DD 214 Member 4 copy (ex-military only).

Notice to Federal Employees About Unemployment Insurance, Standard Form 8 (former federal employees only).

If you are self-employed or an independent contractor, you will need your net income (total after taxes).

Information on all employers you worked for during the past 18 months, including name, address (mailing and physical location), the dates of employment, gross wages earned, hours worked per week, hourly rate of pay, and the reason you are no longer working.

If you are self-employed or an independent contractor, you will need your net income (total after taxes).

Total gross earnings in the last week you worked, beginning with Sunday and ending with your last day of work.

Last date worked and the reason you are no longer working.

If you are self-employed, a business owner, or an independent contractor, list yourself as your last employer.

Last employer information including company name, supervisor’s name, address (mailing and physical location) and phone number.

You’re a parent who needs time to bond with your new child by birth, adoption, or foster care placement.Ī little preparation goes a long way! At a glance, prepare to collect the following: Last Employer.

You need to take time off work to care for a seriously ill child, parent, parent-in-law, grandparent, grandchild, sibling, spouse, or registered domestic partner.

You may be eligible for Paid Family Leave benefits if: You paid into the State Disability Insurance program (noted as “CASDI” on paystubs), via taxes.You are unable to work due to a non-work-related illness, injury, or pregnancy.You may be eligible for Disability benefits if:

If you’re not eligible for unemployment, you may be eligible for Disability Insurance or Paid Family Leave.

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