Edd Ca Gov Eapply4Ui Application Details

The unemployment application form is a document that is used to apply for unemployment benefits. The form can be found on the website of the department of labor, and it must be completed in order to receive benefits. The form asks for a variety of information, including your name, address, Social Security number, and employment history. It's important to complete the form accurately and honestly in order to ensure that you receive the benefits you deserve.

We have collected some useful details about the unemployment application form. Before you complete the form, it is usually worth checking out more details on it.

QuestionAnswer
Form NameUnemployment Application Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
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Form Preview Example

eApply4UI - Application for Unemployment Insurance

https://eapply4ui.edd.ca.gov/eApply4UI.aspx

Is the location or physical address of your very last employer the same as their mailing address? Yes

Last Date Worked

05/18/2013

What are your gross wages for your last week of work (regular pay only)? $1,446.13

For UI purposes, a week begins on Sunday and ends the following Saturday. Whether you have been paid or not, report your total gross wages for your regular pay for the hours worked in the last week you worked, beginning w th Sunday and ending w th your last day of work as reported in question 3.

To calculate your total gross wages for your last week of work, multiply your hourly rate of pay by the total hours you worked from Sunday through the last day you worked (add piece work pay, if applicable).

Important!

If you were paid or if you will be pa d Holiday Pay, Vacation Pay, Severance Pay, In-Lieu-Of-Notice Pay, Other Pay (including, but not limited to, bonus pay, or commiss on pay), do NOT report these payments in question 4 as part of your gross wages. Report them separately in Other Payments quest on.

Reason No Longer Working: Laid Off/Lack of Work

Please provide a brief explanation (Maximum 150 characters): Part-time lecturer contract completed. No reasonable assurance of new work per EDD 1253.3(g).

If you received, or if you expect to receive, any payments from your very last employer or any other employer other than you regular salary, report the payment below.

From Date

To Date

(mm/dd

(mm/dd

Amount /yyyy)

/yyyy)

Holiday Pay

Vacation Pay

Severance Pay

In-Lieu-Of-Notice Pay

Other Pay

Please explain Other Pay, if any (Maximum 150 characters):

Employment Information (Part 2 of 2)

Prov de your employment history for the past 18 months, including your very last employer. If you worked for a temporary agency, a labor contractor, an agent for actors, or an employer where wages are reported under a corporate name, your wages may have been reported under that employer name. You may want to refer to your check stub(s) or W-2(s) to obtain the name of your employer.

Note: Failure to report all employers, periods of employment, and total wages may result in your benefits being delayed or denied. Provide as much accurate information as possible for each employer.

1-1. Employer Information

 

 

 

 

 

 

 

 

 

 

 

a. Employer Name

 

 

CSU STANISLAUS

 

 

 

 

 

b. Mailing Address

 

 

ONE UNIVERSITY CIRCLE

 

c. City

 

 

 

TURLOCK

 

 

 

 

 

d. State

 

 

 

CA

 

 

 

 

 

 

 

e. ZIP Code

 

 

 

95382

 

 

 

 

 

 

 

f. First day you worked for this employer

 

01/28/2013

 

 

 

 

 

g. Last day you worked for this employer

 

05/18/2013

 

 

 

 

 

h. D d you work full time or part time?

 

Part Time

 

 

 

 

 

i. How much d d you earn per hour?

 

$94.83

 

 

 

 

 

 

 

j. How many hours did you work per week?

15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross wages

Gross wages

Gross wages

Gross wages

Gross wages

Gross wages

 

 

earned from

earned from

earned from

earned from

earned from

earned from

 

 

1/1/2012 to

4/1/2012 to

7/1/2012 to

10/1/2012 to

1/1/2013 to

4/1/2013 to

 

 

3/30/2012

6/30/2012

9/30/2012

12/30/2012

 

3/30/2013

6/30/2013

 

 

$5,121.00

$6,543.00

$4,979.00

$5,690.00

 

$13,015.00

$8,677.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1-2. Did you work for another employer in the last 18 months? Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1-2. Employer Information

 

 

 

 

 

 

 

 

 

 

a. Employer Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Mailing Address

 

 

 

 

 

 

 

.

