EDD Assistance Request

EDD Claims: What You Should Know

The easiest and fastest way to apply for benefits through the California Employment Development Department (EDD) is by filing your claim online.

If you have questions about your claim, we encourage you to review the EDD's Frequently Asked Questions for Unemployment Insurance or Disability Insurance/Paid Family Leave. If you are unable to find the information you need, please see Ask EDD for assistance.

Please note that our office is only able to assist constituents who live in California Assembly District 19. If you are unsure whether you live in Assembly District 19 or would like to identify your State Assembly representative, check here.

First Name *

Last Name *

Address *

City *

Zip Code *

Phone Number

Ext.

Phone Number Type

Have you previously reached out to another elected official regarding this issue? *

Yes

Have you previously reached out to my office regarding this issue? *

Yes

What type of benefits do you need assistance with? *

If you selected other, please specify here.

What issue are you experiencing with the EDD? *

When did you file your claim?

When was the last time you received correspondence from EDD?

Please carefully read the following:

By completing this form, I am requesting the Office of Assemblymember Stefani (the "Assemblymember") to assist me in working with the Employment Development Department (EDD) on my claim. I acknowledge that this may require the release of information contained in my records the dissemination of which may be prohibited by law. Therefore, I hereby authorize EDD and the Assemblymember to share all relevant portions of my records with each other, and to discuss matters relating to those records and my claim, until my claim is resolved.

I agree that I will not submit any personal identifiable information through this form that is not specifically requested. If the Assemblymember's office needs additional information, such as my EDD number, the office will contact me to request that information.

By clicking here, I accept and agree to the terms in this form. *

Your privacy is very important to us. By clicking submit, you are agreeing to the practices described in the Privacy and Conditions of Use.