Unemployment Insurance Benefits in California A Guide for Advocates January 2010 The Legal Aid Society – Employment Law Center 600 Harrison Street, Suite 120 San Francisco California 94107 www.las-elc.org 415.864.8848 We are pleased to produce and distribute this version of Unemployment Insurance Benefits: A Guide for Advocates, comprehensively revised in January 2010. Over the years, many individuals have contributed their time, expertise, and ideas to make this publication possible, and we are very grateful for their support. This version was authored by Matthew Goldberg, building upon prior versions drafted by employees and partners of the Legal Aid Society – Employment Law Center. For information on how to obtain a copy of this Guide, please contact Florencia Valle-Miller at [email protected]. We also welcome your comments and suggestions. Regards, Mike Gaitley Senior Staff Attorney and Director of the Community Legal Services Program [email protected] Chapters CHAPTER 1. INTRODUCTION ................................................................................. 1 CHAPTER 2. AMOUNT AND DURATION OF BENEFITS ............................................ 7 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS ..................................... 10 CHAPTER 4. THE CLAIM FILING PROCESS............................................................. 40 CHAPTER 5. EDD DETERMINATIONS .................................................................... 55 CHAPTER 6. THE APPEALS PROCESS .................................................................... 67 CHAPTER 7. SPECIAL PROGRAMS ........................................................................ 95 APPENDICES ....................................................................................................... 107 ENDNOTES ......................................................................................................... 112 Table of Contents CHAPTER 1. INTRODUCTION ................................................................................. 1 A. Purpose and Organization of This Guide .............................................................................................. 1 B. History and Framework of the Unemployment Insurance System ...................................................... 1 C. The Role of Employers .......................................................................................................................... 4 CHAPTER 2. AMOUNT AND DURATION OF BENEFITS ............................................ 7 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS ..................................... 10 A. Sufficient Base Period Wages in Covered Employment ..................................................................... 10 B. Satisfactory Immigration Status.......................................................................................................... 12 C. No-Fault Separation from Most Recent Work .................................................................................... 13 1. Discharges ....................................................................................................................................... 15 2. Quits ................................................................................................................................................ 20 3. Constructive Quits........................................................................................................................... 27 4. Layoffs ............................................................................................................................................. 29 5. Strikes or Trade Disputes ................................................................................................................ 29 D. Able to Work ....................................................................................................................................... 31 E. Available for Suitable Work ................................................................................................................ 32 F. Refusing a Job Offer ............................................................................................................................ 36 G. Actively Searching for Work ............................................................................................................... 37 H. Unemployed or Underemployed........................................................................................................ 38 CHAPTER 4. THE CLAIM FILING PROCESS............................................................. 40 A. Submitting the Application ................................................................................................................. 40 B. Submitting Continued Claim Forms .................................................................................................... 46 C. Additional Steps in the Claims Filing Process...................................................................................... 48 1. Amending the Application .............................................................................................................. 48 2. Participating in an Eligibility Determination Interview ................................................................... 49 3. Registering for CalJOBS and Reemployment Services .................................................................... 50 4. Verifying Identity, Social Security Number, and Immigration Status ............................................. 51 5. Cancelling the Application .............................................................................................................. 52 D. Intervening Employment: Filing an “Additional” Claim ...................................................................... 52 E. Benefits Exhausted: Filing a Second Claim .......................................................................................... 53 CHAPTER 5. EDD DETERMINATIONS .................................................................... 55 A. Eligible for Benefits: Getting Paid ....................................................................................................... 55 B. Base Period Wages: Challenging the EDD’s Computation .................................................................. 55 C. Non-Monetary Determinations .......................................................................................................... 57 D. False Statements ................................................................................................................................ 59 E. Overpayments ..................................................................................................................................... 62 CHAPTER 6. THE APPEALS PROCESS .................................................................... 67 A. Submitting the Appeal ........................................................................................................................ 67 B. Notice of Hearing ................................................................................................................................ 70 C. Interviewing the Claimant................................................................................................................... 72 D. Getting and Reviewing the Appeal File .............................................................................................. 73 E. Securing Documents, Witnesses, and Statements ............................................................................. 75 F. Developing a Theory of the Case ........................................................................................................ 77 1. Misconduct Cases............................................................................................................................ 77 2. Voluntary Quit Cases ....................................................................................................................... 78 3. Able and Available Cases................................................................................................................. 79 4. Overpayment Cases ........................................................................................................................ 79 G. Drafting Examination Questions and the Closing Argument.............................................................. 80 H. Preparing Claimant for the Hearing.................................................................................................... 83 I. The Hearing .......................................................................................................................................... 84 J. The Decision......................................................................................................................................... 90 K. Board Appeals ..................................................................................................................................... 90 L. Writs .................................................................................................................................................... 93 M. Advocate Checklist: Key Steps in Preparing for an Appeal Hearing .................................................. 94 CHAPTER 7. SPECIAL PROGRAMS ........................................................................ 95 A. Benefit Extensions .............................................................................................................................. 95 1. Emergency Unemployment Compensation Program ..................................................................... 95 2. Federal Extended Duration Program .............................................................................................. 97 B. Work Sharing Claims ........................................................................................................................... 99 C. Partial Claims .................................................................................................................................... 100 D. California Training Benefits Program................................................................................................ 101 E. Disaster Unemployment Assistance ................................................................................................. 103 F. Trade Adjustment Assistance ............................................................................................................ 104 APPENDICES ....................................................................................................... 107 A. Additional Resources ........................................................................................................................ 108 B. EDD and CUIAB Forms ...................................................................................................................... 109 C. Acronyms .......................................................................................................................................... 111 ENDNOTES ......................................................................................................... 112 “Unemployment Insurance law is to be liberally construed to further the legislative objective of reducing the hardship of unemployment.” Gibson v. Unemployment Insurance Appeals Board (1973) 9 Cal.3d 494, 499. CHAPTER 1. INTRODUCTION A. Purpose and Organization of This Guide This Guide, a publication of the Legal Aid Society – Employment Law Center (LAS-ELC), is designed as a resource for advocates, community workers, attorneys, law students, and others who help claimants1 access and navigate California’s system of Unemployment Insurance (UI) benefits. This is one of several LAS-ELC publications that address California’s UI system, but is the only comprehensive, single-source guide written for advocates. It is intended to assist advocates providing all levels of assistance to claimants – from brief assistance to full representation – and at all stages in the lifecycle of a claim for UI benefits. It attempts to cover all aspects of California’s UI system, but the greatest attention is on those areas where claimants need the most assistance (i.e. claim filing and appeals). The remainder of this Chapter provides a brief history and framework of the Unemployment Insurance system, and explains the special role that employers play in the system. Chapter 2 briefly explains the amount and duration of UI benefits and Chapter 3 provides a comprehensive overview of the eligibility requirements for UI benefits. Chapters 4 through 6 shift to the framework of a claimant engaging the agencies and pursuing benefits. Chapter 4 reviews all the steps involved in a claim for benefits, Chapter 5 covers the range of Employment Development Department (EDD) determinations (typically in response to claims for benefits), and Chapter 6 provides an in-depth review of all steps involved in the appeals process (with an emphasis on first-stage appeals). Chapter 7 provides an overview of various special programs, including benefit extensions, work sharing, partial claims, the California Training Benefits Program, Disaster Unemployment Insurance, and Trade Adjustment Assistance. (A comprehensive review of these programs is beyond the scope of this Guide.) The Appendices provide links to additional resources, a list of all agency forms referenced in the Guide (and, where available, links to online copies of these forms), and a list of common acronyms found in this Guide and in various agency documents. B. History and Framework of the Unemployment Insurance System In 1935, President Franklin Roosevelt signed the Social Security Act (SSA), which provided federal incentive funding for states to establish Unemployment Insurance (UI) programs for workers who lost CHAPTER 1. INTRODUCTION 1 their jobs through no fault of their own and who were seeking work.2 Shortly thereafter, California enacted the Unemployment Reserves Act in 1935, and payment of benefits started in January, 1938. Although the federal and state laws have been amended countless times in the intervening decades, today’s UI system looks remarkably similar to the system that was introduced in the 1930s. Today’s UI system remains a federal-state partnership. It is based on federal law, but administered by the states. Because of this structure, the program is unique among the country’s social insurance programs. The Federal Government The SSA and the Federal Unemployment Tax Act (FUTA) establish certain baseline federal requirements for the state programs, including: broad coverage provisions, some benefit provisions, the federal tax base and rate, and administrative requirements. The Secretary of Labor is required to certify that state unemployment insurance systems comply with these federal requirements.3 Consistent with the certification process, the Secretary of Labor administers a Quality Control (QC) program for the FederalState unemployment compensation system.4 As part of the certification process and the QC program, the Department of Labor actively monitors and evaluates California’s compliance with all federal standards. The Federal government provides two major financial incentives for state unemployment insurance systems to comply with these federal requirements and subject themselves to federal monitoring and certification. If a state UI system meets the minimum federal requirements under FUTA and Title III of the SSA, 1) employers receive up to a 5.4 percent tax credit against the 6.2 percent federal unemployment tax and 2) the state is entitled to federal grants to cover all the necessary costs of administering the program. These administrative grants are paid to the states out of the net 0.8% FUTA tax (i.e. 6.2% minus 5.4% credit) paid to the federal government by all employers. The State Government Within the framework of the federal requirements, each state designs its own UI program. The state statutes set forth the benefit structure (e.g. eligibility/disqualification provisions and the benefit amounts) and the state tax structure (e.g. state taxable wage base and tax rates). While federal grants provide all the funds necessary to administer California’s UI system, the state is responsible for raising the money to pay the benefits. California does this by levying a “payroll tax” on California employers. California’s principle source of unemployment insurance law is the California Unemployment Insurance Code. In section 100 of the Code, the California legislature established the program’s underlying public policy: [T]he public good and the general welfare of the citizens of the State require the enactment of this measure under the police power of the State, for the compulsory setting aside of funds to be used for a system of unemployment insurance providing 2 CHAPTER 1. INTRODUCTION benefits for persons unemployed through no fault of their own, and to reduce involuntary unemployment and the suffering caused thereby to a minimum. It is the intent of the Legislature that unemployed persons claiming unemployment insurance benefits shall be required to make all reasonable effort to secure employment on their own behalf. The UI Code must be liberally construed to further the legislative objective of reducing the hardships of unemployment.5 The Unemployment Insurance Code is implemented through regulations, which are located in Title 22 of the California Code of Regulations. Interpretations of the Code and the Regulations are made through published opinions of California courts. California’s UI system is administered by two different agencies: the Employment Development Department (EDD) and the California Unemployment Insurance Appeals Board (CUIAB). The Employment Development Department (EDD) The administration of California’s UI program is vested in the Employment Development Department (EDD).6 The EDD is responsible for determining claimant eligibility for UI benefits, issuing benefit checks, collecting employer taxes to fund the program, providing re-employment services, and adopting, amending, and repealing regulations.7 Each year, the EDD pays out nearly $5.3 billion in UI benefits and receives and processes more than 2.4 million new claims.8 With the exception of some of its job services, the EDD conducts all unemployment insurance-related business over the telephone, via its website, and through correspondence. The UI program provides some services for job seekers and will require most claimants to use the EDD’s online job bank (CalJOBS), but it lacks the resources to be a comprehensive employment or job placement agency. For comprehensive job placement and training services, the EDD partners with state and local agencies and organizations in administering a network of “one-stop centers.” More information is available online at http://www.careeronestop.org/. The EDD publishes a Benefit Determination Guide (BDG), an eight-volume compendium “designed to present definitive discussions on points of unemployment insurance law for the field office determination interviewer.” It is composed of the following titles: Able and Available (AA), Miscellaneous (MI), Misconduct (MC), Preface (PR), Suitable Work (SW), Total and Partial Unemployment (TPU), Trade Dispute (TD), and Voluntary Quit (VQ). The guide is not binding, but can be looked to for guidance. It is available online at http://www.edd.ca.gov/UIBDG/. Where appropriate, this Guide points to the Benefit Determination Guide for more information on particular topics. The EDD also administers the State Disability Insurance (SDI) Program and the Paid Family Leave (PFL) program. See Appendix A for additional EDD resources. The California Unemployment Insurance Appeals Board (CUIAB) The CUIAB is an independent adjudicative agency headquartered in Sacramento. It is governed by a board of seven members (“the Board” or “the Appeals Board”). Five members are appointed by the CHAPTER 1. INTRODUCTION 3 Governor, one is appointed by the Speaker of the California Assembly, and one is appointed by the California Senate Rules Committee – and has twelve field offices throughout the state. When any party involved in an unemployment insurance claim requests review of an EDD determination, the CUIAB conducts a hearing presided over by an Administrative Law Judge. Parties have the right to seek review of the Administrative Law Judge decisions and these are reviewed by the Board, often by rotating three-member panels. The CUIAB decides over 320,000 separate cases per year – 300,000 cases are decided at the first level of appeal and 20,000 cases are decided at the second level of appeal. The UI Code specifically authorizes the Board to consider, decide, and designate as precedential those cases that contain a significant legal or policy determination of general application that is likely to recur. The CUIAB, its Administrative Law Judges, and the EDD Director are controlled by these precedents, except as modified by judicial review. To date, the CUIAB has designated just fewer than 500 decisions as precedential.9 The full text of all Precedent Decisions are available online at http://www.cuiab.ca.gov/precedent_decisions.shtm. See Appendix A for additional CUIAB resources. C. The Role of Employers The most important role employers play in the administration of the UI system is that of funder. Every employer pays a net 0.8% FUTA tax to the federal government and also pays state payroll taxes into to the state Unemployment Trust Fund (UTF) on behalf of each of its employees.10 These contributions are pooled in the UTF, but an individualized record – called a “reserve account” – is maintained for each employer.11 Taxes paid into the fund increase an employer’s reserve account whereas payments paid out to former employees reduce (or “charge”) the reserve account. Importantly, the tax rate per employee (and thus the total amount of taxes) that an employer must pay in a given year is based, in part, on the status of its reserve account (i.e. the tax rate is “experience rated”).12 When few former employees receive UI benefits, the employer’s reserve account is higher, which results in lower tax rates in future years. Conversely, when many former employees receive UI benefits, these “charges” lower the reserve account and lead to higher future tax rates.13 This system of “experience rating” the employer tax rates is analogous to any other type of insurance – the more claims that are filed against a policy, the higher the premiums. This system of taxation is supposed to encourage employers to create less unemployment. Unfortunately for claimants, it has a profound effect on how employers respond to benefit claims: they have a financial incentive to challenge claims. Some employers go so far as to always argue – as a matter of policy in every case – that a claimant is ineligible for benefits. They do so knowing that the policy will result in fewer former employees receiving benefits and, thus, lower tax rates for the business. An increasing number of employers are now outsourcing their human resource functions to companies that operate under a policy of contesting all claims for UI benefits regardless of the merits. Such employer policies and practices are the cause of many unjust disqualifications and the reason why many unemployed persons face additional hurdles in getting their rightful benefits. 4 CHAPTER 1. INTRODUCTION Other Employer Responsibilities In addition to paying state and federal unemployment taxes, employers must abide by several other statutory requirements regarding the unemployment insurance system. UI Tax Deductions from Wages. Employers are prohibited from deducting unemployment tax from an employee’s wages.14 Any agreement whereby an employee agrees to pay these taxes is void.15 UI Benefit Waivers. An employee may be offered severance pay in exchange for releasing various claims against her former employer. Although many types of claims can be released by signing such a contract, an employee cannot waive her right to unemployment insurance benefits, even if the release specifically says she will do so.16 Retaliation. The UI Code prohibits employers from terminating or otherwise discriminating against employees or job applicants for seeking information from the EDD, cooperating with an EDD investigation, or for testifying in any proceeding filed pursuant to the UI Code or the Labor Code.17 (Note: This retaliation provision also should protect an employee from retaliation because she filed for unemployment insurance benefits after becoming “underemployed” due to a reduction in her work schedule.) An employee who believes that her employer has retaliated against her may file a complaint with the California Labor Commissioner.18 A 6-month statute of limitations applies.19 Notice Posting. Employers are required to post and maintain a Notice – either “Employee Rights to UI” (Form DE 1857D) or “Employee Rights to UI and State Disability Insurance” (Form DE 1857A) – in “in places readily accessible” to all employees.20 Failure to comply with this section by an employer shall constitute a misdemeanor.21 Notice upon Separation. When an employer discharges,22 lays off, or places an employee on leave of absence, the employer shall give to the employee the following two notices: 1) Written notice of her unemployment insurance benefit rights by providing the pamphlet "For Your Benefit, California's Program for the Unemployed" (Pamphlet DE 2320). A copy of this pamphlet is available online at http://www.edd.ca.gov/pdf_pub_ctr/de2320.pdf. The notice of unemployment insurance benefit rights shall be given no later than the effective date of the action; 2) Written notice regarding the change in the employee's status. The notice of change in status shall be given no later than the effective date of the action and shall contain at a minimum: the name of the employer; the name of the employee; the social security account number of the employee; whether the action was a discharge, a layoff, a leave of absence, or a change in status from employee to independent contractor; and the date of the action.23 Failure to comply with this section by an employer shall constitute a misdemeanor. 