 

 

c. City

 

 

 

 

 

 

 

 

 

 

 

d. State

 

 

 

CA

 

 

 

 

 

 

e. ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f. First day you worked for this employer

 

11/11/2011

 

 

 

 

g. Last day you worked for this employer

 

5/20/2013

 

 

 

 

h. D d you work full time or part time?

 

Part Time

 

 

 

 

$0.00

 

 

 

$60.00

 

 

 

 

 

 

j. How many hours did you work per week?

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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eApply4UI - Application for Unemployment Insurance

https://eapply4ui.edd.ca.gov/eApply4UI.aspx

 

 

 

 

 

 

 

 

 

Gross wages

Gross wages

Gross wages

Gross wages

Gross wages

Gross wages

 

 

earned from

earned from

earned from

earned from

earned from

earned from

 

 

1/1/2012 to

4/1/2012 to

7/1/2012 to

10/1/2012 to

1/1/2013 to

4/1/2013 to

 

 

3/30/2012

6/30/2012

9/30/2012

12/30/2012

3/30/2013

6/30/2013

 

 

$140.00

$2,132.00

$300.00

$2,132.00

$2,332.00

$0.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1-3. Did you work for another employer in the last 18 months? No

During the past 18 months, did you work for any other employers not listed above in quest on 1? No

In the past 18 months, which employer did you work for the longest?

CSU STANISLAUS

How long did you work for that employer?

Years 13 Months 6

What type of business did that employer operate? (For example: retail furn ture HIGHER EDUCATION

sales, legal services, software manufacturing, road construction, etc.)

 

What kind of work did you do for that employer?

PART-TIME LECTURER

Are you currently working for or do you expect to work for any school or

 

educational institution or a public or nonprofit employer performing school-related

No

work?

 

 

 

Availability Information

What is your usual occupat on?

UNIVERSITY LECTURER

What other work-related skills do you have?

COMPUTER SKILLS

Is your usual occupation seasonal?

Yes

If Yes:

 

When does the season begin?

08/22/2013

When does the season end?

12/11/2013

Do you expect to return to work for a former employer?

No

Do you have a date to start work?

No

Are you available for immediate full-time work in your usual occupat on?

Yes

Are you currently self-employed (have your own business or work as an independent contractor) or plan to become self-employed? Yes

If Yes:

Please explain (Maximum 150 characters): Self-employed The Bratten Company.Year-round work as independent contractor. Limited flexible hours that I set. Always available for full-time work.

Are you a member of a union? Yes

 

If Yes:

 

Union Name

CALIFORNIA FACULTY ASSOCIATION

Union Number

1983

Telephone number of Union

(916) 441-4848

Does your union look for work for you?

No

Does your union control your hiring?

No

Are you registered with your union as out of work? No

Are you going to receive strike benef ts?

No

 

 

Additional Information

In the past 2 years did you file a claim for Unemployment Insurance (UI) or Disability Insurance (DI)? Yes

If Yes: provide the most recent type(s) of claim(s) and date(s)

Claim Type

Month

Year

Unemployment Insurance

December

2012

Are you receiving, or will you receive in the next year, a pension other than Social Security or Railroad Retirement, which is based on your own work or wages? No

Are you receiving or do you expect to receive Workers' Compensation? No

Are you currently attending or are you planning to attend school or training? No

Are you now or have you been in the last 18 months an officer of a corporat on or union or the sole or major stockholder of a corporation? No

D d you serve as elected publ c official or Governor-exempt appointee in the last 18 months? No

If the EDD finds that you do not have sufficient wages in the Standard Base Period to establish a valid UI claim, do you want to attempt to establish a claim using the Alternative Base Period? Yes

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eApply4UI - Application for Unemployment Insurance

https://eapply4ui.edd.ca.gov/eApply4UI.aspx

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The Employment Development Department is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities.

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