Section 21224 is the Retired Annuitant (RA) return to work prohibition for a CalPERS employer if UI benefits collected within the last 12 months.
Authorization: it shall remain in effect for 12 months from the date signed.
Consent: failure to sign this consent does not preclude the appointing entity authority from obtaining this information from the EDD after you are hired.
Return envelope: the appointing entity must include a stamped self-addressed return envelope with each request.
| Question | Answer |
|---|---|
| Form Name | DE 1181 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 9 |
| Avg. time to fill out | 2 min |
| Edition | 7-21 |
| Where to send | Employment Development Department, Orange County Primary Call Center, P.O. Box 5007, Buena Park, CA 90622 |
| Who signs | The retired annuitant |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | DE 1181, DE1181, DE 1181 form, Form 1181, Authorization for Release of Unemployment Insurance Records for Retired Annuitant |
| Official source | DE 1181 (Rev 7-21), |
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