” give date(s)

(b)REASON:

3.Why is this employee not working full-time? (Check one)

Lay off due to lack of work (includes reduction in hours)

Discharged

Voluntary Quit

4.Enter the LAST date this employee performed any work in your employment either on or prior to the payroll weekending date shown above:

(MM/DD/YY)

EMPLOYER CERTIFICATION: I CERTIFY that the amount in Item 1 represents reduced earnings in a week of less than full-time work because of lack of work except as shown in Item 2.

ENTER

 

( )

 

YOUR

 

 

 

 

 

 

 

 

 

 

 

 

 

Company Name

 

Phone Number

 

 

 

 

 

 

 

 

Address

City

Zip Code

 

 

 

X

 

 

 

 

 

 

 

Employer Signature

 

 

 

Employer Account Number

DATE ISSUED TO EMPLOYEE:

 

(MM/DD/YY)

 

 

 

 

ISSUE THIS FORM IMMEDIATELY AFTER PAYROLL WEEKENDING DATE SHOWN ABOVE

CLAIMANT:

You must complete this section. These questions and your answers are for the payroll weekending date(s) shown on the top of this form.

A.Was there any reason other than lack of work why you couldn’t have worked full-time each regular workday that week?  Yes No

(1)If yes, give reason, dates and time you could not work:

B. Did you work for anyone other than your regular employer on any day in that week? (This includes self-employment.)

(1)

What is the employer’s name?

 

 

 

 

Address:

 

 

 

 

 

 

(2)

How much did you earn before deductions from that employer whether you were paid or not?

 $

(3)

Dates worked

 

to

 

. Reason no longer working:

 

 

Yes

No

C. Are you receiving a pension, OTHER than Social Security?

(1)

If yes, has there been a change in the amount since you last reported it?

(2)

If there has been a change, enter the NEW gross amount

 $

 

Explain the reason for the change:

 

 

Yes Yes

No No

D. Did you have a change of address or telephone number in that week?

(1)If yes, please provide the information in the space below.

E. If you want federal income tax withheld for that week, mark this block

Yes

No

CLAIMANT CERTIFICATION: I understand the questions on this form. I know the law provides penalties if I make false statements or withhold facts to receive benefits; my answers are true and correct. I declare under penalty of perjury that I am a U.S. citizen or national, or a non-citizen in satisfactory immigration status and permitted to work by the U.S. Citizenship and Immigration Services.

X

 

(

 

)

 

 

 

Your Signature is Required

 

Telephone Number

 

 

 

 

 

 

 

 

Address

City

 

 

 

 

 

Zip Code

NOTE: THIS CLAIM IS TIMELY ONLY BY CONTACTING THE EMPLOYMENT DEVELOPMENT DEPARTMENT WITHIN 28 DAYS AFTER ISSUED TO YOU. EXCEPTION: IF YOU KNOW THAT YOU WILL BE TOTALLY UNEMPLOYED IN EXCESS OF TWO CONSECUTIVE WEEKS, CONTACT EDD IMMEDIATELY.

- Versión en español en el dorso -

DE 2063 Rev. 26 (8-10) (INTERNET)

Page 1 of 2

CU

NOTICE OF REDUCED EARNINGS

LAST NAME

FIRST NAME

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

NOTE: Issue a DE 2063 only for the seven-consecutive-day period corresponding to your payroll week. If you pay your workers less often than once each seven days, you must issue a DE 2063 for each calendar week (Sunday through Saturday) of partial unemployment.

PLEASE ANSWER ALL OF THE FOLLOWING QUESTIONS.

EMPLOYER’S STATEMENT FOR THE PAYROLL WEEKENDING DATE:

 

(MM/DD/YY)

EDD USE ONLY Interviewer’s Initial

AC

_________________

1.

Gross earnings (before deductions) were (if there were no earnings, enter Ø)

 $

2.

Did this employee report for all work that was available during this payroll week?

(a)If the answer is “NO” give date(s)

(b)REASON:

3.Why is this employee not working full-time? (Check one)

Lay off due to lack of work (includes reduction in hours)

Discharged

Voluntary Quit

Yes

No

4.Enter the LAST date this employee performed any work in your employment either on or prior to the payroll weekending date shown above:

(MM/DD/YY)

EMPLOYER CERTIFICATION: I CERTIFY that the amount in Item 1 represents reduced earnings in a week of less than full-time work because of lack of work except as shown in Item 2.

ENTER

 

( )

 

YOUR

 

 

 

 

 

 

 

 

 

 

 

 

 

Company Name

 

Phone Number

 

 

 

 

 

 

 

 

Address

City

Zip Code

 

 

 

X

 

 

 

 

 

 

 

Employer Signature

 

 

 

Employer Account Number

DATE ISSUED TO EMPLOYEE:

 

(MM/DD/YY)

 

 

 

 

ISSUE THIS FORM IMMEDIATELY AFTER PAYROLL WEEKENDING DATE SHOWN ABOVE

SOLICITANTE:

Usted deberá completar esta sección. Estas preguntas y sus respuestas son para la semana de pago que termina en la fecha indicada en este formulario.

A.¿Había otra razón, además de la falta de trabajo, por la cual Ud. no podría haber trabajado horario completo

cada día normal de trabajo en esa semana?