24 Right to Employment Records. Employees have the right to inspect their personnel files.25 The California Labor Commissioner has interpreted this statute to apply to former employees as well as CHAPTER 1. INTRODUCTION 5 current employees. Employers must also furnish copies of all employment records bearing the employee’s signature upon request.26 Employers are also required to maintain the following information for each employee, for a minimum of three years: the employee’s dates of employment, the employee’s hourly rates and the corresponding number of hours worked by the employee at each hourly rate, when the employee begins and ends each work period (including meal periods and split shift intervals), total hours worked by the employee, all deductions, gross wages earned, and net wages earned.27 Upon reasonable request, this information is to be made available to a former employee for copy or inspection “as soon as practicable, but no later than 21 calendar days from the date of the request.”28 Failure to comply within this timeframe entitles a current or former employee to recover a seven hundred fifty dollar ($750) penalty from the employer.29 6 CHAPTER 1. INTRODUCTION CHAPTER 2. AMOUNT AND DURATION OF BENEFITS This chapter provides some basic information about the amount of benefits a claimant is entitled to and how long benefits will last. (To determine whether a claimant will be eligible for these benefits, see Chapter 3 “Overview of Eligibility Requirements.”) A new claim for benefits begins with the submission of a valid application to the EDD. The effective date of the claim – the Sunday prior to the submission of the application -- establishes the claimant’s Base Period, Benefit Year, and Waiting Period. 30 Base Period. This is a 12-month or 4-quarter) period ending approximately three to six months prior to the effective date of a new claim for benefits.31 To identify the precise Base Period for a particular claim, use the following table: If the claim is filed in: January, February, or March April, May, or June July, August, or September October, November, or December The Base Period is the 12 months ending the previous: September 30 December 31 March 31 June 30 Benefit Year. This is the 52-week period commencing with the effective date of a new claim for benefits.32 Waiting Period. A claimant is required to serve a one-week waiting period during which she will not receive any benefits. The Waiting Period is the first week in which a claimant is otherwise entitled to benefits; it is normally the first week of a new claim. The Waiting Period is served only once each Benefit Year. The Base Period and Benefit Year play a role in determining a claimant’s Weekly Benefit Amount and Maximum Benefit Amount. Weekly Benefit Amount (WBA) Shortly after a claimant submits a new claim for UI benefits, the EDD determines the claimant’s Weekly Benefit Amount (WBA). The WBA is the fixed amount of benefits that a claimant will receive each week that she is eligible for full benefits. Under some circumstances a claimant will receive less than her WBA (e.g. she earned some wages during the week or was not available to work for the full week), but she will never receive more than her WBA. (For more information about eligibility for benefits and the circumstances giving rise to a reduction in benefits, see Chapter 3 “Overview of Eligibility Requirements.”) This WBA is not need-based. It is based exclusively on the wages paid to the claimant in the highest grossing quarter of the claimant’s Base Period.33 Only wages derived from covered employment are considered. CHAPTER 2. AMOUNT AND DURATION OF BENEFITS 7 Wages Paid. Base Period wages are based on the date (or period) when the wages were paid, not the date (or period) for which they were earned.34 Since many employers issue paychecks on the first of the month for work performed in the previous month, and since the Base Period changes four times per year on the last day of the month, this distinction between when wages were earned versus when they were paid can make a real difference. Covered Employment. A limited number of employers and types of employment are excluded from participation in the UI system. Wages earned in these categories are excluded when calculating a claimant’s Weekly Benefit Amount. (For more details about covered employment and the various exclusions, see “Sufficient Base Period Wages in Covered Employment” in Chapter 3.) To determine a claimant’s exact Weekly Benefit Amount, see the EDD’s three-page Unemployment Insurance Benefits Table, available online at http://www.edd.ca.gov/pdf_pub_ctr/de1101bt5.pdf. This table lists “Highest Quarter” wages and the corresponding Weekly Benefit Amounts. The Weekly Benefit Amount currently ranges from $40 per week (for claimants with a highest grossing Base Period quarter of $900) to $450 per week (for claimants with a highest grossing Base Period quarter of $11,675). Temporary Increase. The American Recovery and Reinvestment Act of 2009 (ARRA), effective February 22, 2009, provides for a temporary $25 per week increase in the Weekly Benefit Amount for all claimants. This increase, referred to as “Federal Additional Compensation” (FAC), is funded directly by the federal government, but is added to the weekly benefit checks issued by the EDD. Pending a legislative extension of the program, the increase is currently available for all claims established prior to February 28, 2010 and will be paid through August 31, 2010. Maximum Benefit Amount (MBA) The maximum amount of benefits payable to a claimant during any one Benefit Year is the lower of Twenty-six times her Weekly Benefit Amount, or One-half of her Base Period wages.35 Claimants may collect their benefits continuously or intermittently throughout the Benefit Year. There are a variety of reasons that a claimant might be temporarily ineligible for benefits during the Benefit Year, but this does not reduce the Maximum Benefit Amount available to the claimant during the Benefit Year. (For more information about temporary ineligibility, see “Able to Work” and “Available for Suitable Work” in Chapter 3.) To better understand the interplay between Base Period wages and the Weekly Benefit Amount, consider the claimant with $10,400 in total Base Period earnings, all of which was earned in a single quarter. Based on this single highest quarter, the Weekly Benefit Amount is established at $400. However, the Maximum Benefit Amount would be limited to $5,200 (i.e. one-half her Base Period earnings), thus she would only qualify for thirteen weeks of benefits (at her Weekly Benefit Amount of $400). 8 CHAPTER 2. AMOUNT AND DURATION OF BENEFITS The point to remember is that not all claimants will be entitled to 26 weeks of benefits. Those claimants who had most or all of their Base Period wages in a single quarter will often qualify for fewer weeks. Taxes UI benefits are not subject to state income tax. They have traditionally been subject to federal income tax, but pursuant to the American Recovery and Reinvestment Act of 2009 (ARRA), the first $2,400 in unemployment benefits are exempt from federal taxes. The provision applies for tax year 2009 only, and benefits over $2,400 remain subject to federal income tax. Claimants may elect to have the federal taxes deducted from the biweekly benefit checks. Alternatively, they can receive the entire benefit amount and are then responsible for paying the taxes later. During the last week of January, the EDD will mail tax form 1099G to claimants for the prior calendar year. The tax form will report the total taxable unemployment compensation issued by the EDD and is to be used when filing a federal income tax return. (For more information regarding taxes and the Form 1099G, see the EDD’s “FAQ for 1099G,” available online at http://www.edd.ca.gov/Unemployment/FAQ_for_1099G.htm). CHAPTER 2. AMOUNT AND DURATION OF BENEFITS 9 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS This Chapter of the Guide is designed to provide a comprehensive overview of a claimant’s eligibility for UI benefits. Eligibility issues arise at different stages in the life of a claim for UI benefits, so advocates are encouraged to review the relevant section(s) of this chapter in conjunction with the chapters that follow (which chronicle the various steps and stages in the lifecycle of a UI claim). In practice, “eligibility” for UI benefits is divided into two stages. First, following the claimant’s submission of a new claim for benefits, the EDD makes an initial eligibility determination. This initial determination is based principally on three threshold requirements: the claimant must 1) have earned sufficient Base Period earnings in covered employment, 2) be in “satisfactory immigration status,” and 3) have separated from her most recent employment through no fault of her own. Second, following the initial eligibility determination, the EDD will certify a claimant’s ongoing eligibility. In order to receive benefits for any given week, the claimant must certify to the EDD that she 1) is physically and mentally able to work, 2) is immediately available for suitable work, 3) did not refuse an offer of suitable work, 4) is actively seeking work, and 5) is unemployed or underemployed. The legal standards for these eight principal eligibility requirements – three threshold requirements and five ongoing requirements – are discussed in the following sections. A. Sufficient Base Period Wages in Covered Employment In order to be eligible for UI benefits, a claimant must have been paid 1) sufficient Base Period wages 2) while working in covered employment and 3) with lawful immigration status. Sufficient Base Period Wages “Sufficient Base Period Wages” is a minimum threshold amount of wages that must have been paid to a claimant in the highest grossing quarter of the claimant’s Base Period. (For information regarding how to determine a claimant’s Base Period, what constitutes the highest grossing quarter of Base Period wages, and how the highest grossing quarter relates to a claimant’s Weekly Benefit Amount, see Chapter 2 “Amount and Duration of Benefits.”) In order to meet the “Sufficient Base Period Wages” requirement, a claimant must have: 1) been paid at least $1,300 in the highest grossing quarter of her Base period, or 2) been paid at least $900 in the highest grossing quarter of her Base Period and have gross wages for the entire Base Period of at least 1.25 times the highest grossing quarter. For example, to qualify via the second option, if a claimant was paid only $1,000 in her highest Base Period quarter, her total base-period wages must be at least $1,250, which is 1.25 times $1,000. This 10 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS means the claimant must have been paid at least $250 in the other three Base Period quarters combined. This minimum level of Base Period wages entitles the claimant to the minimum Weekly Benefit Amount. Claimants with higher Base Period wages will be entitled to higher Weekly Benefit Amounts (and higher Maximum Benefit Amounts). Covered Employment For wages to be credited as Base Period earnings, they must have been earned in “covered employment.” Workers are engaged in covered employment if they work for an employer who is required to pay into the Unemployment Trust fund on behalf of its employees. Covered employment includes most services performed as an employee for any form of wages. However, there are certain categories of workers who are excluded because their employers are not required to pay into a reserve account on their behalf.36 Excluded categories of employment include, but are not limited to: “Domestic” or “household” services in a private home (e.g. cooks, housekeepers, babysitters, janitors, caretakers, gardeners, chauffeurs, etc.37) unless the employer paid more than $1,000 to any domestic employee in any calendar quarter in the current or preceding calendar year)38; Employees of close family members: parents (including stepparents), spouses, and children (including stepchildren)39; Federal workers40; Employees of churches and other primarily religious organizations41; Newspaper delivery workers under the age of eighteen42; Students (and their spouses) employed by schools, colleges and universities43; Employment outside the United States, unless the employer’s principal place of business is in California, or the employer is a California resident or a corporation organized under California laws44; Students under the age of 22 in work experience programs45; and Hospital workers who are either students46 or patients.47 Most of these categories (and several other categories that are not listed) have special rules and exceptions. Claimants should check the Unemployment Insurance Code to see if they may have worked in excluded employment. Covered employment typically does not include self-employment or services performed as a bona fide independent contractor. Lawful Immigration Status CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 11 Only those Base Period wages earned as a United States citizen, United States national, or “lawful” alien may serve as the basis for UI eligibility.48 Lawful aliens include aliens lawfully admitted for permanent residence, lawfully present for the purpose of working, or permanently residing in the United States under the color of law (commonly referred to as PRUCOL).49 Even if a worker is currently authorized to work in the United States (an independent requirement, discussed in the following section), no wages earned when previously unauthorized can serve as qualifying Base Period earnings. An alien has the burden of proving the extent to which she performed Base Period services while in a lawful status.50 For more information regarding this topic, see the EDD’s Benefit Determination Guide, Miscellaneous 50, subd. (B). Disagreement about the EDD’s Computation of Base Period Earnings There are a variety of reasons why a claimant may disagree with the EDD’s computation of her Base Period earnings. The EDD provides a process for complaints to formally dispute the computation. (For more information regarding this process, see “Base Period Wages: Challenging the EDD’s Computation” in Chapter 5.) B. Satisfactory Immigration Status In order to be eligible for benefits, a claimant must declare that she is a United States citizen, United States national, or alien in “satisfactory immigration status.”51 “Satisfactory immigration status” means that the claimant is lawfully residing in the United State and is authorized to work.52 The EDD is required to determine, as a condition of eligibility for UI benefits, the citizenship status of all claimants.53 For a claimant who is neither a United States Citizen nor a United States national, the department is required to verify with the INS that the claimant’s citizenship is satisfactory, based on documents presented by the claimant.54 Such verification shall be either 1) through an automated system (known as the Systematic Alien Verification for Entitlements system or SAVE) utilizing the claimant’s alien registration or file number or 2) by the department sending a photocopy of the original document(s) the claimant submits as evidence of her immigration status to the INS for inspection.55 The EDD shall provide a claimant who declares that she is in a satisfactory immigration status, but who presents no documents when filing her claim, a “reasonable opportunity” to present such documents for INS verification.56 “Reasonable opportunity” is 21 calendar days.57 The EDD shall not delay, deny, reduce, or terminate the claimant’s eligibility pending any period of reasonable opportunity or the INS’s verification response.58 12 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS If the EDD concludes that the claimant is not in satisfactory immigration status, it shall determine the claimant ineligible for benefits or re-determine the claimant’s eligibility with respect to any week for which the EDD had paid benefits pending immigration verification.59 For more information regarding this topic, see the EDD’s Benefit Determination Guide, Miscellaneous 50, subd. (C). C. No-Fault Separation from Most Recent Work In order to be eligible for benefits, a claimant must have separated from her most recent employer through no fault of her own.60 This requirement is typically the most contentious and is frequently the reason claimants are denied benefits. For these reasons, the EDD closely analyzes this requirement. Most Recent Work Although a claimant’s benefits paid by the EDD are charged to the account(s) of the claimant’s “Base Period” employer(s), eligibility for benefits is based on a claimant’s separation from her most recent work.61 “Most recent work” refers to the job from which the claimant was separated immediately before applying for benefits, even if she held that job for just one day.62 A claimant’s most recent work does not need to be in covered employment, as it does in determining the base-period wages.63 (For more information regarding covered employment, see “Sufficient Base Period Wages in Covered Employment,” above.) However, the most recent job must be services performed as an employee for wages and not for a share of the profit.64 Thus, the definition of most recent work excludes self-employment and independent contracting,65 unless the claimant has affirmatively elected coverage under Unemployment Insurance Code section 708.66 For a claimant who last worked as an independent contractor, the EDD will analyze her separation from her last job as an employee, even if that job was months before she applied for benefits. Presumption in Favor of the Claimant A worker applying for benefits is presumed to have separated from her most recent employer through no fault of her own unless that employer gives written notice to the contrary to the EDD setting forth facts sufficient to overcome that presumption.67 After receiving notice of a claim, the most recent employer is provided a 10-day window in which to submit facts to the EDD about the claimant’s eligibility.68 If the employer does not submit any facts or the facts submitted do not show the claimant to be at fault, then a rebuttable presumption is triggered, placing the burden of challenging the claimant’s eligibility on the employer.69 However, this presumption is rebuttable and can be overcome even if the employer presents no information to EDD (i.e. facts disclosed by the claimant can render her ineligible). If the presumption is triggered at the initial determination stage, it is re-triggered on appeal whether or not it was initially rebutted.70 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 13 Types of Separations Most separations from work can be characterized as either a discharge or a voluntary quit. These two types of separation give rise to very different eligibility standards for UI benefits; thus the EDD will look carefully at the facts of the separation to determine the moving party (and thus how to categorize, and evaluate, the separation). Other types of separations that give rise to their own standard for eligibility include: “constructive” quits, layoffs, and job losses due to trade disputes or strikes. Eligibility for UI benefits under each of these scenarios is discussed here. Quit or Discharge: Who was the Moving Party? If it is unclear whether a claimant quit or was fired, the EDD will look carefully at the facts of the separation to determine who was the “moving party” to the separation. Generally, the moving party is the party (either the employer or employee) whose actions determined that the employment relationship would end. How the employer or the claimant labels the separation is not controlling, so even if the employer and employee both agree to call the separation a discharge, layoff or quit, the EDD will still examine the actual circumstances and make its own determination.71 The employer is the moving party in the following circumstances; thus these separations will be characterized and evaluated as discharges: Traditional Discharge. The employer refuses to allow the claimant to continue working despite the fact that she is ready, willing, and able to work.72 Quit in Lieu of Discharge. The employer tells the worker that she will be fired if she does not quit, or the employer allows the worker to characterize a termination as a quit to avoid jeopardizing future job prospects.73 Discharge Before the Effective Date of Resignation (Without Pay). The employer discharges the worker before the intended resignation date and does not pay the employee through that intended resignation date.74 Leaving the Day of (or Shortly After) the Discharge Date. The employee leaves early on the day that her employer said would be her discharge date,75 or works a few additional hours or days after the discharge date.76 The employee is the moving party in the following circumstances; thus these separations will be characterized and evaluated as quits: Traditional Quit. The employee leaves work while work is available and the employer is willing to allow her to work.77 Quit in Anticipation of Discharge. The employee quits because she believes that she will soon be discharged. 14 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS Discharge Before the Effective Date of Resignation with Pay. The employee provides notice of her intention to quit on a future date and the employer discharges her in advance of the resignation date, but still pays her through the intended resignation date.78 Resignation Before the Effective Date of Discharge or Layoff. The employee leaves the job before the effective date of a discharge or layoff.79 Quit With Offer to Continue Working. The employee quits, but offers to work until a replacement is found (even if the employer accepts her offer, but then discharges her before finding a replacement and without paying her through the date a replacement is found).80 There is one limited circumstance where the EDD is incapable of characterizing a separation as either a quit or a termination: when the employee reasonably and sincerely believes she was terminated and her employer reasonably thought the employee voluntarily quit.81 This happens infrequently, but these types of cases are characterized as mutual mistakes. For example, a mutual mistake might occur if an employer yells at an employee and takes away her keys and employee ID, which prompts the employee to say “I’m leaving” and to walk off the job, never to return. The employer may have been intending to merely suspend the employee (only to interpret the employee’s action as a voluntary quit), whereas the employee may have interpreted the employer’s actions as a termination. So long as each party’s belief is reasonable, mutual mistakes are considered no-fault separations making the claimant eligible for benefits.82 1. Discharges To be eligible for benefits, a discharged employee must have been discharged for a reason other than misconduct.83 A claimant was discharged for misconduct if all of the following elements are present:84 A material duty owed by the claimant to the employer. A “material” duty is one that is inherent in and properly part of the job. For example, a bartender owes the employer a duty to report to work on time, but does not owe the employer a duty to serve minors in violation of the law. A substantial breach of that duty. “Substantial” means that the incident must be more than a trivial deviation from the norm. For example, reporting to work one minute late would not be substantial, but coming in three hours late would be substantial. A breach that demonstrates either willful or wanton disregard for the duty. This means that the employee committed the act of misconduct knowingly or intentionally or in reckless disregard of any potential consequences. A breach that tends to harm the business interests of the employer. This could be anything from making a business look bad in front of customers to sabotage of product quality. CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 15 The legislatively declared public policy of the state requires the extension of UI benefits to persons “unemployed through no fault of their own.”85 Accordingly, fault is the base element to be considered in interpreting and applying section 1256, and the test for misconduct is essentially volitional.86 The burden of proving all four elements of misconduct falls on the employer.87 Over the long life of California’s UI system, the Legislature, the Courts, the EDD (via regulations), and the CUIAB (via Precedent Decisions) have all played a role in establishing that discharges for certain specific reasons typically do or do not amount to misconduct, as defined above. Discharges that typically do not Constitute Misconduct It is unlikely that employers will be able to establish that discharges under the following circumstances rise to the level of misconduct: Poor performance/failure to meet the employer’s standards. Poor work performance, inefficiency, ineptitude, or failure to meet an employer’s expectations is normally not misconduct.88 Although an employee may be uncomfortable claiming that she was fired for ineptitude, she should be reminded that her employer is entitled to its opinion and the fact that she was fired for her performance should mean that she will be awarded benefits. Poor work performance will constitute misconduct in cases in which an employee shows an intentional disregard of the employer’s interests. If the claimant intentionally or knowingly fails to perform, is grossly negligent, or repeatedly performs negligently after prior warnings, she will be deemed to have committed misconduct.89 Good faith error in judgment or ordinary negligence in a single incident. A single incident of ordinary negligence or a good faith error in judgment is normally not misconduct.90 The isolated instance defense can be used for a first-time offense, involving conduct that was unusual, uncontrollable or motivated by a momentary lapse in good judgment. A claimant will not be able to rely on this defense if she has been repeatedly warned by the employer about similar conduct91 or if the particular claimant could be reasonably held to a higher duty of care (e.g. an airline pilot).92 Employer’s definition of misconduct (“employer confusion”). Many charges of misconduct made by employers involve conduct that is not disqualifying misconduct, as defined by the Unemployment Insurance Code. This often results because employers are confused and do not know the difference between their internal definitions of misconduct or job performance standards, and misconduct under the law. Offense was not work connected (off-duty conduct). Conduct by an employee away from the work site during non-working hours is generally not considered misconduct, even if that conduct is unlawful.93 However, if the claimant owes a higher duty of care because of her particular position or employer, an off-duty crime can be considered misconduct if it tends to harm the employer’s interests.94 16 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS No causal connection between misconduct and termination. Even in cases where a claimant committed an act of misconduct, she may still qualify for benefits if she can show she was actually discharged for another reason. 