Assemblymember Heath Flora
12nd Assembly District

So our office may better assist you, please confirm the best phone number to contact you. *

(Please be sure to include your area code)

What is your preferred email address? *

What is your EDD Account Number? *

This will ensure we are able to contact EDD on your behalf.

What EDD Program did you apply for?

Unemployment Insurance (UI)

Pandemic Unemployment Insurance (PUA)

State Disability Insurance (SDI)

Paid Family Leave (PFL)

What date was your claim filed?

If you selected "other," please describe your issue in a few words.

Have you certified for ALL weeks pending benefits?

Yes

How many weeks of benefits are you owed?

(Please answer as accurately as possible)

When was the last time you received a correspondence from EDD?

(Via Mail, Phone, or Text)

Have you contacted another elected official?

Yes

If yes, who have you contacted?

Please provide a summary of the issue:

Assemblymember Heath Flora12nd Assembly District