Sí

(1)Si contesta que “sí,” proporcione la razón, las fechas y las horas en que no podía trabajar B. ¿Trabajó Ud. para alguien que no es su empleador normal, cualquier día de esa semana?

(Esto incluye trabajos independientes o en su propio negocio)

Sí

(1) ¿Cual es el nombre de ese empleador?

 

 

 

Dirección:

 

 

 

(2)

¿Cuánto ganó, Ud. antes de deducciones, con ese empleador, aunque todavía no le haya pagado?

 $

(3)

Fechas en que Ud. trabajó: del

 

al

 

. Razón porque Ud. no siguió trabajando

 

 

 

 

 

 

 

 

 

 

No

No

C. ¿Está Ud. recibiendo una pensión que no sea del Seguro Social?

(1)

Si contesta que “si,” ¿ha habido un cambio en la cantidad que Ud. recibe desde la última vez que la reportó?

(2)

Si la cantidad ha cambiado, favor de escribir la nueva cantidad bruta.

 $

 

Explique la razón por el cambio:

 

 

Sí

Sí

No No

D. ¿Cambió Ud. de domicilio o de número de teléfono en esa semana?

Sí

No

(1)Si contesta “sí”, favor de proporcionar la información en el espacio a continuación.

E. Si usted desea que se retengan impuestos federales por ésa semana, marque esta casilla

CERTIFICACIÓN DEL SOLICITANTE: Entiendo las preguntas que contiene este formulario. Se que la ley establece sanciones si hago declaraciones falsas o retengo información para recibir beneficios. Mis respuestas son verdaderas y correctas. Declaro bajo pena de perjurio que soy ciudadano o nacional de los Estados Unidos, o soy un(a) extranjero(a) con situación migratoria satisfactoria y con permiso del Servicio de Ciudadanía e Inmigración de los Estados Unidos para trabajar.

X

(

)

 

Se Requiere su Firma

 

Número de Teléfono

 

 

 

 

 

 

 

 

Dirección

Ciudad

 

 

 

 

 

Código Postal

NOTA: ESTA SOLICITUD DE BENEFICIOS SERÁ CONSIDERADA A TIEMPO SOLAMENTE CUANDO USTED SE COMUNICA CON EL DEPARTAMENTO DEL DESARROLLO DEL EMPLEO DENTRO DE 28 DÍAS DESPUÉS DE LA FECHA EN QUE SE LE EMITIÓ A USTED. EXCEPCIÓN: SI UD. TIENE CONOCIMIENTO QUE ESTARÁ TOTALMENTE DESEMPLEADO(A) POR MÁS DE DOS SEMANAS CONSECUTIVAS, COMUNÍQUESE INMEDIATAMENTE EL EDD.

 

- English version on other side -

 

DE 2063 Rev. 26 (8-10) (INTERNET)

Page 2 of 2

CU/MIC 38

How to Edit De 2063 Form Online for Free

Our PDF editor that you're going to make use of was created by our top developers. You can complete the de 2063 form instantly and effortlessly with our application. Just adhere to this specific guide to start out.

Step 1: Choose the button "Get Form Here" on this site and hit it.

Step 2: Now you can modify your de 2063. You may use the multifunctional toolbar to insert, delete, and modify the text of the document.

Fill out the next segments to create the file:

part 1 to filling in pma 2063

You have to fill out the CLAIMANT You must complete this, Yes, If yes give reason dates and time, B Did you work for anyone other, Yes, What is the employers name, Address, How much did you earn before, Reason no longer working, C Are you receiving a pension, Yes If yes has there been a, No No, D Did you have a change of address, Yes, and If yes please provide the box with the essential information.

Completing pma 2063 part 2

In the section dealing with LAST NAME, NOTICE OF REDUCED EARNINGS FIRST, SOCIAL SECURITY NUMBER, NOTE Issue a DE only for the, your workers less often than once, EDD USE ONLY Interviewers Initial, EMPLOYERS STATEMENT FOR THE, MMDDYY, Did this employee report for all, Yes, If the answer is NO give dates, a b REASON, Why is this employee not working, Discharged, and Voluntary Quit, it's important to type in some significant particulars.

pma 2063 LAST NAME, NOTICE OF REDUCED EARNINGS FIRST, SOCIAL SECURITY NUMBER, NOTE Issue a DE only for the, your workers less often than once, EDD USE ONLY Interviewers Initial, EMPLOYERS STATEMENT FOR THE, MMDDYY, Did this employee report for all, Yes, If the answer is NO give dates, a b REASON, Why is this employee not working, Discharged, and Voluntary Quit fields to fill

Please make sure to list the rights and obligations of the sides in the A Había otra razón además de la, cada día normal de trabajo en esa, B Trabajó Ud para alguien que no, Esto incluye trabajos, Dirección, Cuánto ganó Ud antes de, Razón porque Ud no siguió, C Está Ud recibiendo una pensión, Si contesta que si ha habido un, Explique la razón por el cambio, D Cambió Ud de domicilio o de, Si contesta sí favor de, E Si usted desea que se retengan, CERTIFICACIÓN DEL SOLICITANTE, and X Se Requiere su Firma space.

stage 4 to entering details in pma 2063

Step 3: Choose the "Done" button. So now, it is possible to export the PDF file - download it to your electronic device or forward it by using email.

Step 4: Be certain to prevent future complications by creating as much as two copies of your form.

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