95 Claimants can use this defense in cases where an intervening event or act reduces the connection between a prior act of misconduct and the termination. Employer condones the offense. If an employer condones employee behavior by failing to reprimand or discharge the employee immediately, the employee may avoid disqualification for misconduct.96 The condonation defense may be used when a significant amount of time passes between an act of misconduct and the termination. However, if the employer has a good reason for taking its time to terminate the employee, the condonation defense is inapplicable.97 For example, if the employer did not know about the misconduct or its consequences until long after the incident, the EDD will not consider the act to have been condoned. In some cases, a claimant can argue that the condonation defense applies because the employer accepted similar behavior from other employees without a reprimand. Discharges that Frequently Constitute Misconduct Insubordination. Insubordination is an employee’s conduct that intentionally disregards the employer’s interests and willfully violates a standard of behavior that the employer may rightfully expect.98 As with misconduct, an employer’s charge of insubordination has to meet the legal definition. Equating insubordination with misconduct generally requires multiple acts with prior warnings but can result from a single act if that act is particularly damaging to the employer’s interests.99 Insubordination can include refusing to comply with orders, exceeding authority, making a statement that damages the employer, or directing profane or derogatory language toward the employer. Each of these types of insubordination is discussed here. Disobedience of an order: This will be considered insubordination only when it is disobedience of a reasonable order, which would not include, for example, an order that is outside the scope of the job, calls for illegal acts, or endangers co-workers.100 The reasonable order must come from the employer or a supervisor, not from a co-worker or another person whose authority is unclear, to be considered insubordination.101 Although not insubordination, a refusal to reasonably cooperate with co-workers could be misconduct. Exceeding authority: An employee exceeds authority when she commits an act going beyond the authority expressly granted by the employer or beyond the authority implicitly created by the employer’s failure to object to a particular type of conduct.102 Acts exceeding authority will generally be excused where the act was necessary to prevent damage to the employer’s interests and it was impractical to check with the employer or if the employee’s act was a good faith error in judgment.103 Disputing authority: This is defined as statements or remarks made by an employee that damage or tend to damage the employer’s interests.104 Damage occurs to the employer when the manner in CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 17 which an employee disputes with the employer or its representative or the time and place of the dispute is inappropriate, especially if the employee had been warned.105 However, differences of opinion, disagreements, and misunderstandings are generally not misconduct.106 Ridiculing authority: This will be considered insubordination unless it is found to be an isolated instance of joking or an error in judgment with no willful element. Directing profane language at employer: To determine whether the use of profanity constitutes misconduct, one must examine the normal practices of the place of business and the circumstances under which the remarks were made.107 A single offensive remark can fall within the category of a mere error in judgment.108 Absenteeism and tardiness. Absenteeism and tardiness, two of the more frequent misconduct charges, are handled in the following manner: Absence or tardiness caused by illness: This is not misconduct if the employer was informed or if there was a compelling reason for not informing the employer.109 Absenteeism for reasons other than illness: If the employee is given approval for an absence, either in advance or upon notifying the employer of the absence, that absence is not misconduct.110 If the employee does not have prior approval for the absence, the absence is not misconduct if it was an isolated incident for the first time due to a good faith error in judgment.111 Alternatively, the absence is not misconduct if the employee had a real, substantial, and compelling reason for the absence,112 and the employee notified the employer of the absence and her reasons for being absent (presuming such notice was feasible).113 Tardiness: Repeated unexcused tardiness after multiple warnings is disqualifying misconduct.114 A single incidence of unexcused tardiness is misconduct if the employee has other violations of employer standards that include reprimands115 or if the single tardiness causes substantial injury to the employer.116 However, if there are no prior warnings, or if there is a compelling reason for the last incident of tardiness (regardless of other past offenses), tardiness will not be considered misconduct.117 (For information regarding absence due to incarceration, see “Constructive Quits” below.) A dishonest act or statement. This is generally misconduct, even without any previous warnings or a specific employer rule.118 But good-faith misunderstandings, as judged from the perspective of a reasonable person under the circumstances, are not misconduct.119 Also, if the employer knew that the employee or others engaged in the particular dishonest acts and did not take steps to reprimand, the claimant can argue that the employer condoned the dishonesty120 (For more information, see “Employer condones the offense” above.) Misappropriation of property (including funds). Stealing property belonging to the employer121 or coworkers122 is misconduct, regardless of the value of the stolen item. If the employer shows that the worker was not authorized to possess its property and the worker cannot provide a reasonable 18 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS explanation, she has committed misconduct.123 The standard of proof is a “preponderance of the evidence,” rather than the criminal standard of “beyond a reasonable doubt.” Therefore, a claimant need not be found “guilty” in a criminal proceeding to be ineligible for benefits.124 On the other hand, a mistake, such as a good-faith failure to handle cash according to the employer’s written rules, is not misconduct.125 Lying during the job application process. This is misconduct, 126 unless a law prohibited the employer from asking the question in the first place127 or unless the inquiry was beyond the scope of what is “proper and necessary” to protect the employer.128 Slight exaggerations that are not clearly false or intentional are not misconduct.129 Discourtesy toward customers or the public. This is misconduct if the employee was previously warned or reprimanded, and if the employee has the ability to control the behavior. An isolated instance is not usually misconduct, unless the employee is extremely rude. 130 Annoying, or failing to get along with, co-workers. This is misconduct if the employee had been previously warned or reprimanded. Absent prior warning or reprimand, it is not misconduct.131 Violence on the job. This is misconduct if the employee either started the fight, regardless of her reasons for doing so, or provoked it.132 Fighting on the job is not misconduct when the employee is defending herself against an attack that she did not begin or provoke.133 Threatening other employees with physical harm is misconduct,134 unless the worker whom the threat was made against considered the threat to be a joke or minor and inconsequential.135 Sleeping on the job. This is misconduct unless it was a brief first-time offense that was not prepared for and not done deliberately, and that did not endanger others. 136 Additionally, the employee is more likely to defeat a misconduct charge if she did not realize that she was tired or could not have prevented her tiredness, including by requesting sick leave.137 Alcohol or illegal drug use. This is ordinarily misconduct if it is engaged in at work and usually not misconduct if engaged in off duty. On duty: Consuming alcohol or illegal drugs at work or coming to work while under the influence is such a serious breach of an employee’s duty to remain sober on the job that even a single isolated incident is misconduct.138 On-duty illegal drug and alcohol use is not misconduct only when the employer permitted or condoned it, or, in the case of alcohol use, when such use is common to the occupation, like bartending.139 A claimant who suffers from alcoholism or drug addiction is disqualified from receiving benefits even if, because of her addiction, she has an irresistible compulsion to consume intoxicants (i.e. she cannot overcome the willfulness element of misconduct by arguing that her addiction prevents her from abstaining from drinking or using drugs.)140 However, such a claimant can purge her disqualification by enrolling in a treatment program and certifying her ability to return to work.141 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 19 During breaks or lunch periods: Taking illegal drugs while on break is misconduct.142 Drinking alcohol on a break, however, is not misconduct, unless the employee had notice of a specific employer rule forbidding it or was previously warned.143 Off the job: Alcohol or illegal drug use off the job is not misconduct,144 as long as it does not substantially affect the employee’s ability to work, especially in dangerous jobs.145 This general rule applies even if the employer discovers the employee’s illegal drug use through a drug test.146 But if the employee owes a higher duty of care because of her particular position or employer, off-duty use or possession may be misconduct.147 2. Quits To be eligible for benefits, a claimant who voluntarily quit her most recent job must satisfy the following two requirements: the claimant must have 1) quit with good cause and 2) taken reasonable steps, as appropriate, to solve the problem and keep the job. Requirement #1: Good Cause Good cause is a “real, substantial and compelling reason of such nature as would cause a reasonable person, genuinely desirous of retaining employment, to take similar action.”148 Such reasons may include personal circumstances,149 such as the need to care for one’s children,150 or work-related reasons, such as unsafe working conditions.151 If the employee has more than one reason for quitting. An employee will be found to have quit with good cause as long as one of her reasons constitutes good cause and that reason was a “substantial motivating factor” in her decision to resign.152 Good-cause reason must be the employee’s actual reason. Although an investigation of the employment relationship might uncover a good-cause reason for quitting, such as an employer’s failure to pay overtime, a claimant is not eligible for benefits unless that reason actually motivated her to quit.153 Additionally, the EDD may not believe a claimant’s given reason was her actual motivation for quitting if she waits too long to resign after the given reason first arises.154 Requirement #2: Reasonable steps to preserve employment Even if a good cause reason exists, a claimant usually will not be eligible for benefits unless she takes reasonable steps to preserve her employment by trying to resolve the problem before quitting.155 Failure to make such efforts “negates” good cause. Generally, reasonable steps means that an employee discussed the problem at least once with her employer and gave her employer a reasonable opportunity to fix the problem. Although she must seek some solution short of leaving her job,156 she need not exhaust all possible steps.157 In some cases, the reasonable steps an employee has to take may not even involve the employer; for example, an employee who is forced to quit because she is the only caregiver for her child will negate good cause if she does not explore other reasonable options, such as day care. 20 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS Leaves of absence and transfers. In most cases, the employee negates her good-cause reason for quitting if she does not request and/or accept a leave of absence or transfer that would resolve the problem.158 However, failing to request a leave or transfer may be excused if the employee does not know about the employer’s policy or the employer would not have granted a leave of absence.159 Additionally, rejecting a leave of absence or a transfer160 may be excused if the employee shows good cause for doing so. For example, rejecting a transfer that would lead to a three-hour round-trip commute and an increase in both public transportation and child care costs is good cause.161 Also, employees can reject leaves of absence that are not bona fide. A leave policy is bona fide if both parties contemplate that the employment relationship is continuing, that the employee will return after the leave and that the employee will receive more consideration than preference in hiring but not necessarily a guarantee of reinstatement.162 Exception for emergencies. If the situation is an emergency, the employee does not need to make reasonable efforts to try to keep her job before resigning. An emergency at the work site means that the worker had to immediately leave because of a substantial and immediate threat of serious injury or illness, such as a fire or a bomb threat.163 An employee also can quit without seeking a leave of absence for family emergencies, such as visiting a parent who suddenly has only a short time to live.164 An employee who quits is presumed to have quit with good cause unless her most recent employer submits facts, in writing, to the EDD that are sufficient to overcome the presumption. If the facts the employer submits do not rebut the presumption, the employer has the burden of proving that the claimant quit without good cause.165 This presumption in favor of the claimant is retriggered if the claim goes to appeal. If the information that the employer provides at the initial determination stage is sufficient to rebut the presumption in favor of the claimant, the claimant (as the party with knowledge of her reasons for quitting) has the burden of proving good cause. Quits That Are Typically “With Good Cause” Relocating for a partner or spouse. Employees moving their residence to maintain their relationship with their spouse,166 registered domestic partner167 or fiancé/fiancée to whom “marriage is imminent”168 have good cause to quit, as long as the relocation would result in an unreasonable commuting distance from their job169 and a transfer was not available.170 (For more information, see “Leaves of absences and transfers” above.) Furthermore, a relocating employee might be able to prevent her employer from challenging her benefits by advising the employer that its reserve account is not subject to charges when the reason for the resignation is to relocate for a spouse, domestic partner or fiancé/fiancée.171 Workers moving on behalf of a boyfriend, girlfriend, or unregistered domestic partner do not have good cause,172 unless they have children with their partner and share a household.173 Caring for family members. Quitting to care for one’s minor children is good cause if there is no reasonable alternative caregiver.174 Resigning to care for another family member is good cause only if the claimant has no other choice because the person is sick and needs help with personal care or CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 21 household chores.175 It is not good cause to quit in order to provide solely emotional support for the ill family member, 176 unless that person is in danger of death. 177 The claimant normally must seek a leave of absence or pursue other reasonable alternatives before resigning to care for a family member, unless the situation is an emergency.178 Note: If a claimant quits with good cause to care for a family member, she will nevertheless be ineligible to receive benefits as long as providing such care prevents the claimant from being available to work. (For more information, see “Available for Suitable Work” below.) Once the claimant’s care obligations have ended, however, she will be eligible for unemployment insurance. Domestic violence. Quitting to protect one’s self or children from a threat or act of domestic violence is normally good cause.179 The EDD may (but often does not) want the claimant to provide a copy of the restraining order, police report, or other information to verify the abuse or threat. 180 Additionally, the claimant must show that a leave of absence or a transfer either was not available or would not have protected her or her children because, for example, the abuser has violated a restraining order.181 If an employee quits due to domestic violence, the employer’s reserve account is not usually subject to charges, so the employer should be less likely to challenge her benefits.182 Pregnancy. A pregnant employee who quits for her fetus’s or her personal health usually have good cause if the evidence, such as a doctor’s advice or prior medical history, establishes that she had to do so and a leave of absence was not available.183 A reasonable and good faith fear for one’s health. This ordinarily constitutes good cause.184 For example, a claimant who feared exposure to lead at her workplace had good cause to quit,185 and another worker who resigned after complaining about a workplace that was so cold her feet and hands were numb also had good cause to quit.186 Claimants usually must have some objective basis for their fear, such as a doctor’s advice,187 or the aggravation of a known, specific health problem.188 If a claimant did not go to a doctor before quitting, she should consider going as soon as possible to try to get a letter stating that, in the doctor’s opinion, her condition or symptoms required that she quit. To avoid negating good cause, the claimant must seek a transfer or a leave of absence, if either of those would resolve the problem,189 unless the situation is an emergency.190 If the claimant had a pre-existing health problem and knew the work involved a situation that might aggravate it when she accepted the job, her leaving the job because of the health condition probably will not be good cause.191 Unsafe working conditions. These amount to good cause as long as they are greater than the ordinary risks that are inherent in the nature of the occupation or are more hazardous for the claimant in particular because of her unique circumstances.192 For example, although an office building windowwasher accepts the inherent dangerousness of her occupation, she has good cause to quit if the condition of her employer’s equipment makes her job riskier than others in the industry or violates the law. 22 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS The employee must ask the employer to correct any hazards before quitting,193 unless the situation is an emergency, defined as circumstances requiring immediately leaving because of a “substantial and immediate threat of serious injury or illness.” 194 Serious illness or injury means a risk “of sufficient gravity to require immediate emergency medical treatment and pose a danger of probable loss or substantial impairment of a member of the body, or any degree of permanent disability, or death.”195 Intolerable working conditions or abusive supervisors. Working conditions that are so onerous as to threaten the employee’s well-being, or actions of a supervisor that are particularly harsh and oppressive, amount to good cause.196 For example, repeatedly criticizing an employee in front of customers in such a sarcastic manner that the employee flees in tears is harsh and oppressive197 Working conditions that are so stressful that they cause physical symptoms, such as insomnia or a nervous disorder, are also probably onerous. On the other hand, ordinary job dissatisfaction or a disagreement with a supervisor is generally not good cause. The employee usually must try to improve the working conditions or the situation with the abusive supervisor by raising the issue with the employer and giving the employer an opportunity to fix the problem before resigning. The employee does not have to complain, however, if the employer cannot fix the problem or if the employee knows that the employer has refused to correct the working conditions when other employees asked.198 Illegal discrimination or harassment. An employee subject to unlawful discrimination or harassment based on race, color, religious creed, national origin, ancestry, disability, medical condition, marital status, sex, age, sexual orientation or any other protected basis has good cause to quit.199 However, an employee probably does not have good cause to quit merely because she reasonably believes the employer’s actions were discriminatory; she must be prepared to prove to the EDD or CUIAB that her employer’s conduct was, in fact, illegal.200 Because the unemployment benefits process does not involve discovery or a lengthy factual investigation, in practice the claimant must be able to credibly detail the employer’s conduct, give specific examples of discrimination, and explain her basis for believing the employer took that action to discriminate and not for some other legitimate reason (such as her poor work performance). If the violation is unintentional, the employee must give the employer a chance to fix it,201 but, if the violation is intentional and persistent, the employee does not need to make reasonable efforts to remedy it before quitting.202 In cases of sexual harassment, the employee need not take steps to try to keep her job if such steps would be futile.203 This standard, which specifically allows the claimant to assert that any reasonable steps would be futile, is less demanding than what is required in most situations to avoid negating good cause. Duties outside the scope of employment. An employee who quits because the employer imposed duties beyond those customary to her occupation has good cause if the duties cause undue hardship or are unreasonable.204 Situations that are unreasonable include: The duties amount to a substantial (e.g. threefold205) increase in the employee’s workload.206 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 23 The duties are beyond the employee’s physical ability or skills.207 The duties are demeaning in light of the employee’s occupation or status.208 For example, a hand decorator for a pottery company had good cause to quit after enduring intolerable conditions that culminated in being ordered to clean the bathroom.209 The duties are imposed to abuse or harass the employee.210 The employee must try to resolve the problem with the employer before quitting, such as by asking for help with the workload, unless she knows that the employer has refused to correct the problem when co-workers asked to have it fixed.211 Illegal or unethical orders. An employee has good cause to quit if she is required to engage in immoral, dishonest, illegal, or unethical acts.212 For example, a salesperson who is required to give false and misleading sales pitches may have good cause to quit. However, before quitting, the employee must discuss her objections with the employer and give the employer an opportunity to permit her to avoid the objectionable tasks or otherwise fix the problem.213 Fraud or misrepresentation in employment agreement. An employee generally has good cause to quit if the employer substantially breaches the employee’s contract or substantially misrepresents the pay rate, duties, hours, or working conditions of the job when the offer is made. The employer must misrepresent a material term of employment, not a trivial term or incidental agreement. 