Identity Verification Request for Unemployment Benefits
This file is a Request for Identity Verification from the Employment Development Department (EDD) of California. It is required to verify identity for unemployment benefits and prevent fraud. Follow the included instructions to submit the necessary documents.
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How do I fill this out?
To fill out this form, start by providing your accurate personal information as requested. Make sure to include your signature and any necessary documentation. Finally, submit the form following the instructions provided.

How to fill out the Identity Verification Request for Unemployment Benefits?
1
Read the instructions carefully before starting.
2
Fill in the required personal information accurately.
3
Sign and date the notice at the bottom.
4
Prepare any supporting documents for identity verification.
5
Submit the completed form and documents as instructed.
Who needs the Identity Verification Request for Unemployment Benefits?
1
Unemployed individuals needing to verify identity for benefits.
2
Claimants whose identity is questioned by the EDD.
3
Individuals who have not received payment on their claim.
4
People working reduced hours and seeking unemployment benefits.
5
Anyone who has filed a claim and must confirm their identity.
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Make necessary changes to the text and fields.
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What are the instructions for submitting this form?
To submit this form, you have two options: first, log into your UI Online account and upload the required documents securely. Alternatively, you can mail copies of your identity verification documents along with the signed notice using the return envelope provided. Ensure your Social Security number is included on all mailed documents for accurate processing.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, make sure to keep track of your claim submission dates and any deadlines provided in your notices. It’s important to monitor the time frames given for responding to requests for identity verification to avoid issues with your benefits.

What is the purpose of this form?
The purpose of this form is to verify the identity of claimants seeking unemployment benefits from the EDD. This verification process is crucial in protecting against fraudulent claims and ensuring that benefits are paid to eligible individuals. Completing this form accurately is essential for the timely processing of your benefits.

Tell me about this form and its components and fields line-by-line.

- 1. Claimant's Name: Provides the full name of the individual filing the claim.
- 2. Address: Lists the residential address of the claimant.
- 3. Social Security Number: Requires the nine-digit SSN issued by the SSA.
- 4. Date of Birth: Requests the claimant's date of birth for identity confirmation.
- 5. Signature: Requires the claimant's signature to verify authenticity.
What happens if I fail to submit this form?
Failure to submit this form can lead to denial of unemployment benefits. It is crucial to comply within the designated time frame to prevent delays in receiving assistance.
- Denial of Benefits: Not submitting the verification form may result in immediate denial of benefits.
- Need to Pay Back Conditional Payments: If conditional payments were made, they may need to be repaid if the verification fails.
- Increased Processing Time: Delays in submitting the form can lead to longer waiting periods for benefits.
How do I know when to use this form?

- 1. When EDD Requests Verification: Submit this form when prompted by the EDD regarding identity verification.
- 2. If Your Claim is Under Review: Use this form if your unemployment claim is under review due to identity concerns.
- 3. To Comply with Benefit Eligibility Requirements: This form is important to comply with EDD’s eligibility regulations.
Frequently Asked Questions
What is the purpose of this form?
This form is used to verify identity for unemployment benefits.
How do I submit this form?
You can submit the form via UI Online or by mailing the documents.
What if I need more time to submit documents?
You can request additional time to gather your documents.
What should I include with my submission?
Include your signature and any identity verification documents requested.
Can I edit my information on this form?
Yes, you can edit your information using PrintFriendly before submission.
How do I share this document?
You can share the document easily through the sharing options in PrintFriendly.
Is there a deadline for submitting this form?
Yes, you must submit the form within 10 calendar days of the mail date.
What happens if I fail to verify my identity?
Failure to verify your identity may result in denial of benefits.
Where can I find acceptable documents for verification?
A list of acceptable documents is included with the notice.
What if my information does not match records?
You will need to correct your information with SSA or DMV before resubmitting.
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