Form Cw 2201 PDF Details

At the heart of ensuring families in California have the support they need during times of unemployment, the State of California - Health and Human Services Agency and the California Department of Social Services have introduced the CW 2201 form. This form serves as an essential step for individuals seeking to receive benefits under the California Work Opportunity and Responsibility to Kids (CalWORKs) program. It mandates that applicants must first apply for Unemployment Insurance Benefits (UIB) before their eligibility for CalWORKs can be determined. The form lays out a straightforward process for applying for unemployment benefits, providing options to apply online, by telephone, or via mail, inclusive of a detailed list of the information required for the claim. Furthermore, the CW 2201 form lists critical contact information and requires the individual to report back to the county worker with proof of application to UIB, thereby creating a documented link between the initial application for unemployment benefits and the subsequent eligibility for further social services. This process underscores the government's commitment to a structured, methodical approach in providing financial aid to its residents, ensuring that those who are unemployed are given the necessary tools and guidance to apply for and receive support during challenging times.

QuestionAnswer
Form NameForm Cw 2201
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesunemployment application california pdf, unemployment insurance form pdf, edd claim form pdf, california unemployment mail in form

Form Preview Example

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

UNEMPLOYMENT INSURANCE BENEFITS REFERRAL FORM

CASE NAME:

CASE NO.:

DATE:

You Must Apply for Unemployment Insurance Benefits (UIB) before you are eligible for California Work Opportunity For Kids (CalWORKs).

The County of ____________________has determined that you may be eligible to receive UIB. Because of that, you are

required to contact the Employment Development Department (EDD) and apply for those benefits.

HOW TO FILE A UIB CLAIM

You may apply for UIB by one of the methods listed below:

File on-line at www.edd.ca.gov, or you may print the application, complete the form, and mail to EDD for processing. You may use a personal computer or one located at the local One Stop Career Center or County Resource Center.

File by telephone using one of the toll free numbers below:

English

1-800-300-5616

Mandarin

1-866-303-0706

Spanish

1-800-326-8937

Vietnamese

1-800-547-2058

Cantonese

1-800-547-3506

TTY (Non-Voice)

1-800-815-9387

When you file your claim,you will need the following information:

Your name, address, telephone number, birth date, and Social Security number (SSN).

Your last employer’s name, address, telephone number, and last date that you were employed.

The specific reason that you are no longer employed.

Your citizenship status, and if applicable, your alien registration number and date of expiration.

Your driver’s license number or state issued identification number.

Past records and dates employed, including the names, dates employed, and wages earned for all of your employers for the last 18 months, including employers in other states.

Once your claim is filed, you will receive your UIB award notice and other documents from EDD within 10 days. Send a copy of this form or EDD paperwork to your county office. Please contact your county worker at the phone number listed below if you cannot get UIB information from EDD or if you have any questions regarding this requirement.

ELIGIBILITY WORKER NAME

PHONE NUMBER

WORKER #

PLEASE COMPLETE AND RETURN THIS SECTION TO YOUR COUNTY WORKER EITHER IN PERSON OR BY MAIL. YOU CAN ASK FOR A COPY FOR YOUR RECORDS.

I applied for UIB on __________________________ by (check box below)

(DATE)

Telephone

On-line, my confirmation number is ________________________.

Mail

PRINTED NAME

YOUR SIGNATURE

DATE

CW 2201 (6/09) RECOMMENDED

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Completing section 1 in unemployment claim form pdf

2. Given that this segment is done, it is time to insert the essential details in ELIGIBILITY WORKER NAME, PHONE NUMBER, WORKER, PLEASE COMPLETE AND RETURN THIS, I applied for UIB on by check box, DATE, Telephone Online my confirmation, PRINTED NAME, YOUR SIGNATURE, DATE, and CW RECOMMENDED in order to go to the next part.

unemployment claim form pdf completion process explained (part 2)

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