214 If the misrepresentation concerns job duties, the employee must try out the job for a brief period to avoid negating good cause.215 Illegal withholding of wages or other Labor Code violations. An employee generally has good cause to quit if the employer has no lawful reason for withholding wages216 or is otherwise violating the Labor Code, such as by repeatedly paying wages late or with bad checks.217 The employee does not have good cause to quit if there is a good-faith dispute over whether the wages were actually due, or if the employer paid late or with a bad check one time and promptly paid when notified of the mistake.218 To avoid negating good cause, the employee must notify the employer that the wages are due or otherwise discuss the Labor Code violation with the employer.219 Substantial reduction in pay rate and/or job downgrade. If an employee’s rate of pay is substantially reduced, the employee normally has good cause to quit. A “substantial” reduction in the rate of pay usually means a reduction of at least 20 percent.220 If the employer reduces the employee’s pay rate less than 20 percent, but also downgrades her position, the employee may have good cause if some of the following factors are met: She has good prospects for getting a job with another employer with wages commensurate to her pay rate before the reduction.221 The job that she may be able to secure requires skills that are comparable to her position before the job downgrade.222 24 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS The distance and cost of commuting make accepting the pay reduction/job downgrade difficult.223 Accepting the pay reduction/job downgrade would cause her to lose benefits, such as seniority or recall rights, or opportunities for advancement.224 A mere change or reduction in workdays, shift times or hours is ordinarily not good cause, even if the changes result in a net reduction in pay. Choosing a layoff under a collective bargaining agreement. A unionized worker who chooses to be laid off in place of an employee with less seniority (also called “bumping”) has good cause to quit.225 If the situation is not governed by a collective bargaining agreement, however, the EDD will analyze a worker’s decision to take a layoff over a pay rate reduction or job downgrade as described above. Substantial transportation or commuting difficulties. These may amount to good cause, depending on the travel time and distance of the employee’s commute, as compared with local commuting practices,226 and the costs relative to the employee’s wage.227 For example, a low-wage worker generally will have good cause to quit if her commute is increased from 15 minutes to an hour and a half with an increase in transportation costs, such as the addition of a $2 bridge toll, but this same commute may not be good cause for a higher paid worker who works in a community where long commutes are common and who can easily afford the extra cost. The employee also must show that there were no other reasonable alternatives to get to work.228 Definite offer of a substantially better job. Quitting to accept a definite job offer (e.g. a job with a start date229), where the subsequent job falls through, is usually good cause.230 The new job must be “substantially better,” assessed by considering all the factors that influenced the claimant’s decision to accept the new job, including relative pay, location and permanency, opportunities for advancement, required skills, seniority rights, and working conditions.231 An increase of 10 percent in pay and benefits is normally considered substantial, but, even with a smaller pay increase, the job may still be substantially better if other factors are present. For example, a job with a 5 percent pay increase, regular eight-hour shifts and a much shorter commute would be substantially better than a job with varying shifts and a 40-minute round-trip commute. Also, a permanent or a full-time job is always substantially better than a temporary or part-time job, even without a pay rate increase.232 As explained below, quitting merely to search for a new job is usually not good cause. Planning to take a short amount of time off between the jobs does not negate good cause.233 However, when the new job falls through, the employee must ask for her old job back or otherwise show that her former employer would not have rehired her to avoid negating good cause.234 Religious beliefs or other conscientious objections. An employee who quits based on a conscientious objection to the work has good cause if she can show all of the following: The objection must be bona fide and not a means of avoiding work,235 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 25 The work or working conditions must have a direct, rather than an indirect or incidental, effect on her beliefs, and236 She must have been unaware of the objectionable aspects of the work when she was hired or she must show that her objection arose later.237 For example, good cause would not exist if a waiter knew, at the time she was hired, that she would have to sell alcohol in violation of her beliefs but took the job anyway. Claimants who quit because of a religious objection also must show that their religious group expressly bans its members from engaging in the objectionable work.238 For example, good cause to quit would exist if a restaurant started selling liquor, which was expressly forbidden by a waiter’s religious beliefs, and the restaurant chain would not transfer the waiter to a location that did not serve alcohol. In all of the cases involving moral or religious objections, the employee must seek other ways to resolve the problem, including seeking a transfer, before quitting.239 Quits That Are Typically NOT “With Good Cause” Job dissatisfaction or a disagreement with management. These do not normally amount to good cause to quit, 240 unless the situation is objectively intolerable or abusive, as described above. Employees are expected to tolerate a certain amount of inept management or bad supervisors as part of the normal rigors of work. Changes in work schedule/reduction in hours. A change in workdays or shift times, or to the number of hours is not good cause for quitting when a claimant rejects the schedule because of personal preference, inconvenience, or even slight hardship.241 To have good cause, the claimant needs a compelling reason for why she cannot work the new schedule,242 or she has to show that the employer’s new requirement is “unnecessary” and “arbitrary,” or imposed to harass the employee.243 Even if a schedule change results in a reduction in the employee’s wages, she is expected to use her extra free time searching for full-time work, rather than quitting and having no job at all. If the employer makes the schedule change as well as decreasing the employee’s rate of pay or downgrading her position, she may have good cause as described above. Searching for other work. Resigning to search for a new job is generally not good cause,244 unless the claimant quit a part-time job because the job hindered looking for full-time work.245 If the claimant quits to accept a definite job offer, she may have good cause as described above. Not qualified for the job. Resigning because the employee believes that she lacks the training or experience to do the work is not good cause.246 However, if the employer imposes new duties or changes the job duties, the employee may have good cause to quit (as discussed above). Too qualified for the job. An employee who quits because the work does not require use of her highest skills does not usually have good cause.247 However, she may be able to argue that she has good cause if her situation is extreme, i.e. her primary duties are on a substantially lower skill and status level.248 26 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS Additionally, if the employer misrepresented the skills needed for the job at the time the claimant was hired, she may have good cause to resign. Transition to self-employment. Resigning to go into business for one’s self is not good cause,249 unless the employee reasonably anticipates losing her job soon and is reasonably certain that self-employment will provide a way to earn a livelihood. For example, the employee had a definite offer of work as an independent contractor.250 Transition to school. Quitting to attend school or a training course is not usually good cause,251 unless the employer requested the schooling,252 or the claimant was required by law to attend school because of her age.253 A claimant may have good cause if the training or apprenticeship program is stateapproved, such as through the California Training Benefits Program.254 (For more information, see “California Training Benefits Program” in Chapter 7.) Resigning in anticipation of discharge. Quitting because the employee believes that she will soon be discharged is not good cause, 255 unless another independent good-cause reason exists.256 Even if an employer has given the employee a definite date of termination or layoff, the employee will have to show an independent good cause reason to leave the job before that date. If the employer, however, has taken definite steps to discharge the worker immediately, such as by telling her that she will be fired if she does not resign, the worker will be considered to have been discharged, rather than to have quit. (For more information, see “Quit or Discharge: Who was the Moving Party?” above.) Protesting employer’s disciplinary action. An employee who resigns because she disagrees with her employer’s disciplinary action usually does not have good cause.257 Good cause may exist, however, if the employee did what could reasonably be expected of her to try to remain on the job and other circumstances, including one of the following, were present: The discipline was for conduct that was not work-connected or detrimental to the employer.258 The discipline was for violating a rule the employee did not actually or constructively know.259 The discipline did not timely follow the conduct at issue.260 The substance of the discipline or the manner in which it was given was excessive or unreasonable, or the employer engaged in a pattern of hostility or abuse toward the employee.261 For example, a claimant had good cause to quit when her supervisor repeatedly criticized her in front of customers in a sarcastic manner for mistakes that, in some cases, were not attributable to her and in other cases, were not work-related.262 3. Constructive Quits A “constructive” quit occurs when a claimant’s unemployment is the result of her intentional act that makes it impossible for the employment relationship to continue, even though the employee does not intend to quit and actually was discharged. In these circumstances, the claimant is ineligible for CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 27 benefits, either because the separation is deemed a voluntary quit without good cause or because the claimant is found to have constructively quit by losing the job through her own fault.263 Three elements are required to find a constructive quit: The claimant voluntarily committed an act; The act made it impossible for the employer to use her services; The claimant knew or reasonably should have known that the act would jeopardize her job and possibly result in the loss of her employment.264 Constructive Quit Situations Absences due to incarceration. A constructive quit occurs: 1) if the claimant is discharged for missing work because she has been incarcerated for more than 24 consecutive hours, and 2) if she pleads guilty or nolo contendere, or is ultimately convicted of the offense for which she was imprisoned or of any lesser offense.265 If either of these elements is missing, the claimant will be considered to have been discharged.266 The separation also is viewed as a discharge if the claimant was absent because of an incarceration she accepted rather than pay a post-conviction fine that she is too poor to pay.267 If the separation is a discharge, the EDD will analyze whether the claimant committed work-related misconduct. An employee discharged for absences due to incarceration ordinarily has not committed misconduct, even if she fails to give the employer notice of the absence, because she is primarily concerned about getting released.268 Therefore, the claimant is probably eligible for benefits. Claimants who pleaded not guilty or have not entered a plea can choose to be paid benefits, risking having to pay them back upon conviction, or to wait for the court’s decision on the criminal charges, receiving back benefits upon acquittal.269 Loss of a license required for the job. A constructive quit occurs if an employee is discharged for losing a license that is required to do the job as long as the loss results from the employee’s own fault. For example, a truck driver constructively quit when she lost her driver’s license by driving drunk. 270 However, if the license is lost through no fault of the claimant, such as by a good-faith inability to pass a test, she is eligible for benefits.271 Refusal to join a union. A constructive quit usually occurs if the employee is discharged for willfully refusing to pay union dues, resulting in the loss of her union membership, when such membership is made a condition of employment under a collective bargaining agreement. However, if the employee had good cause for her refusal, such as that the collective bargaining agreement’s requirement is illegal, she is eligible for benefits.272 Refusal to work certain days or hours. A constructive quit occurs if the employee does not have good cause to refuse to work certain days or hours and is subsequently discharged for that refusal.273 For 28 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS example, an employee who was discharged for refusing to work Sundays because of her desire to spend that day with her family was deemed to have constructively quit.274 Employer’s liability insurer will not cover the employee. Presuming the following two conditions are met, a constructive quit arises when an employer terminates an employee because the employee can no longer be covered by the employer’s insurance: 1) the employer had no reasonable alternative to terminating the employee (i.e. the employer could not get different insurance nor could the employer transfer the employee to a different job) and 2) the employee knew or reasonably should have known that her actions would jeopardize her employment.275 Expiration of temporary work authorization. Although there is no authority on point, a constructive quit likely will be found to occur when a worker is fired because her temporary work authorization expired, unless she can show that the failure to renew her work authorization was not her fault. 4. Layoffs A layoff for lack of work is neither a discharge nor a voluntary quit. A layoff is the involuntary termination of an employee for business reasons (e.g. there is no work available or the employer is cutting costs.) The employee is not replaced because her job is eliminated. Claimants who are laid off for lack of work are presumptively eligible for unemployment benefits.276 This rule applies to claimants who were either permanently or temporarily employed and to claimants who were permanently or temporarily laid off. Though not technically a “layoff,” claimants are also presumptively eligible for benefits when their separation was due to the expiration of a contract period277 or the sale of a business.278 The technical distinction between a layoff and a termination (wherein the worker is fired but her position remains open) can be difficult to discern. Moreover, because of the presumptive eligibility, claimants have an incentive to characterize their separation as a layoff. As such, workers sometimes mischaracterize their separation from employment as a layoff, either because they do not know the difference, truly think they were laid off, or just think they will have an easier time getting benefits. Workers who mischaracterize their separation may not only find themselves ineligible for benefits, but also subject to false statement penalties. (For more information, see “False Statements” in Chapter 5.) 5. Strikes or Trade Disputes A worker who voluntarily leaves her jobs because of a strike (formally referred to as a “trade dispute”) is not eligible for benefits (even if she has good cause for leaving) and she will remain ineligible as long as the dispute is in active progress at her workplace.279 To disqualify a claimant for involvement in a trade dispute, the EDD must find that 1) there was a trade dispute; 2) the claimant’s leaving of work was voluntary; 3) the claimant left the job and remained unemployed because of the trade dispute; and 4) the trade dispute did not end, but was in active progress. CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 29 Definition of a Trade Dispute The Appeals Board broadly construes “trade dispute” as “any controversy which is reasonably related to employment and the purposes of collective bargaining.” 280 Trade disputes include strikes, lockouts or any type of concerted activity by employees about their working conditions, even if they are not unionized.281 Employee Must Voluntarily Leave An employee leaves work voluntarily if she freely chooses to leave,282 rather than because her employer coerces her into leaving or refuses to let her work.283 Striking v. locked out workers. Striking workers are not eligible for benefits because the strike reflects the workers’ collective decision not to provide services to their employer. In contrast, locked out workers normally are eligible for benefits because the employer prevented them from working when they were ready to work. However, a union’s call to strike against one employer in a multi-employer bargaining unit will render ineligible all members covered by the master collective bargaining agreement who lose their jobs, even those that were not on strike but were instead locked out in retaliation. This result occurs because the union’s decision to call the strike only against some of the employers ultimately led to the locked-out workers’ unemployment.284 Workers who refuse to cross picket lines. Workers who refuse to cross picket lines (of their own union or of another union striking at the same employer) have voluntarily left their jobs if their refusal is based on a principled decision not to cross. 285 On the other hand, if they do not cross the picket line because of a reasonable fear that crossing would endanger their physical safety, their actions will be viewed as involuntary, and they will be eligible for benefits. Vague threats, common to any picket line, such as “you’ll be sorry if you cross” are not sufficient to establish that an employee had a reasonable fear.286 Workers who are laid off during a dispute. Workers who are not involved in the trade dispute but who are laid off because the employer has no work due to the dispute are eligible for benefits. Trade Dispute Must Cause Unemployment Trade disputes suspend, rather than end, the employer-employee relationship. Therefore, workers are disqualified because of a trade dispute only as long as the dispute is the actual cause of their unemployment. If the dispute ultimately severs the employment relationship, such as the employer permanently closing or relocating the workplace, the trade dispute may no longer be the cause of a worker’s unemployment. Employee finds another job. A trade dispute is no longer the cause of a worker’s unemployment if she accepts, in good faith, a full-time job with another employer with the intent that the job will be permanent. (When she loses the new job, she will be eligible for benefits as long as the loss was through no fault of her own.) However, the EDD must be convinced that the new job was bona fide new 30 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS employment and not a temporary job taken to ride out the strike. The EDD is especially likely to infer that her new job was merely to circumvent these trade dispute rules if she loses the new job shortly after she starts working.287 Employer permanently replaces the strikers. Employers who permanently replace the strikers have severed the employment relationship with these workers, and, therefore, the strike is no longer the cause of the workers’ unemployment.288 However, mere threats to replace a striking worker do not sever the employment relationship.289 In addition, if the employer permits any of the workers to unconditionally return to their former jobs, even though it has permanently replaced most of its work force, the employment relationship continues. Workers who choose not to return remain ineligible for benefits.290 Employer rejects employee’s offer to return to work. An employer will sever the employment relationship if it rejects an employee’s good faith and unconditional offer to return to her job during the trade dispute.291 Firings or resignations. The employment relationship will be severed if a claimant quits or is discharged during the trade dispute. The EDD will analyze the claimant’s eligibility based on whether she was fired for work-related misconduct or whether she quit without good cause. Workers who were fired for violating a no-strike clause in their collective bargaining agreement have been found to be discharged for misconduct.292 Trade Dispute Must Be in Active Progress Workers who lose their jobs because of a trade dispute are eligible for benefits again when the dispute is no longer in “active progress.”293 A dispute may come to an end when the employees actually return to work after a lockout or strike,294 or when the employment relationship is otherwise severed. D. Able to Work In order to be eligible for benefits, a claimant must be physically and mentally able to work. Generally, being “able to work” means that a claimant is physically and mentally capable of working at her usual job or customary occupation.295 Whether a claimant qualifies for benefits (even if on a prorated basis) is determined by analyzing how the illness, injury, or pregnancy affects the particular claimant’s ability to work.296 The Claimant’s Customary Occupation The claimant needs to be able to work in her usual or customary occupation, meaning a job similar to her last one, or a job for which she is reasonably fitted.297 If a claimant cannot work in her customary occupation because a newly acquired injury or illness prevents her from using her existing skills, she should still be considered able to work if she has other skills, training, or experience in another type of work that she can currently perform. CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 31 If a claimant can work but requires certain accommodations, such as lifting restrictions or limitations on the number of hours spent sitting or standing, she is usually able for work.298 Some claimants, however, may have so many restrictions that they are unable to work because their only work experience or training is in an occupation that cannot accommodate their restriction.299 If a claimant needs training to change occupations because her disability prevents her from doing her former job, she may be able to qualify for the California Training Benefits program. (For more details, see “California Training Benefits Program” in Chapter 7.) Temporary Injury or Illness The claimant’s Weekly Benefit Amount will be prorated if she cannot work for one or more days during the week because she was temporarily injured or sick.300 For example, if the claimant had the flu or was restricted to bed-rest because of her pregnancy for three days, she would receive four, rather than seven, days’ worth of benefits for that week. A claimant who is otherwise able to work will not have her Weekly Benefit Amount prorated if she restricts her search to part-time work because of a permanent or chronic medical condition.301 State Disability Insurance (SDI) Benefits: If the illness or injury keeps the claimant from working for eight or more consecutive days, 302 she should consider filing a claim with the EDD for temporary State Disability Insurance (SDI) benefits rather than UI benefits. It is important to remember that claimants cannot collect UI benefits and SDI benefits at the same time, but it is not uncommon for a claimant to switch back and forth between the programs. E. Available for Suitable Work In order to be eligible for benefits, a claimant must be “available for work.”303 The general rule is that a claimant is “available for work” if she is 1) ready, willing, and able to accept suitable work or has good cause for any restriction on her readiness, willingness, or ability to accept such employment” and 2) “a substantial field of employment remains open to the claimant in her labor market.”304 As used in this general rule, the terms in bold have the following meanings: Suitable work. This is any work in the claimant’s usual or customary occupation or for which she is reasonably fitted. Whether the work is reasonably fitted depends on: the degree of risk involved to the individual’s health, safety, and morals; her physical fitness and prior training; her experience and prior earnings; her length of unemployment and prospects for securing local work in her customary occupation; the length of her commute; and any others factors that would influence a reasonably prudent person in the same circumstances.305 Suitable employment does not include employment with an employer who: 1) does not possess an appropriate