EDD Request for Assistance

Once you submit this form, our staff will follow-up with you via email or phone call regarding next steps.

Contact Information
Complete Residence Address
EDD Information
If your benefit year began over 365 days ago and you are a W2 employee, have you filed a brand new UI claim?
What EDD program did you apply for?
How would you categorize your recent work status?
Have you certified for ALL benefit weeks available to you for certification?
Have you contacted another elected official about this issue?
Please do not send any personal identifiable information through this form that is not specifically requested. If we need additional information, such as your EDD number, we will contact you to request that information.