Fillable Comments, Suggestions, and/or Complaints (California)

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Comments, Suggestions, and/or Complaints (California)

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The Comments, Suggestions, and/or Complaints (California) form is 1 page long and contains:

  • 0 signatures
  • 17 check-boxes
  • 11 other fields

Country of origin: US
File type: PDF

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Comments, Suggestions, and/or Complaints
1. Contact Information
Name
Address
Phone Number
Alternate Number
Email Address
Preferred Language
2. Incident Information
Date of Incident
Location/Address
3. Service Area (check all that apply)
☐ Unemployment Insurance ☐ Tax-Related Services ☐ Other
☐ Disability Insurance ☐ Paid Family Leave ☐ Fraud
☐ Workforce Services ☐ CalJOBS
SM
☐ Legal Office
4. Language Access Issue (check all that apply)
☐ Yes ☐ No
☐ Lack of bilingual personnel
☐ Lack of forms/materials in multiple languages
☐ Lack of signs informing the public of translation services
☐ Other
5. Please enter your comment, complaint, or suggestion in the space provided below.
If additional space is needed, you may use the back of this form or attach an
additional sheet.
6. Would you like a response?
☐ Yes ☐ No
To report fraud, visit Ask EDD (askedd.edd.ca.gov) and select the Report Fraud category.
You can also call the EDD Fraud Hotline at 1-800-229-6297 or fax 1-866-340-5484. Send any fraudulent
documents or mail to the address on page 2.
DE 8123 Rev. 7 (6-21)
Date
Mail the completed form to the appropriate address below.
Disability Insurance or Paid Family Leave
Employment Development Department
PO Box 826880 – DICO, MIC 29
Sacramento, CA 94280-0001
Fraud
Employment Development Department
PO Box 826880, MIC 43
Sacramento, CA 94280-0225
General Questions or Comments
Employment Development Department
PO Box 826880, MIC 83
Sacramento, CA 94280-0001
Language Access Complaints
Equal Employment Opportunity Office
PO Box 826880, MIC 49
Sacramento, CA 94280-0001
Legal Office
Employment Development Department
Legal Office
800 Capitol Mall, MIC 53
Sacramento, CA 95814
Tax Assistance: Employers-General Correspondence
Employment Development Department
Tax Support Division, MIC 93
PO Box 826880
Sacramento, CA. 94280-0001
Unemployment Insurance
Employment Development Department
PO Box 826880 – UIPCD, MIC 40
Sacramento, CA 94280-0001
Workforce Services Branch
Employment Development Department
PO Box 826880, MIC 69
Sacramento, CA 94280-0001
DE 8123 Rev. 7 (6-21)
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Comments, Suggestions, andor Complaints (California)

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Completed 13 October 2021

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