state license, 2) fails to make required payments to the state Disability Fund, or 3) fails to carry workers' compensation insurance.306 Good cause. This is a reason so compelling that a prudent person who is genuinely desirous of finding employment would impose a restriction on her work search if she was in the same 32 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS circumstances as the claimant. Additionally, the claimant must have considered other reasonable alternatives before imposing a restriction on her work search. “Reasons of ambition, prestige, or taste, or similar motives, though they may be commendable in certain instances, will usually not be considered to constitute good cause.”307 A substantial field of employment. This is a field of employment with more than a minimal number of employers in the claimant’s geographical area that uses workers with the claimant’s skills and experience, and can accommodate the claimant’s restrictions, if any. The existence of actual vacancies in the claimant’s type of work is not required.308 Labor Market. This is the potential demand for the claimant’s services in the locality where she offers them. A labor market may expand or contract with such factors as the season, weather, economic conditions, and consumer demands.309 Burden of proof. The claimant has the burden of proving that she was willing, ready, and able to accept suitable work and that she had good cause for any restriction.310 If the claimant satisfies this burden, the EDD has the burden of proving that, nevertheless, a substantial field of employment did not remain open to her.311 No good cause for a restriction? Even without good cause, a claimant is still available if the restriction does not “materially reduce” her job opportunities. Showing a lack of a material reduction is more difficult than demonstrating openness to a substantial field of employment. In general, a material reduction amounts to the elimination of 20 percent or more of a claimant’s potential labor market, but in a smaller labor market, a reduction as low as 10 percent could be material.312 Common “Availability” Issues Claimants often want to (or need to) place various limitations or restrictions on their job search. As a general rule, reasons that are good cause for voluntarily quitting a job are likely to be good cause for restricting a job search. (For more information regarding good cause quits, see “Quits That Are Typically with Good Cause” above.) The following common examples are discussed in more detail below: Immigration status, part-time work, school or training, lack of childcare, traveling, commuting, moving to a new area, selfemployment, incarceration, type of work, wages or working conditions, and no substantial field of employment. Immigration status. A claimant is considered unavailable for work if she is not lawfully residing and authorized to work in the United States at the time she is receiving unemployment benefits.313 If a claimant refuses to provide documentary evidence of her status upon the EDD’s request, she is unavailable for work.314 If a claimant is eligible for work authorization but had not applied yet or let her authorization temporarily lapse, she may be considered available.315 However, even that claimant must make good- CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 33 faith efforts to establish her employment eligibility or risk disqualification on the ground that she did not take reasonable steps to actively search for work.316 Part-time work. A claimant who is seeking only part-time jobs is available for work as long as she can show all of the following:317 Her claim is based on part-time employment, meaning that more than 50 percent of the total weeks worked in the Base Period of her claim must have been in employment of less than 40 hours a week.318 She is willing to accept work under essentially the same conditions as when she earned her wages during her Base Period. “Same conditions” means the same number, or range, of part-time hours. She imposes no restrictions on her job search, other than the day and time restrictions established as part of her search for part-time work. She is in a market in which a reasonable demand exists for the part-time services that she offers. In other words, she is open to a substantial field of employment, as discussed above. School or training. A student is available if her job search fits the criteria listed above for part-time work,319 or if her school attendance merely fills in gaps between jobs and she is willing to abandon school to accept work. A student also should be available for work if she attends school only in the evening and seeks a full-time day job. Additionally, students are available if the school or training has been approved through the California Benefits Training program.320 (For more information, see “California Training Benefits Program” in Chapter 7.) Lack of childcare. Caring for one’s minor child is good cause for restricting a job search or for refusing an actual job offer when there are no reasonable alternatives.321 On the other hand, a claimant will still be disqualified if she cannot work at all322 or cannot work during hours that would allow her to be open to a substantial field of employment.323 A claimant who is caring for her child during a job search, but who can make other arrangements when she finds a job, is available for work. She should consider presenting declarations from the person whom she has lined up as an alternative caregiver as proof of her eligibility. Traveling. A claimant who is away on travel will normally be considered unavailable, unless the trip was primarily to search for employment324 or unless the claimant ensures that she will not miss any job opportunities while she is away.325 Commuting. Whether a claimant has good cause to limit her search to particular locations or to refuse a job that she believes is too far away depends on the required travel time and distance to work, as compared with local commuting practices, and the length of time she has been unemployed. The longer a claimant has been unemployed, the farther she should be willing to commute. For example, a claimant who is unemployed for two months and who does not apply for a suitable job opening because of a two-hour round-trip commute by public transportation is considered not available.326 Additionally, 34 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS a claimant may have good cause for refusing a job if the cost of commuting would be excessive, such as more than half her gross pay.327 Moving to a new area. A claimant can move to a different locality and still receive unemployment benefits,328 unless she moves to an area where there is little or no market for her services.329 A labor market exists in a particular locality when there is a reasonable employment field in the new location,330 even if the claimant moves to a smaller community.331 The fact that there may be no openings is immaterial.332 Self-employment. A claimant who is self-employed or looking for work as an independent contractor is not usually available. But such a claimant is available if she intends to abandon self-employment or if her work as an independent contractor is flexible enough that it does not conflict with the hours she would be expected to work as an employee in her usual occupation.333 Incarceration. If a claimant is detained for more than two workdays, she is unavailable even if the charges are later dismissed. If she is detained less than two workdays and the charges are dismissed, she remains available.334 Type of work. A claimant usually can restrict her job search to her customary occupation, the work that she ordinarily performs or is trained to perform, even if she has experience or training in other occupations.335 Especially when she has not been unemployed for long, she can consider jobs outside her customary occupation “unsuitable.” On the other hand, a claimant seeking to change careers probably must show good cause for rejecting what will probably be seen as suitable work because of her prior experience in that work.336 Reasons of ambition, prestige, or taste are not good cause.337 However, a claimant may have good cause if the prevailing wages are lower in the rejected occupation(s) than what she became accustomed to338 or if the rejected occupation(s) would not require use of her highest skills and could cause her to lose proficiency in those skills or make it harder for her to find a job using her highest skills.339 The length of her unemployment also matters.340 For example, a claimant who has five years of experience bartending, has been unemployed for only a few weeks, and is accustomed to receiving the higher wages and tips from bartending than what she could earn waiting tables, likely can consider work as a waitress unsuitable without risking disqualification, even if she also has a number of years of experience waiting tables. Wages or working conditions. Work is not considered suitable if the wages, hours, or other working conditions are substantially less favorable than those prevailing for similar work in the area.341 For example, a job that pays more than 10 percent below the prevailing wage is substantially less favorable.342 Additionally, even work that would not be substantially less favorable for most claimants may be considered unsuitable for a particular claimant if her prior training, experience, and earnings place her at the higher end of the range of prevailing wages for her occupation.343 No substantial field of employment. When the EDD decides that a claimant is not open to a substantial field of employment, the EDD (relying on the California Occupational Outlook Guide) has simply decided CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 35 that the claimant cannot get a job. Such a claimant should emphasize any and all of the occupations in which she has ever worked or received training, no matter how briefly. Also, she can challenge the EDD’s interpretation or use of California’s Occupational Guides as compared with other sources, including want ads and federal statistics. The “labor market information” section of the EDD’s website includes its occupational guides, as well as links to other sources, such as federal census data. In addition, the claimant should remember that the EDD bears the burden of proof in demonstrating that she is not open to a substantial field of employment.344 F. Refusing a Job Offer A claimant may be disqualified for refusing an offer of suitable work without good cause.345 Although closely related, this is distinct from the “availability” requirement discussed in the preceding section. To be disqualified based on a refusal of work, the claimant must actually refuse a valid offer for suitable work without good cause.346 Valid Offer. An actual opening must exist at the time the job offer is made, and the offer must include enough details on the duties, hours of work, wages, and working conditions so that a claimant can assess whether the job is suitable.347 Suitable Work. This term is defined in the preceding section. In this context, work is also not “suitable,” and thus it is permissible to refuse work, if 1) the position offered is vacant due directly to a labor dispute, 2) the wages, hours, or other conditions of the work offered are substantially less favorable to the individual than those prevailing for similar work in the locality, or 3) as a condition of being employed, the individual would be required to join a company union or to resign from or refrain from joining any bona fide labor organization.348 Good cause. This is a reason so compelling that a prudent person who is genuinely desirous of finding employment would reject a job if she was in the same circumstances as the claimant. Additionally, the claimant must have considered other reasonable alternatives before rejecting a job. “Reasons of ambition, prestige, or taste, or similar motives, though they may be commendable in certain instances, will usually not be considered to constitute good cause.”349 The EDD or the employer must prove that the claimant actually refused a valid offer for suitable work. If the EDD or employer meets its burden, the claimant must prove that she had good cause for declining the offer.350 As a general rule, reasons that are good cause for voluntarily quitting a job are likely to be good cause for refusing a job offer. (For more information regarding good cause quits, see “Quits That Are Typically with Good Cause” above.) Temporary Work Temporary workers often expect to have a great deal of flexibility in deciding which assignments to accept. However, like any other claimant, temporary workers must be available351 and must have good 36 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS cause for refusing offers of suitable work.352 Therefore, they should be prepared to defend their rejections of particular assignments and may risk disqualification by being choosy. For temporary workers, the definition of suitable work tends to be very broad. By accepting assignments, claimants implicitly acknowledge that these types of assignments are suitable, and this may “trap” them if they later want to reject a similar assignment. For example, a claimant who takes a temporary job with a pay rate that is lower than what she usually receives based on her experience and prior earnings may not be able to later turn down a job with a similar pay rate because the pay is too low. Refusing temporary jobs to search for permanent work is probably not good cause.353 However, a claimant may be able to successfully argue that she has good cause if the temporary assignments are actually interfering with her ability to seek permanent work and she has no reasonable alternatives. For example, a claimant who has job interviews scheduled at times that conflict with the full-time hours that she is expected to work at temporary assignments and who cannot change the interview times or get time off from her assignments might be able to show that the temporary assignments are hindering her job search. Other Common Issues The issues raised by refusing a job offer are similar to those raised by placing restrictions on a job search. (For more information regarding common availability issues, see “Available for Suitable Work” above.) G. Actively Searching for Work In order to be eligible for benefits, a claimant must actively search for suitable work.354 The search must be reasonably designed to result in prompt employment, considering the customary methods of obtaining work in the claimant’s occupation and the current condition of the labor market.355 Contacting three or more employers a week is probably enough to constitute an active search.356 Contacting employers might include phone inquiries about job opportunities, searching for jobs on the internet, or submitting an application. On the other hand, a claimant may not need to contact any employers if the customary method for obtaining work in her occupation is through a union and she is in good standing with her union. Claimants should keep a record of employers they contact about work because the EDD may inquire about specific job search strategies and contacts to comply with the EDD’s reporting requirements. A claimant does not have to search for work, if doing so would be fruitless. Circumstances in which a search would be fruitless include: The claimant has a definite promise of a job that will start within a reasonable time. 357 The claimant was temporarily laid off and will return to work within 30 days.358 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 37 The claimant is seasonally unemployed and the prospects of finding work in the off-season are remote.359 Training/School. Claimants receiving benefits to attend training or school under the California Training Benefits Program are not required to actively search for work. (For more information, see “California Training Benefits Program” in Chapter 7.) CalJOBS and Reemployment Services. As part of an active job search, the EDD may require the claimant to register with CalJOBS (California’s no-fee Internet job opening and resume listing system), attend an Initial Assistance Workshop, or engage in other EDD-sponsored reemployment services. (For more information, see “Registering for CalJOBS and Reemployment Services” in Chapter 4.) Searching for Part-Time Work. (For information regarding part-time work searches, see “Available for Suitable Work” above.) For more information regarding the work search requirement, see the EDD’s Benefit Determination Guide, Miscellaneous 95. H. Unemployed or Underemployed A person must be unemployed to be eligible for UI benefits. A person is unemployed in any week in which she meets any of the following conditions: “Any week during which he or she performs no services and with respect to which no wages are payable to him or her.”360 Note that this definition does not require a formal separation or traditional severance of the employer-employee relationship. For example, an individual on a leave of absence or unpaid vacation meets this definition of “unemployed” and thus may be eligible for unemployment benefits, provided she meets all other eligibility criteria. “Any week during which he or she performs full-time work for five days as a juror, or as a witness under subpoena.”361 “Any week of less than full-time work, if the wages payable to him or her with respect to the week, when reduced by twenty-five dollars ($25) or 25 percent of the wages payable, whichever is greater, do not equal or exceed her Weekly Benefit Amount.” 362 California does not provide a specific definition of "full-time work." Therefore, for the purposes of determining UI eligibility, full-time work in a week consists of the number of hours considered to be the standard or customary workweek for an occupation in a geographic or labor market area.363 Reduced Benefits Based on Part-Time Work Some unemployed workers may find opportunities for odd jobs, temporary work assignments, or parttime work. If a claimant is underemployed (i.e. she earns some money, but less than 1.33 times her 38 CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS Weekly Benefit Amount) she is still unemployed and thus eligible for benefits, but will be entitled to reduced benefits as follows: If she earns less than $100 in a particular week, her benefits for that week will be reduced by the amount of wages over $25 (e.g. $90 in wages will cause a $65 reduction in benefits). If she earns more than $100 in a particular week, her benefits for that week will be reduced by 75% of her weekly wages (e.g. $120 in wages will cause a $90 reduction in benefits). Benefits are reduced for the week during which the wages were earned, even if they were paid at a later time. Reductions are based on gross earnings (i.e. the total earnings before any tax withholdings), not net earnings. A claimant is not entitled to any benefits during any week that she works and has earnings in excess of 1.33 times her Weekly Benefit Amount.364 School Employees: Unemployed during Recesses? For unemployment insurance purposes, a “school employee” is an individual working for a public or private non-profit school employer, or providing services to an educational institution (e.g. teacher, substitute-teacher, principal, or janitor). If a school employee has reasonable assurance that s/he has a job with a school at the end of a recess period (e.g. summer vacation and holiday recess), the employee is not eligible for UI based on the school wages. However, if an employee worked for a school and a non-school employer during the UI Base Period, she would be eligible for UI benefits during a recess based on the non-school wages, provided she meets all other eligibility requirements. An employee with a school job offer contingent on funding or enrollment is not considered to have “reasonable assurance” of a job, and would be eligible for UI benefits. If a non-professional school employee (such as a custodian, cafeteria worker or teacher’s aide) has reasonable assurance of a job but then is not given work after a recess period, she can request retroactive UI benefits. Professional school employees, such as teachers, principals and registrars, however, are not eligible for retroactive UI benefits. For more information regarding school employees, see the EDD’s “FAQ – School Employees,” available online at http://www.edd.ca.gov/Unemployment/FAQ_-_School_Employees.htm. Also, see the EDD’s Benefit Determination Guide, Miscellaneous 65. CHAPTER 3. OVERVIEW OF ELIGIBILITY REQUIREMENTS 39 CHAPTER 4. THE CLAIM FILING PROCESS This Chapter chronicles all the steps involved in filing a new claim for UI benefits. There are two principal steps: First, in order to establish initial eligibility for UI benefits, a claimant must submit an application to the EDD.365 Second, in order to certify ongoing eligibility, a claimant must submit Continued Claim Forms. Each Continued Claim Form establishes eligibility for a specific two-week period. Along the way, several additional steps may be required by the EDD or may be initiated at the claimant’s discretion. These steps, also discussed below, include: Amending the Application Participating in an eligibility determination interview; Registering for CalJOBS and reemployment services; Verifying her identity, social security number, and/or immigration status. This Chapter also discusses the process for filing an additional claim following intervening employment, and filing a second claim at the conclusion of a Benefit Year. A. Submitting the Application Before submitting a new claim for benefits, a claimant should make a preliminary evaluation of whether she will meet the initial and ongoing eligibility requirements. (For more information regarding eligibility, see Chapter 3 “Overview of Eligibility Requirements.”) There are at least two potential downsides for a claimant who submits a new claim for benefits and is ruled ineligible by the EDD. First, if a claimant is disqualified following an EDD determination that the claimant failed to meet the no-fault separation requirement, the claimant will have to purge the disqualification in order to apply for and collect benefits in the future. To purge the disqualification, the claimant must return to work in bona fide employment and earn at least five times her Weekly Benefit Amount after the act that resulted in the disqualification.366 Second, in addition to finding a claimant ineligible for benefits, the EDD may determine that the claimant made a false statement. False statements will typically result in a disqualification period of between 2 and 13 weeks and can be assessed at anytime within three years (e.g. when a claimant reapplies for benefits a year later and is otherwise entitled to benefits).367 (For more information, see “False Statements” in Chapter 5.) 40 CHAPTER 4. THE CLAIM FILING PROCESS Notwithstanding these concerns, a claimant should apply for benefits if she reasonably believes that she will qualify for benefits. A lack of absolute certainty should not prevent a claimant from seeking benefits. When to Submit the Application A claimant can submit a new claim for benefits at any time after becoming unemployed; there is no deadline or time limit on filing a claim. For most claimants, it is advantageous to submit a claim as soon as possible. The EDD is required to “promptly” pay benefits it if finds the claimant eligible (or promptly “deny” benefits if it finds the claimant ineligible).368 Applications are effective on the Sunday prior to the date the application is filed, and this effective date establishes the claimant’s Base Period and Benefit Year. 369 The one circumstance where a claimant could be well served by waiting to submit her claim is when doing so would lead to a higher Weekly Benefit Amount and a higher Maximum Benefit Amount. In some cases, it may be necessary to wait and submit a claim in a later quarter in order to have sufficient Base Period earns to be eligible for any benefits at all. (For more information regarding the interplay between the effective date of a claim and the Weekly Benefit Amount and Maximum Benefit Amount, see Chapter 2 “Amount and Duration of Benefits.”) For example, consider a claimant who was out of the workforce for several years, and then worked fulltime between January and May before getting laid off in early June. If this claimant applied for benefits in June (i.e. the 2nd calendar quarter), she would have zero Base Period earnings and be ineligible for benefits. However, if she waited until July (i.e. the 3rd calendar quarter), her Base Period would shift forward and include the 1st calendar quarter when she was working full-time. The prospect of a higher Weekly Benefit Amount should be weighed against the downside of applying later and delaying benefits. This is especially true if the claimant expects to be working again in the very near future or if the claimant needs benefits immediately. Backdating the Application? At the request of the claimant, the EDD shall “extend the period prescribed for the filing of the claim” (i.e. “backdate the claim”) if it finds that the delayed filing was due to “good cause,” including, but not limited to, any of the following: the claimant’s employer warned, instructed or coerced her to prevent the prompt filing of the claim; EDD error; compelling reasons, or circumstances which would have prevented a reasonable person under the circumstances presented from filing the claim; or mistake, inadvertence, surprise, or excusable neglect (but not negligence, carelessness, or procrastination).370 CHAPTER 4. THE CLAIM FILING PROCESS 41 Following a separation, employers are under a mandatory duty to inform an employee of her unemployment insurance rights; the employer must give the employee the appropriate EDD pamphlet not later than the effective date of the separation. (For more information about this employer duty, see “The Role of Employers” in Chapter 1.) An employer’s failure to provide the mandated pamphlet alone would not provide a claimant with good cause to backdate a claim, particularly where a claimant has filed for benefits in the past or is otherwise familiar with the UI program.371 However, the employer’s failure to comply with the statutory duty should be among the factors to be considered in analyzing a case involving the backdating of a claim.372 How to Submit the Application To apply for UI benefits, a claimant will need to provide a lot of detailed information to the EDD. The EDD recommends that a claimant gather the following information prior to commencing the application: Claimant information: Name (including all names used while working), social security number, mailing and residence addresses, telephone number, state issued driver's license or ID card number, alien registration number (if applicable). Employment history for last 18 months: Names of ALL employers (as they appeared on paycheck stub or W-2 form), dates of employment, wages earned, and how they were paid (hourly, weekly, monthly). Last employer information: name (as it appeared on paycheck stub or W-2 form), address (mailing and physical location), telephone number, and reason for separation. The EDD is required to mail a notice to this employer, so it is important to provide the accurate name and address (incorrect information will delay the application process). Income: Any sources of income, or future income. The EDD asks about this because some types of payments – such as wages, pension payments, holiday pay and vacation or sick pay – may be deducted from a claimant’s benefits. An unemployed or underemployed worker may file a new claim (or an additional claim, discussed in “Filing an Additional Claim” below) by one of the following methods: Submit an application by phone. Claimants can call the EDD during regular business hours and submit an application by phone. The full list of telephone numbers (and available languages) is accessible at http://www.edd.ca.gov/Unemployment/Telephone_Numbers.htm. Submit an online application. Claimants can access and submit the online application at any time by visiting https://eapply4ui.edd.ca.gov/. Mail or fax a paper application. There are slightly different applications for claimants in different circumstances. Therefore, to ensure that a claimant accesses the correct paper application, she should visit https://eapply4ui.edd.ca.gov/default.htm?target=paper and answer a few online 42 CHAPTER 4. THE CLAIM FILING PROCESS questions. The website will evaluate the responses and provide a link to the correct paper application. There is no option to submit an application in-person. For preview purposes, claimants can directly access the generic version of the application (Form DE 1101I) at http://www.edd.ca.gov/pdf_pub_ctr/de1101id.pdf. Oftentimes, the most important – and potentially problematic – question is about the claimant’s separation from her most recent job: “Briefly explain in your own words the reason you are no longer working for your very last employer, within the space provided.” These are some of the most common explanations: Discharged (also “Fired” or “Terminated”). The employer ends the employment relationship, without eliminating the worker’s position. Laid-Off/Lack of Work. An employee’s position is temporarily or permanently eliminated for business reasons. Voluntary Quit. The employee ended the employment relationship on her own initiative. Strike or Lockout. The root cause of the separation was a trade dispute. Still working part time. Claimants should be very careful to answer this question accurately and honestly. For example, some claimants tell the EDD that they were laid off when they were actually terminated. If the EDD determines that the claimant mischaracterized the separation, the EDD will seek repayment of any benefits that were paid, assess penalties against the claimant for making a false statement, and disqualify the claimant from collecting benefits (even if she otherwise would have been eligible). Moving to a New State or Country: Where to Submit the Application A claimant will likely be able to collect unemployment benefits if she moves to a new state. Many states have reciprocal arrangements with other states to administer the unemployment insurance law governing where the claimant was employed.373 To ensure that a claimant will be able to collect benefits in a new state, the claimant should contact the Employment Development Department (EDD) or equivalent administrator of unemployment benefits in the new state. If a claimant accumulates rights to benefits under the unemployment compensation laws of more than one state, it may be possible for the claimant to collect benefits through a single agency.374 If a claimant moves to a different country, s/he may also be able to file for unemployment insurance in the new country.375 The claimant should contact the agency governing unemployment benefits in the new country to determine if there is a cooperative arrangement with the U.S. The following chart summarizes how Inter-State UI Claims are handled by the respective agencies involved: CHAPTER 4. THE CLAIM FILING PROCESS 43 Worked in State “X,” relocated to CA Worked in CA, relocated to State “X” Who will determine whether benefits are awarded? State X’s Unemployment Insurance (UI) agency CA’s Employment Development Department (EDD) Where to apply for Unemployment Insurance? Apply by mail or apply at an EDD office using a uniform interstate claims form.376 Apply with the EDD by phone at 1-800-300-5616 or apply through a local UI office in State X with a uniform interstate claims form. Where to register for job search assistance, as required? CA (follow CA’s registration requirements). State X (follow State X’s registration requirements).377 Which state’s eligibility requirements apply? State X CA Which state investigates whether worker is able and available to work? CA State X378 Which state will send benefits checks? State X CA (through the Sacramento office) Which state takes appeals? State X. Claimant should mail in appeal. CA. Claimant should mail in appeal as usual. Where do appeal proceedings take place? Over the telephone or in a host UI office in State X.379 Over the telephone.380 The EDD will mail claimant a copy of appeal file for the hearing. Note: This chart is to be used in assisting claimants to apply for benefits when they move into or out of California. A different but related question is whether UI agencies will look at previous out-of-state employment to determine a claimant’s Weekly Benefit Amount and/or Maximum Benefit Amount. A California claimant applying for UI who wishes to have her out-of-state wages included in her Base Period earnings should call 1-800-300-5616 before filling out an application for benefits. The EDD will contact the claimant’s former state, calculate the credit, and then send the claimant an amended notice when all of her employment has been included in her benefit calculation.381 Most Recent Employer’s Response to Application 44 CHAPTER 4. THE CLAIM FILING PROCESS Similar to the version sent to the claimant, the EDD will send a “Notice of Unemployment Insurance Claim Filed” (Form DE 1101CZ) to the claimant’s most recent employer, i.e. the employer for whom she worked immediately before submitting the new claim for benefits.382 A sample of this notice is available online at http://www.edd.ca.gov/pdf_pub_ctr/de1101cz.pdf. The Notice provides the claimant’s name, the claimant’s social security number, the effective date of the claim, the last date worked, and the reason for separation. The employer is invited to provide any 1) “reporting facts” regarding the claimant’s eligibility or 2) any “other compensation” the employer paid or will pay the claimant after the effective date of the claim. The employer is not obligated to reply – “NO reply is required if the claimant was laid off due to lack of work and no other eligibility issue has been raised.” But if the employer chooses to reply, the employer must do so, in writing, within 10 days of the mailing of the notice.383 The 10-day period may be extended for good cause, including if the employer never actually received the notice of the claim or if the employer later learns of facts affecting the claimant’s eligibility.384 (For information regarding an employer’s incentive to respond, see “The Role of Employers” in Chapter 1.) An employer who fails to respond (and cannot show good cause) loses its right to challenge the claimant’s eligibility at any stage of the claim, including any subsequent appeals. Without the participation of the employer, which usually bears the burden of proof in challenging the claimant’s separation from work,385 the claimant is more likely to be found eligible for benefits. However, a claimant’s eligibility is not guaranteed simply because the employer is not a party to the claim; the EDD can find the claimant ineligible for benefits based solely on information provided by the claimant. Conversely, “*i+nasmuch as eligibility for UI benefits is determined by the EDD, and not by an employee’s last employer, the EDD is not bound by any representation made by an employer as to an employee’s right to UI benefits.”386 Next Step(s) Following the claimant’s submission of the application, the EDD will respond in writing with one or more of the following documents: “Notice of Unemployment Insurance Claim Filed.” (For more information, see “Amending the Application” below.) “Notice of Unemployment Insurance Award.” (For more information, see “Base Period Wages: Challenging the EDD’s Computation” in Chapter 5.) “Request for *More Information].” (For more information, see “Verifying Identity, Social Security Number, and Immigration Status” below.) “Continued Claim Form.” (For more information, see the following section.) CHAPTER 4. THE CLAIM FILING PROCESS 45 “Notice of Telephone Interview Notification and Instructions.” (For more information, see “Participating in an Eligibility Determination Interview” below.) “Notice of Determination” or “Notice of Determination/Ruling.” (For more information, see Chapter 5 “EDD Determinations.”) B. Submitting Continued Claim Forms In order to receive benefits, a claimant must certify that she meets the ongoing eligibility requirements by completing, signing, and submitting Continued Claim Forms (CCFs). 387 A claimant will begin receiving bi-weekly Continued Claim Forms (Form DE 4581) from the EDD shortly after submitting an application for benefits. A claimant will also receive CCFs from the EDD after filing an additional claim. (For more information about additional claims, see “Intervening Employment: Filing an Additional Claim” below.) These CCFs are generated and mailed automatically by the EDD, so receipt of these CCFs does not, in and of itself, mean that a claimant has met the initial eligibility requirements. A claimant may very well receive, and return, several CCFs while the EDD is still evaluating the claimant’s initial eligibility. Completing the Continued Claim Form For every two-week period, the CCF poses six eligibility-related questions. 1. Were you too sick or injured to work? If yes, enter the number of days (1 through 7) you were unable to work. A claimant must be well enough to work every day of the week to receive full benefits. If a claimant was unable to work because of illness or injury, the claimant must report the number of days that she could not work. Benefits will be paid according to the number of days the claimant is able to work (e.g. weekly benefits will be reduced by two-sevenths if a claimant was unable to work for two days in a week). (For more information, see “Able to Work” in Chapter 3.) 2. Was there any reason (other than sickness or injury) that you could not have accepted full time work each workday? A claimant must be available for work to receive benefits. If a claimant was unavailable to work, the claimant must report the number of days that she was unavailable. Benefits will be paid according to the number of days the claimant is available to work (e.g. weekly benefits will be reduced by threesevenths if a claimant was unavailable to work for three days in a week). (For more information, see “Available for Suitable Work” in Chapter 3.) 46 CHAPTER 4. THE CLAIM FILING PROCESS 3. Did you look for work? IF MARKED “X,” YOU MUST COMPLETE SEC. B, WORK-SEARCH RECORD, ON REVERSE. A claimant must actively search for work to receive benefits. Work searches may include in-person, mail, telephone, or Internet contacts with employers. A union member should answer “Yes” to this question if she meets her union’s reporting and dispatch requirements. (For more information, see “Actively Searching for Work” in Chapter 3.) 4. Did you refuse any work? A claimant may be found ineligible for benefits if she refused a suitable offer of employment. A union member should answer “Yes” if she refused a union referral to a job. (For more information, see “Refusing a Job Offer” in Chapter 3.) 5. Did you begin attending any kind of school or training? Attendance in school or training may affect a claimant’s eligibility for benefits. (For more information, see “Available for Suitable Work” in Chapter 3.) 6. Did you work or earn any money, WHETHER YOU WERE PAID OR NOT? a. Enter earnings before deductions here. b. Report employment or “source” of earnings information below. Working or earning money may affect a claimant’s eligibility for benefits. As emphasized in the questions, claimants must report gross wages (rather than net wages) and they must report wages earned (regardless of whether and when they were paid). (For more information regarding earnings and how they are deducted from benefits, see “Unemployed or Underemployed” in Chapter 3.) In addition to the six eligibility questions, the claimant is provided with the opportunity to have her federal income taxes withheld from her benefits check and to change her address. (For more information regarding taxes, see Chapter 2 “Amount and Duration of Benefits.”) Finally, the claimant is required to sign the form, certifying, under penalty of perjury, that she understands the questions and that she is “a U.S. Citizen or national, or an alien in satisfactory immigration status and permitted to work by the USCIS.” (For more information about immigration status, see “Satisfactory Immigration Status” in Chapter 3.) Additional Tips for Claimants: Use blue or black ink when completing the CCFs. Mark the answers by completely filling in the box; do not use an “X” to mark an answer. CHAPTER 4. THE CLAIM FILING PROCESS 47 Be sure the EDD mailing address appears in the envelope window. Do not send the form to any other address or send via overnight mail. Do not enclose any other forms or correspondence with the CCF. Submit the forms on time! The claimant should complete and mail the CCF on the date shown on the front of the form; it must be mailed no more than fourteen days after the conclusion of the twoweek period covered by the CCF. A claimant will not receive benefits for any week in which she did not timely submit a CCF, unless she can show good cause for not sending it on time.388 Good cause is a compelling reason or circumstance that would have prevented a reasonable person from filing the claim form earlier.389 Forgetting to complete the form is not good cause for a late submission,390 but the need to care for an ill family member probably is good cause.391 Next Step(s) Upon receipt of a claimant’s CCF, the EDD will respond in one of the following three ways: The EDD will mail to the claimant a benefit check and the next CCF. (For more information regarding benefit checks, see “Eligible for Benefits: Getting Paid” in Chapter 5). The EDD will mail to the claimant a “Notice of Determination,” which explains the basis for a disqualification. (For more information, see Chapter 5 “EDD Determinations.”) The EDD will mail to the claimant a Notice of the EDD’s intention to conduct an eligibility determination interview by telephone. (For more information, see “Participating in an Eligibility Determination Interview” below.) The telephone interviews are typically scheduled when one or more of the claimant’s responses on the CCF raised an eligibility concern for the EDD. C. Additional Steps in the Claims Filing Process 1. Amending the Application Shortly after a claimant applies for benefits, the EDD will send written confirmation of the application submission to the claimant in the form of a one-page “Notice of Unemployment Insurance Claim Filed” (Form DE 1101CLMT). A sample of this form is available online at http://www.edd.ca.gov/pdf_pub_ctr/de1101clmt.pdf. This Notice confirms a few key pieces of information provided on the application: the effective date of the application, the name of the last employer, the last day worked for the last employer, the reason the claimant is no longer working for the last employer, whether the claimant is receiving a pension or any other income, and whether the claimant is able and available to accept work. The Notice provides the claimant with the opportunity to correct any of the information within 10 days of the mailing of the notice. 48 CHAPTER 4. THE CLAIM FILING PROCESS 2. Participating in an Eligibility Determination Interview After submitting an application for benefits, a claimant may receive a “Notice of Telephone Interview Notification and Instructions.” This Notice explains that an EDD “determination interviewer” will call the claimant at a specific date and time to conduct an eligibility interview by phone. The Notice will include a list of potential questions. These interviews are most often conducted when there is a discrepancy between the claimant’s explanation and the employer’s explanation regarding the reason for the separation from work. The claimant should contact the EDD immediately if she will not be available for the interview or if the EDD fails to call at the scheduled time. Before the claimant’s interview, the determination interviewer will have probably conducted (or tried to conduct) a similar interview with the claimant’s most recent employer in order to gain information regarding the claimant’s separation and to follow up on the information provided by the employer in response to the “Notice of Unemployment Insurance Claim Filed.” If the employer has given the interviewer information that raises questions about the claimant’s eligibility, the interviewer will address those questions with the claimant. Employer Eligibility Interview The eligibility interview is typically the final (and most important) step before the EDD makes an eligibility determination. Moreover, the interviewer takes written notes during the interview (on a form called “Notes of Claim Status Interview,” which become a permanent part of the claimant’s record. If the EDD’s eligibility determination is appealed, the notes will become accessible to all the parties (including the Administrative Law Judge) and will likely play a role in evaluating the claimant’s credibility on appeal. Preparing for the Interview Claimants should prepare for their eligibility interview by carefully reviewing the questions included with the written Notice, which often foreshadow the specific eligibility issues the EDD thinks may be in question. The claimant should then learn as much as possible about the applicable legal standard(s) (e.g. a claimant who voluntarily leaves her employment must have done so with good cause and taken reasonable steps to keep the employment). Finally, the claimant should gather any relevant employment records or notes that they may have kept, and be prepared to explain and document the important facts. During the interview The claimant should be provided the following suggestions to keep in mind during the interview. At the beginning of the interview, ask what information the employer provided. The interviewer may not be forthcoming with this information, but knowing what the employer said can only help the claimant focus on key discrepancies and rebut misinformation. CHAPTER 4. THE CLAIM FILING PROCESS 49 Tell the story in a way that relies on the law, and not just on what seems important. For example, a discharged claimant may waste time trying to convince the interviewer that she was a perfect worker or unjustly fired, when all she needs to show is that the employer’s reason for firing her did not rise to the level of misconduct. Be absolutely clear. A claimant should ask the determination interviewer for clarification if she does not understand any of the questions. In addition, she can politely ask the determination interviewer to repeat back the contents of her notes to make sure they accurately characterize her position. Do not give more information than necessary to answer the questions. During the determination interview, a claimant should carefully answer only what is asked and avoid conversation that is outside the scope of the interview. For example, a claimant who is, in fact, looking for full-time work might nevertheless be disqualified based on a lack of availability if she casually mentions that she would prefer a part-time job to spend more time with her son. At best, this information diverts the interviewer from the relevant facts. At worst, it will raise additional issues and hurdles for the claimant and could lead to disqualification on other grounds. The EDD typically makes the initial eligibility determination immediately after the eligibility determination interview. 3. Registering for CalJOBS and Reemployment Services CalJOBS After submitting an application for benefits, a claimant will receive a two-page brochure (Form DE 2456) describing CalJOBS, California’s no-fee Internet job opening and resume listing system. A copy of this brochure is available online at http://www.edd.ca.gov/pdf_pub_ctr/de2456.pdf. Claimants may be required to register with CalJOBS (and add a resume to the CalJOBS system) in order to satisfy the requirement that claimants register for work with a public employment office.392 Claimants failing to enter or update a resume in CalJOBS may be selected to participate in a Personalized Job Search Assistance (PJSA) session at their local Job Search (JS) site or One-Stop Center. The purpose of the PJSA appointment is to offer claimants job search services, labor market information, and to assist them with entering resumes in CalJOBS. Written appointment notices are mailed to selected claimants with the date, time, and location of the PJSA session. Profiling and Reemployment Services A claimant is eligible to receive unemployment benefits only if she participated as required by the EDD in reemployment activities, such as “orientation and assessment” (if she has been identified pursuant to an automated profiling system as likely to exhaust her regular unemployment benefits). 393 The first reemployment service that a claimant can be referred to is an Initial Assistance Workshop (IAW). The IAW is less than a day and consists of a discussion of why claimants are selected, UI eligibility, labor market information, and orientation to other reemployment services. If the claimant 50 CHAPTER 4. THE CLAIM FILING PROCESS has good cause for missing the first IAW, she may be rescheduled to another IAW only if she can be rescheduled within the same week. At the workshop a claimant is required to sign an agreement, called a Reemployment Plan, to participate in reemployment activities. Participation in the initial orientation is mandatory as are any later activities that the claimant agrees to attend. Failure to participate in reemployment services – including failure to attend the IAW or failure to sign the Reemployment Plan – will result in a one-week disqualification, unless good cause is shown.394 Referral to a Local Workforce Investment Area (LWIA). The EDD may refer a claimant to an LWIA. This is not considered a reemployment service (even though it may be listed on the claimant's Reemployment Plan), but failure to report to the LWIA orientation may lead to a one-week disqualification period. Seek Work Requirements. Participation in reemployment services (and/or LWIA services) does not relieve a claimant from the standard requirement to actively search for suitable work. (For more information, see “Actively Searching for Work” in Chapter 3.) If after reporting to the LWIA, the claimant fails to attend a scheduled LWIA service, the claimant will be disqualified for the week.395 This is considered a reasonable, specific instruction to search for work. For more information regarding this topic, see the EDD’s Benefit Determination Guide, Miscellaneous 100. 4. Verifying Identity, Social Security Number, and Immigration Status In the course of applying for benefits, the EDD may require the claimant to verify her identity, social security number, and/or immigration status. Identity After submitting an application for benefits, a claimant may receive a “Request for Identify Verification” (Form DE 1326C) and an accompanying “Acceptable Documents for Identify Verification” sheet (Form DE 1326CD). Samples of these documents are available online at http://www.edd.ca.gov/pdf_pub_ctr/de1326c.pdf and http://www.edd.ca.gov/pdf_pub_ctr/de1326cd.pdf, respectively. A claimant is required to provide information to the EDD sufficient for the EDD to establish the identity of the claimant and to verify that the wages reported under the social security number provided belong to the claimant.396 If the information provided is insufficient, the EDD shall require the claimant to verify her identify by presenting a photo identification and one of the following documents: social security number verification, date of birth verification, address verification, or employment data.397 The claimant may be required to certify the accuracy of the information under penalty of perjury.398 The claimant must be provided a “reasonable opportunity” to provide the information requested and also has the right to request additional time to provide it.399 CHAPTER 4. THE CLAIM FILING PROCESS 51 If, within ten days from the mailing date of the request, the claimant has not supplied the requested information, and has not contacted the EDD to request additional time to provide the information, the EDD shall grant or deny the benefits based on the information available.400 Social Security Number If the information available to the EDD indicates that a claimant’s Social Security Number (SSN) may belong to another person or is invalid, the EDD may require a claimant to verify the number as being the one issued to her by the Social Security Administration (SSA).401 To accomplish this verification, the EDD may issue a “Request for Information” (Form DE 1326E) seeking confirmation from the claimant of her social security number. A sample of this document is available online at http://www.edd.ca.gov/pdf_pub_ctr/de1326e.pdf. Immigration Status The EDD is required to determine, as a condition of eligibility for UI benefits, the citizenship status of all claimants.402 The EDD may require the claimant to provide documents confirming her immigration status. (For more information, see “Satisfactory Immigration Status” in Chapter 3.) 5. Cancelling the Application A claimant may want to cancel an application if, for example, she realizes that a later filing would result in a better Base Period (and a higher Weekly Benefit Amount) or she realizes that she is likely to be found ineligible and disqualified under the no-fault separation requirement. A claimant may cancel her claim only if she meets all of the following requirements: She makes the request within 30 days after the mailing date of the “Notice of Unemployment Insurance Award,” which provides the EDD’s computation of the claimant’s Base Period, Weekly Benefit Amount, and maximum amount of benefits. The 30-day deadline may be extended for good cause. Good cause is a compelling reason or circumstance that would have prevented a reasonable person from submitting the request earlier, including relying on misleading EDD information. She has not received and cashed her first benefit check, and She has not received a Notice of Determination disqualifying her from receiving benefits. 403 There is no limit on the number of claims that may be cancelled, but a claimant cannot change her mind and later seek to re-establish as her filing date the claim-filing date of a cancelled claim.404 D. Intervening Employment: Filing an “Additional” Claim A person must be unemployed to be eligible for UI benefits.405 (For more information, see “Unemployed or Underemployed” in Chapter 3.) It is not uncommon for a claimant to establish a valid claim for 52 CHAPTER 4. THE CLAIM FILING PROCESS benefits, receive benefits for one or more weeks, and then find intervening employment – whether temporary or permanent, part-time or full-time. If a claimant is “employed” (as the term is defined by California Unemployment Insurance Code section 1252(a)) for one or more weeks, her claim will be inactivated and the EDD will stop mailing Continued Claim Forms. If the claimant then loses the intervening employment (at any time during the Benefit Year) and wants to seek benefits, she must submit an “additional” claim (this is also referred to as reopening the claim).406 Like a new claim for benefits, a claimant who submits an additional claim for benefits will need to establish that her separation from the intervening employment was not her fault. To submit an additional claim, the claimant should contact the EDD. E. Benefits Exhausted: Filing a Second Claim A claimant who runs out of benefits may be able to continue collecting benefits through one of two channels. First, if she exhausts her benefits, she may be eligible for an extension. (For more information regarding extensions, see “Benefit Extensions” in Chapter 7.) Second, if she reaches the conclusion of her Benefit Year – whether she has exhausted her benefits or not – she may be eligible to file a second claim for benefits. A claimant can file a second claim for UI benefits at the end of her Benefit Year, or 52 weeks after the effective date of her first claim filing. To qualify for a second year of benefits, a claimant who received any benefits on her first claim must satisfy all the standard eligibility requirements and show that she reestablished an attachment to the labor market during her first Benefit Year by meeting both a past earnings requirement and a “some work” requirement.407 Special rules apply to claimants who were entitled to recover SDI or workers’ compensation benefits during the period of their first unemployment claim, as described below. The two requirements demonstrating a renewed attachment to the labor market are imposed because a claimant can have enough wages in the Base Period of her second claim without working at all during her first Benefit Year and, therefore, would have a valid second claim without performing any more work or earning any more money since filing her first claim. The Unemployment Insurance Code is drafted to avoid this problem, commonly referred to as the “lag period” problem. The lag period is the time between the end of the Base Period of the first claim and the effective date of the first claim.408 For example, if the effective date of the first claim for benefits was June 5, 2009, the claimant’s Base Period for the first claim would be January 1, 2008 through December 31, 2008. The lag period would be January 1, 2009 through June 5, 2009. If the claimant files a second claim for benefits as soon as she is eligible again in early June 2010 (the end of her first Benefit Year) and if she earned $1,300 or more during the lag period of her first claim, she would meet the past earnings requirement based solely on wages earned during the lag period of her first claim (January 1, 2009 through June 5, 2009), which overlaps with the Base Period of her second claim (January 1, 2009, through December 31, 2009). If the claimant’s Base Period of her second claim does not overlap with the lag period, she does not need to satisfy the “past earnings” and “some work” requirements described below.409 To be eligible for CHAPTER 4. THE CLAIM FILING PROCESS 53 benefits, a claimant without a lag period problem must simply meet the same standard requirements as those for a first claim. The “Past Earnings” Requirement. A second claim will not be valid unless the claimant was paid 1) wages of at least $1,300 during at least one of the four quarters of the Benefit Year of the first claim, or 2) wages of at least $900 in one of the four quarters of the Benefit Year of the first claim and gross earnings for the entire Benefit Year of the first claim of at least equal to 1.25 times the highest quarter earnings in the first Benefit Year.410 For the purposes of meeting this requirement, the claimant must have earned the wages as an employee in most cases, but need not have earned them in covered employment.411 The “Some Work” Requirement. In addition to the past earnings requirement, the claimant must have performed “some work” during the Benefit Year of the first claim.412 For the purposes of this requirement, work is defined more broadly than covered employment and can include performing any services for remuneration for apparently any length of time, including work done in self-employment, or as an independent contractor or employee.413 Actual work, as opposed to the mere receipt of pay or other benefits, is required.414 “Remuneration” includes call-in or stand-by pay but does not include sick leave, vacation pay, or severance.415 Exceptions for Claimants Receiving State Disability Insurance (SDI) or Workers’ Compensation Benefits. A claimant may alternate between receiving SDI or workers’ compensation benefits and UI benefits. Or she may file for UI benefits, but not collect any UI benefits because she qualified for SDI or workers’ compensation benefits instead. At the end of the UI Benefit Year, the claimant may need to establish a second claim for unemployment benefits. If the claimant did not actually receive any benefits on her first UI claim and was disabled during the period of the first claim and entitled to recover disability or workers’ compensation benefits, her second claim will be valid independent o f the past earnings and some work requirements.416 If the claimant did collect some UI benefits on her first claim, a special rule applies. SDI or workers’ compensation benefits that were actually received during the Base Period for the second UI claim are considered “wages” if the benefits were intended to cover wage loss.417 In addition, the SDI or workers’ compensation benefits will be doubled to satisfy the past earnings requirement.418 However, the SDI or workers’ compensation benefits will not be considered wages in calculating the Weekly Benefit Amount. 54 CHAPTER 4. THE CLAIM FILING PROCESS CHAPTER 5. EDD DETERMINATIONS A. Eligible for Benefits: Getting Paid The EDD does not provide written notice to a claimant when she is eligible for benefits. (Disqualifications are issued in writing, and are discussed below.) If eligible, a claimant should receive a benefit check within ten days of mailing a Continued Claim Form (CCF). The EDD mails benefit checks from a central location. A claimant will receive the check as part of a three-part form. The stub portion at the top of the form contains information about the claim and important messages. A claimant should read, detach, and save the stub for her records. The middle section of the form is the CCF for the next two-week period. A claimant should complete and submit the CCF in accordance with the instructions provided on the form. Receipt of this CCF, presuming it does not raise any eligibility issues, will trigger the EDD to issue the next benefit check (and stub and CCF). The bottom portion of the form contains the check. The claimant should detach and cash the check. Benefit checks are valid for one year from the date of issue. Where is the Check? The EDD has established an automated telephone system where claimants can find out when and if a benefit check was mailed to them. A claimant will be required to provide her social security number and a 4-digit pin number to access this information; instructions for establishing a pin number will be provided. B. Base Period Wages: Challenging the EDD’s Computation In order to be eligible for UI benefits, a claimant must have been paid sufficient Base Period wages. (For more information regarding this requirement, see “Sufficient Base Period Wages in Covered Employment” in Chapter 3.) Shortly after submitting an application for benefits, the EDD will determine whether the claimant is monetarily eligible for benefits. This determination comes in the form of a “Notice of Unemployment Insurance Award” (Form DE 429Z). A sample of this notice is available online at http://www.edd.ca.gov/pdf_pub_ctr/de429z.pdf. This misleadingly titled form does not mean that the EDD has “awarded” the claimant benefits, but rather conveys whether the claimant has met this first eligibility requirement of sufficient Base Period wages. Based on the date of the claimant’s application for benefits, the Notice provides the Claim Beginning Date and the Claim Ending Date. Based on the EDD’s tax records (information submitted by employers), the Notice lists all of the claimant’s Base Period employers and the claimant’s wages from each of these employers (broken down by Base Period quarter). From this raw data, the Notice provides the EDD’s computation of the claimant’s Total Base Period Wages, Highest Quarter Earnings, Maximum Benefit Amount, and Weekly Benefit Amount. The reverse side of the Notice provides a definition of all these terms. CHAPTER 5. EDD DETERMINATIONS 55 Protesting the EDD’s Determination of Base Period Wages Importantly, this Notice triggers the claimant’s opportunity to protest the EDD’s computations and/or the EDD’s record of the claimant’s Base Period earnings. Claimants should review the information on the Notice very carefully (i.e. check it against the pay stubs, tax records, etc.). It is not uncommon for employers to not report wages (or to under-report wages) to the EDD, which will be reflected on this Notice (and, if not corrected, will result in reduced benefits for the claimant or outright denial of benefits). Misreporting is especially common when employers pay wages in cash and when employers misclassify workers as independent contractors. Requesting a Recomputation. If a claimant believes that any of the information on the Notice is incorrect – whether due to EDD or employer error, intentional or inadvertent – the claimant should contact the EDD and request a “recomputation” within twenty days from the date of mailing of the Notice.419 The time to protest may be extended upon a showing of good cause.420 The claimant may request the recomputation by telephone or by utilizing the EDD’s online “Ask EDD” tool. But the preferred method for seeking a recomputation is in writing, which provides the claimant an opportunity to fully explain the error or discrepancy, and to include any supporting document (e.g. copies of W-2 forms, paystubs, etc.). As with any written correspondence to the EDD, the claimant should include her full name, date of birth, and social security number. If the claimant believes that a Base Period employer under-reported her earnings to the EDD, the claimant should provide any relevant evidence supporting her contention. This evidence might include paystubs, W-2 forms, bank deposit records, a claimant’s own record of hours worked and hourly pay rate, etc. The claimant should specify, with as much detail as possible, the quantity of the error (e.g. the precise difference, for a given Base Period quarter, between the actual wages paid and the wages that were reported by the employer to the EDD). If a claimant believes that she was paid wages by an employer who is not listed as a Base Period employer on her Notice (i.e. the employer apparently reported no earnings to the EDD), the claimant should provide any relevant evidence to prove that she was, in fact, employed by the employer in question. If it is a question of the claimant’s status as an employee versus an independent contractor, the claimant should provide evidence about the nature of her work and the specific duties she performed. Notice of Amended UI Award. The department shall consider any such protest and promptly notify the claimant of the recomputation (or denial of recomputation).421 This usually takes the form of a “Notice of Amended UI Award.” It is not uncommon for a claimant to successfully convince the EDD to recompute her Base Period wages and to credit her for wages not reported by an employer. Independent of the claimant’s effort to seek UI benefits (which will proceed normally), the EDD may initiate an investigation against the employer in question regarding any failure to accurately report wages (and to pay taxes on wages). 56 CHAPTER 5. EDD DETERMINATIONS Appeals. A claimant may appeal the recomputation (or denial of recomputation) – as explained in the “Notice of Amended UI Award” – within twenty days of the notice in the same manner as provided for appeals from determinations of eligibility.422 (For more information regarding appeals, see Chapter 6 “The Appeals Process.”) C. Non-Monetary Determinations As described in detail in Chapter 3, there are a variety of eligibility requirements for benefits. When the EDD finds a claimant ineligible for benefits, the EDD will mail the claimant a “Notice of Determination/Ruling” (Form DE 1080CZ).423 A sample of this form is available online at http://www.edd.ca.gov/pdf_pub_ctr/de1080cz.pdf. This is the method by which a claimant is formally disqualified from receiving benefits for failure to meet one or more eligibility requirements. Disqualifications can be assessed at any time during the lifecycle of a claim for benefits. The Notice, written in ALL CAPITAL LETTERS and legal language, is virtually indecipherable to many claimants. It briefly describes the type of disqualification(s), the EDD’s reasons for the disqualification(s), how to remove the disqualification(s), and the claimant’s right to appeal. The Notice is accompanied by an “Appeal Form” and the appeal deadline (20 days) is established from the mailing date of the Notice. In response to a disqualification, a claimant can 1) appeal the disqualification and/or 2) attempt to remove the disqualification and re-open the claim. (For more information regarding appeals, see Chapter 6 “The Appeals Process.”) The most common types of disqualifications, including the parameters for removing them, are discussed below. Satisfactory Immigration Status In order to be eligible for benefits, a claimant must be in “satisfactory immigration status” and may be required to provide written verification.424 (For more information regarding this requirement, see “Satisfactory Immigration Status” in Chapter 3.) A disqualification for failing to meet this requirement is indefinite. To “lift” the disqualification, the claimant must remove the cause of the disqualification and contact the EDD to re-open the claim. The disqualification is generally lifted effective the Sunday of the week in which the claimant reports whatever information may qualify to lift the disqualification. However, if the condition causing the disqualification extends into the week in which the claimant reports, the disqualification would be lifted effective the following Sunday. No-Fault Separation from Most Recent Work A claimant is disqualified for benefits if the EDD finds that she left her most recent work voluntarily without good cause or that she was discharged for misconduct connected with her most recent work.425 CHAPTER 5. EDD DETERMINATIONS 57 (For more information regarding this requirement, see “No-Fault Separation from Most Recent Work” in Chapter 3.) This eligibility requirement is the source of the largest number of claimant disqualifications. A claimant can “purge” this disqualification by: 1) returning to work, 2) earning five times her Weekly Benefit Amount in bona fide, covered employment, and 3) separating from this new employment through no fault of her own.426 The basic test to determine whether employment is “bona fide” to purge a disqualification is whether the total facts lead reasonably to a conclusion that the individual was in good faith genuinely attached to the labor market. An individual was not engaged in bona fide employment, however, if she admittedly worked for the sole, primary, or dominant purpose of avoiding and purging a disqualification.427 Once the disqualification is purged, the claimant should contact the EDD to re-open the claim. Able and Available for Work A claimant may be disqualified for benefits if she is unable to work or unavailable for work.428 (For more information regarding this requirement, see “Able to Work” and “Available for Suitable Work” in Chapter 3.) A claimant who is ineligible for benefits because she is unable to work or unavailable for work shall be ineligible for the week in which the disqualification occurs and shall remain ineligible in subsequent weeks until she demonstrates to the satisfaction of the EDD that she has “lifted” the disqualification.429 To “lift” the disqualification, the claimant must remove the cause of the disqualification and contact the EDD to re-open her claim. Refusal of an Offer of Suitable Work A claimant may be disqualified for refusing an offer of suitable work without good cause.430 (For more information regarding this requirement, see “Refusing a Job Offer” in Chapter 3.) If the EDD determines that a claimant refused an offer of suitable work without good cause, the claimant will not be eligible to receive benefits for two to ten consecutive weeks, starting with the first week she would otherwise be eligible for benefits.431 The precise length of the disqualification period, which is at the discretion of the EDD and can be reduced on appeal, depends on balancing the following factors: The reasons the claimant rejected the job, as compared with the claimant’s length of unemployment. If the claimant has been unemployed for only a couple of weeks, her reasons do not need to be very compelling in order to get a shorter (e.g. two- to four-week) disqualification period. The hardship on the claimant. Extraordinary financial hardship may lead to a shorter disqualification period. The expected duration of the rejected job. Generally, claimants are penalized less if the job was expected to last less than three weeks. 58 CHAPTER 5. EDD DETERMINATIONS The claimant’s job prospects and efforts to seek work generally; and prior job refusals, if any. Claimants may be disqualified for a shorter period if their job prospects are good and they rejected only one job. Actively Searching for Work A claimant may be disqualified for failing to actively search for suitable work.432 (For more information regarding this requirement, see “Actively Searching for Work” in Chapter 3.) A disqualification for failing to actively search for suitable work cannot be assessed retroactively unless the claimant was paid benefits as a result of a disqualifying false statement.433 Since it cannot be determined whether or not a claimant has made an adequate search for work during a week until the week is completed, this disqualification cannot be issued for future weeks. A claimant may be disqualified for failing to register with CalJOBS (California’s no-fee Internet job opening and resume listing system) or failing to report to the Local Workforce Investment Area (LWIA) as agreed upon in her reemployment program.434 Benefits are denied beginning with the Sunday of the week that the claimant was required to add or update a resume in the Job Service's CalJOBS system and continuing until the week the claimant adds or updates a resume in CalJOBS. A claimant may be disqualified for failing to participate in reemployment services, including failure to attend an Initial Assistance Workshop or failure to sign a Reemployment Plan. 435 If the EDD determines that a claimant failed to participate in reemployment services, the claimant will be disqualified for one week unless good cause is shown.436 D. False Statements Claimants face serious consequences if they give false information to the EDD. If the misstatements are innocent offenses, they should not result in a problem for the claimant. On the other hand, more serious financial, and sometimes criminal, penalties can result if claimants knowingly give false information to receive benefits. Definition of a False Statement A false statement is a deliberate lie told verbally, or in writing (such as on the application for benefits or the Continued Claim Form) to the EDD. For a claimant to have committed a false statement, the EDD must show all of the following four elements:437 The claimant made a false statement or representation, or withheld a material fact. A fact is material as long as withholding it raises a question about the claimant’s entitlement to benefits; the withheld facts do not have to be ones that, if revealed, would definitely cause a disqualification.438 For example, attending school is probably a material fact, even though that attendance might not render a particular claimant ineligible for benefits. CHAPTER 5. EDD DETERMINATIONS 59 The statement or omission was done willfully. Willfully means deliberately, intentionally or knowingly; an actual intent to deceive is not required, only knowledge that the information provided is not accurate.439 If the claimant honestly believes in the truth of her statement, it will be considered an innocent mistake caused by ordinary negligence, rather than willful.440 The claimant knew the statement or omission was false. This element is established by showing that the claimant either actually knew the statement was false, lacked an honest belief in its truthfulness, or acted with reckless disregard for the truth.441 Reckless disregard will occur, for example, if a vision-impaired claimant asks a friend to complete her Continued Claim Forms and understands that she must be “able” for work but does not tell the friend that she was too sick to work for three days in a particular week.442 The statement or omission was made for the purpose of obtaining benefits. This element is difficult to challenge, but a claimant may be able to argue that, although she gave information she knew was false, she did not know it would affect the EDD’s decision, and therefore, was not for the “purpose of obtaining benefits.” Examples of False Statements Mischaracterization of the type of separation from work. A claimant who tells the EDD she was laid off for lack of work, when in fact she was terminated, is frequently found to have made a false statement. If the claimant honestly believed she was laid off, but was in fact terminated, she has not made a false statement because she did not know her statement was false. For example, if an employer tells the claimant she is laid off (but later gives the EDD a different story) or if the employer does not indicate whether the separation is a layoff or firing, then a claimant may reasonably assume she was laid off. However, a claimant does make a false statement if she knows she was fired but, on the advice of a friend or lawyer, tells the EDD it was a layoff because she believes doing so will make it easier to obtain benefits. Mischaracterization of the reasons for the separation from work. If a claimant misstates the reasons she was fired because she does not know the real reasons and makes an incorrect guess (an innocent mistake), she is not considered to have made a false statement, even if her former employer’s account of the reasons for the separation differs from her story.443 However, if she knew the true reasons for her termination, but simply withheld or altered the information thinking it would increase her chances of receiving benefits, then she will have made a false statement. Failure to report earnings. A claimant is required to report any wages or contractor payments she earns while collecting benefits. Failure to correctly report earnings, or withholding of this information on the Continued Claim Form, can lead to a disqualification for making a false statement. The EDD compares the claimant’s reported earnings on her claim forms with the records maintained by the Internal Revenue Service and the state Franchise Tax Board. Therefore, it is relatively easy for the EDD to catch claimants secretly working, or earning more than they report, while collecting benefit checks. Furthermore, the EDD may compare these records many months after a claimant made the false 60 CHAPTER 5. EDD DETERMINATIONS statement and received the associated benefits, so claimants should not be fooled into believing that they are getting away with it at the time. Because the Continued Claim Forms are submitted contemporaneously and the claimant is expected to fill out the forms completely and accurately,444 the EDD is unlikely to accept a claimant’s explanation of “I just forgot to report my earnings.” A day of work is a fact too important and material for an unemployed person to temporarily forget it.445 On the other hand, a compelling explanation for failing to report the earnings, such as confusion or reasonable difficulty computing the precise amount of those earnings, may be enough to show the claimant honestly did not know her response was false. Using false identification. Knowingly using a false name, false social security number, or other false identification to obtain benefits amounts to a false statement.446 Consequences of Making a False Statement There are two types of false statements, which carry different disqualification periods. False statements that did not result in the payment of benefits. The EDD will disqualify the claimant from receiving benefits for two to thirteen weeks during a period in which she is otherwise eligible to receive benefits and submits Continued Claim Forms. 447 False statements that did result in the payment of benefits. The EDD will disqualify the claimant from receiving benefits for five to ten weeks during a period in which she is otherwise eligible to receive benefits and submits Continued Claim Forms.448 Additionally, the EDD may seek to recover the overpaid benefits and a penalty. (For more information regarding overpayments, see below.) The length of the disqualification period (within the prescribed ranges) is at the discretion of the EDD, but generally depends on the number and severity of the false statements.449 A claimant who is penalized with a disqualification period is not entitled to less money in benefits in the Benefit Year. The disqualification period merely delays the receipt of benefits; it does not reduce the claimant’s Maximum Benefit Amount. Criminal prosecution. Claimants who make false statements may be criminally prosecuted.450 A conviction renders a claimant ineligible for benefits for at least one year, starting with the week that the criminal complaint was filed. The claimant also may be subject to fines and/or jail time.451 The claimant cannot be subject to both the disqualification period (discussed above) and criminal penalties.452 Responding to the Disqualification In response to the disqualification, a claimant can either appeal or serve the disqualification. (For more information regarding appeals, see Chapter 6 “The Appeals Process.”) If the claimant chooses not to appeal the disqualification (or loses the appeal), she can serve the disqualification period by submitting Continued Claim Forms (and being otherwise eligible) for the number of disqualified weeks. If the CHAPTER 5. EDD DETERMINATIONS 61 claimant does not otherwise serve the disqualification period, it is automatically rescinded three years later. 453 For more information regarding false statements, see the EDD’s Benefit Determination Guide, Miscellaneous 45. E. Overpayments An overpayment occurs when a claimant receives benefits to which she was not entitled. Unless she can meet the standard for waiving the overpayment (discussed below), a claimant is liable for the amount of the overpayment.454 In addition to the liability for the overpayment itself, if the EDD finds that the claimant was overpaid benefits because she willfully, for the purpose of obtaining unemployment compensation benefits, knowingly made a false statement or representation or withheld a material fact, the EDD will also assess a penalty equal to 30 percent of the overpayment amount.455 Overpayments and Backpay Awards A claimant may receive a backpay award resulting from an action or grievance for wrongful termination. The way a backpay award affects UI benefits depends on whether the award was reduced by the amount of any UI benefits received. If the amount of the backpay award or settlement was not reduced by the amount of UI benefits received: the claimant is liable for paying back the amount of UI benefits received. If the amount of the backpay award or settlement was reduced by the amount of UI benefits received: the claimant is not liable for paying back the amount of UI benefits received.456 In such cases, the employer shall pay to the Unemployment Fund an amount equal to the amount subtracted from the backpay award or settlement for benefits received by the person. When an individual has been awarded or receives backpay, the amount of the backpay shall constitute wages paid in the period for which it is awarded.457 A mediator or arbitrator who is a party to the backpay award or settlement shall, within 30 days of the settlement, report to the department the name and address of the employer, the amount of benefits by which the award or settlement was reduced, and the name and social security number of the person who received the award or settlement.458 Legal Standard for Liability for Overpayment A claimant will not be held liable for the overpayment only if she can show all three of the following factors are present:459 No fraud, misrepresentation, or willful nondisclosure (“false statement”). A claimant’s fraud, misrepresentation or willful nondisclosure – referred to as a “false statement” in the context of 62 CHAPTER 5. EDD DETERMINATIONS overpayments – must not have led to the overpayment.460 The claimant will need to establish only this one element to avoid the 30 percent false statement penalty. No fault by the claimant. The claimant must have received the overpayment “without fault.” This element differs from the false statement element because a claimant is at fault even if she negligently makes a mistake (and that mistake falls short of a false statement) or if she knew or reasonably should have known that she was overpaid and failed to alert the EDD.461 For example, a claimant will be considered at fault if she failed to properly report income, even if the failure to report was reasonable (e.g. the claimant is paid on commission and cannot calculate her weekly commissions before actually receiving them). In contrast, a claimant is not at fault if she relied in good faith on an EDD error. A claimant was found not to be at fault when an EDD representative told her to sign a form that the representative had filled out and that included information the EDD knew was incorrect, even though the claimant would have discovered the error if she had carefully read the form before signing it.462 Recovery is unfair and would unduly burden the claimant. Even if a claimant can show she innocently received the overpayment, she will still have to repay the benefits unless the EDD or CUIAB finds that recovering the overpayment would be “against equity and good conscience.” The EDD or CUIAB considers several factors to determine whether forcing repayment would be against equity and good conscience, but not all have to be present for the claimant to avoid repayment:463 The cause of the overpayment. The claimant is better off if the mistake was made solely by the EDD, but the fact that the claimant is not at fault does not establish in and of itself that recovery would be against equity and good conscience.464 Whether a duplicate benefit was received. Claimants who, for example, receive an overpayment because they collect benefits from two states for the same period,465 will find it difficult to escape repayment.466 Whether the claimant changed her position in reliance upon the receipt of benefits. If a claimant has detrimentally changed her position in reliance upon benefit payments, the recovery of an overpayment of benefits is against equity and good conscience.467 A claimant will be considered to have detrimentally changed her position in reliance upon the receipt of benefits if the claimant has taken any reasonable action or incurred a necessary financial obligation in the conduct of her affairs that the claimant would not have taken but for the receipt of the benefits.468 For example, a claimant changed her position in reliance upon benefits if she used the benefits solely for current expenses and it occurred during a time period when her limited savings were diminishing.469 Whether recovery of the overpayment would impose “an extraordinary hardship” on the claimant and, therefore, defeat the objectives of the Unemployment Insurance Code. The provisions of the code should normally be liberally construed470 to accomplish its overall objective of reducing the hardships of unemployment.471 Therefore, in close cases, a claimant should not be liable for an overpayment.472 This factor requires a case-by-case comparison of the size of the overpayment with the claimant’s present income, assets, and expenses.473 CHAPTER 5. EDD DETERMINATIONS 63 For example, a claimant who had found full-time work and who conceded that she could easily afford to pay back one week’s worth of benefits was found liable for the overpayment, even though the overpayment was solely the EDD’s fault.474 In another case, however, recovery of even a small overpayment was against equity and good conscience for a claimant who remained unemployed after five months and who had depleted her savings account by half.475 The Overpayment Process: EDD Notice and Claimant Options To issue an overpayment, the EDD conducts a two-step process, both of which present the claimant with different response options. Step 1: Notice of Potential Overpayment. Whenever the EDD determines that an overpayment is probable, it shall notify the claimant of the probable overpayment, the claimant's right to request that the department waive the overpayment, and the standards to obtain a waiver of the overpayment.476 The department shall assist and advise the claimant in meeting her obligation to furnish the department with all information necessary for the department to determine whether there is an overpayment, whether the claimant is entitled to waiver of the overpayment and for establishing the repayment schedule.477 To meet these requirements, the EDD typically sends the claimant a “Notice of Potential Overpayment,” which apprises the claimant of the basis for a potential overpayment and affords the claimant an opportunity to seek a waiver of the repayment by responding with countervailing evidence, including information about the claimant’s financial situation (in order to assist the claimant in establishing an “extraordinary hardship”). To facilitate this process, the EDD typically provides a Financial Disclosure form along with the Notice. (For more information regarding the legal standard for seeking a waiver of any overpayment, see “Legal Standard for Liability for Overpayment” above. Step 2: Notice of Overpayment. If the EDD determines that a claimant is still liable for an overpayment (i.e. any evidence or explanation provided by the claimant was insufficient), the EDD shall determine the amount of the overpayment and any penalty assessment, and shall notify the claimant of the amount of the overpayment, the cause of the overpayment, the reasons for denial of waiver (if waiver is denied), the terms of the repayment schedule, and the right to appeal to an Administrative Law Judge and to a hearing on all issues regarding the overpayment (including any determination denying waiver of the overpayment and the terms of such repayment schedule).478 In the absence of fraud, misrepresentation, or willful nondisclosure, notice of the overpayment determination shall be mailed or personally served within the latest of the following periods: 64 Not later than one year after the close of the Benefit Year in which the overpayment was made. CHAPTER 5. EDD DETERMINATIONS Not later than six months after the date a backpay award was made.479 To meet these requirements, the EDD sends the claimant a “Notice of Overpayment” (Form DE 1444CT) and a blank appeal form. A sample of this notice is available online at http://www.edd.ca.gov/pdf_pub_ctr/de1444ct.pdf. A claimant has essentially three options in responding to a Notice of Overpayment: Appeal the Overpayment. The claimant can elect to appeal the overpayment within twenty days from the date of mailing or serving of the notice of overpayment.480 The 20-day period may be extended for good cause. "Good cause," as used in this section, shall include, but not be limited to, mistake, inadvertence, surprise, or excusable neglect.481 (For more information regarding appeals, see Chapter 6 “The Appeals Process.”) Repay the Overpayment (and any applicable penalties). The claimant can elect to repay the benefits. She should make a check or money order payable to EDD, include her name and social security account on the check or money order, and mail the payment directly to: EDD Cashiering, Benefit Recovery State of California PO Box 826806 Sacramento, CA 94206-0001 The EDD now also provides for credit card payments by telephone and online. (For more information, see the EDD’s “How to Pay,” available online at http://www.edd.ca.gov/Unemployment/How_to_Pay.htm.) Claimants who are unable to repay the benefits in a lump sum can normally arrange with the EDD to make payments in installments. If at any time a claimant requests the department to adjust her repayment schedule, the department shall do so if the claimant demonstrates that there has been a material change in her financial condition.482 If the overpayment interviewer and the claimant cannot agree on the requested adjustment, the field office manager shall prescribe the appropriate repayment schedule adjustment, if any. No administrative appeal is provided from an adjustment of or refusal to adjust a repayment schedule.483 Repaying an overpayment does not remove a disqualification. For example, overpayments are often issued in conjunction with a false statement penalty. Paying the overpayment does not remove the associated false statement penalty of a five- to ten-week disqualification period. Ignore the Overpayment. This option has consequences. The EDD may offset overpayments of unemployment insurance benefits against any amount of state disability benefits or unemployment insurance benefits to which a claimant may become entitled within six years of the date of the mailing or personal service of the notice of overpayment determination.484 Additionally, within one year in most cases, or three years if a claimant’s false statement caused the overpayment, the EDD may seek a judgment to effect other forms of lien and garnishment.485 The EDD also works with CHAPTER 5. EDD DETERMINATIONS 65 other state agencies, and overpayments may be deducted from any state tax refunds, lottery winnings, or other state sources.486 66 CHAPTER 5. EDD DETERMINATIONS CHAPTER 6. THE APPEALS PROCESS This Chapter discusses, in chronological order, all the potential steps involved in appealing an EDD determination – from submitting the initial first-stage appeal to the California Unemployment Insurance Appeals Board (CUIAB) through filing a petition for writ of mandate in Superior Court. It provides detailed, comprehensive guidance for the advocate who intends to provide full representation to a claimant throughout the appeals process. Advocates providing more limited services should seek out the specific, relevant sections of the Chapter. You do not have to be a licensed attorney to represent a claimant in an appeal hearing. Appeals are initiated by either an employer or a claimant. Employer appeals are limited to those EDD determinations regarding the nature of a claimant’s separation (and only when the employer has maintained party status by timely responding to the EDD’s “Notice of UI Claim Filed”). A claimant can appeal any EDD determination relating to her claim. (For more information regarding EDD determinations, see Chapter 4 “EDD Determinations.”) All EDD determinations (e.g. initial eligibility determinations, ongoing eligibility determinations, false statement disqualifications, overpayments, etc.) are made in writing and include an explanation of the claimant’s appeal rights (including the appeal deadline) and a blank appeal form. Appeals of EDD determinations are referred to as first-stage appeals to distinguish them from later appeals. Claimants should be reminded to continue submitting their Continued Claim Forms throughout the appellate process. If a claimant ultimately prevails in an appeal, she will only be entitled to the back benefits for those weeks when she certified that she was otherwise eligible for benefits (by submitting her Continued Claim Forms). A claimant may need to contact the EDD to request Continued Claim Forms for the period while the appeal is pending. A. Submitting the Appeal Claimants must submit their appeal in writing.487 The EDD is required to send an Appeal Form (Form DE 1000M) with every disqualification notice. A sample of this form is available in English/Spanish at http://www.edd.ca.gov/pdf_pub_ctr/de1000m.pdf. Instead of using the appeal form, the claimant can submit a letter stating that she wants to appeal. The letter must provide the claimant’s name, address, and social security number.488 It is good practice to also include the employer’s name and address, and the case number. If the claimant will need an interpreter or any other special accommodation at the appeal hearing, she should indicate this on the form or letter.489 Finally, the claimant should include her signature and the date. The form or letter should be sent to the EDD at the address listed at the top of the “Notice of Determination” (or “Notice of Overpayment”). Keep it Brief CHAPTER 6. THE APPEALS PROCESS 67 The written appeal will become part of the record at the hearing, accessible to both the Administrative Law Judge and the opposing party. The appeal need not include a lengthy statement of the reasons a claimant disagrees with the EDD’s decision.490 In fact, the claimant is better off not specifying why she disagrees with the EDD because: she may unnecessarily reveal information that will hurt her case, she may inadvertently assist the opposing party by revealing her strategy for the appeal, and her credibility may be questioned if the appeal form contradicts her later testimony at the hearing or leaves out key facts. Furthermore, there is nothing gained from a detailed appeal letter. Our experience is that the EDD almost never reconsiders its determinations (see “EDD Re-Determinations” below), thus obviating the incentive to provide compelling details. For these reasons, we strongly encourage claimants to be as brief as possible with their written appeals. If the claimant uses the EDD Appeal Form, the claimant can simply complete the form by writing: “I disagree with the department’s decision because: the EDD made a mistake and I am entitled to benefits under the law.” Filing Deadline Claimants have 20 calendar days from the date of mailing, indicated on the upper right-hand corner of the disqualification notice (e.g. “Notice of Determination/Ruling” or “Notice of Overpayment”), to appeal a denial of benefits491 or an overpayment.492 The appeal is considered filed on the date of mailing, presumed to be the official postmark date. However, a claimant can establish a timely filing, if necessary, by credibly testifying that she deposited the appeal letter in a mailbox earlier than the postmark date.493 Additionally, if the 20th day falls on a weekend or holiday, the last day for filing the appeal is the next regular business day.494 Late Appeals A claimant who files late will have her appeal dismissed, unless she can show good cause for missing the deadline.495 Good cause is normally defined as circumstances beyond the claimant’s control that she could not have reasonably anticipated and that prevented her from filing on time. Good cause includes, but is not limited to, mistake, inadvertence, surprise or excusable neglect.496 For example, a claimant would have good cause for filing late if she received the Notice of Determination late because the EDD mistyped her address.497 In determining good cause, the Administrative Law Judge will consider all relevant factors, including:498 The length of delay. The reason for the delay. 68 CHAPTER 6. THE APPEALS PROCESS The diligence of the claimant in acting to protect her rights (e.g. did she inform the EDD of any address changes and have her mail forwarded). Whether any prejudice will result to the employer or the EDD if relief is granted (e.g. will witnesses and pertinent records be unavailable). In general, the more substantial the delay, the more compelling the claimant’s reasons must be.499 For example, filing two or three days late because the claimant’s attorney made a mistake is probably good cause.500 On the other hand, filing a month late because the claimant, upset over the denial of benefits, did not read the portion of the determination notice explaining her appeal rights probably is not good cause.501 A claimant also should argue that the California Supreme Court has held that good cause should be broadly construed to prevent unsophisticated claimants from being denied unemployment benefits over a technicality.502 Withdrawing an Appeal The appealing party can withdraw the appeal at any time before the Administrative Law Judge’s decision is issued, even during the hearing itself, for any reason.503 The party should notify the Office of Appeals of the intention to withdraw. A party who withdraws an appeal can have it reinstated only if she shows good cause for the reinstatement and makes her request within 20 days after the dismissal order (or shows good cause for missing this deadline).504 EDD Re-Determinations The EDD has the authority to issue a re-determination of a prior decision within fifteen days after a claimant files an appeal (and prior to the administrative hearing) based upon a review of the appeal, documents, and statements submitted in support of the appeal and EDD records. The EDD is required to assign staff the responsibility of reviewing appeals and issuing re-determinations.505 It is our experience that the EDD does not consider reversing a decision based on an appeal. Regardless of the details of the case or the merits of the appeal, the EDD responds to appeals in the exact same manner: the appeal is routed to the California Unemployment Insurance Appeals Board (CUIAB) for a hearing before an Administrative Law Judge. Therefore, it is important to keep in mind that the goal of initiating the appeal process is simply to get to an appeal hearing; no more, no less. Acknowledgment of Appeal Following a claimant appeal, the EDD will send the parties written acknowledgment of the appeal. The EDD will also start (or resume) sending Continued Claim Forms after the acknowledgment of appeal. For each week while she is awaiting the appeal hearing, the claimant should complete and return the forms to the EDD, so that she can obtain benefits retroactively if she is successful on appeal. If the EDD does not send the Continued Claim Forms, the claimant should ask the EDD for the forms, and, in the meantime, keep her own records for each week addressing the questions asked on the Continued Claim Form. CHAPTER 6. THE APPEALS PROCESS 69 Employer Appeals Upon finding a claimant eligible for benefits, if the most recent employer submitted a timely response to the “Notice of UI Claim Filed,” the EDD will mail this employer a “Notice of Determination/Ruling” and an appeal form.506 The Notice will briefly explain the basis for the determination, the status of the employer’s reserve account (i.e. whether it is subject to charges), and the employer’s appeal rights. (For more information regarding an employer’s response to a “Notice of UI Claim Filed,” see “Submitting the Application” in Chapter 4.) If the employer appeals, the claimant will first learn of the appeal via a “Notice of Appeal and Transmittal of Appealed Determination” (Form DE 6315), which will be accompanied by a copy of the “Notice of Determination/Ruling” that prompted the employer appeal. (Reminder: claimants are not provided a copy of this Notice of Determination when they are found eligible for benefits.) The Notice specifies that if the claimant is otherwise eligible, she will continue to receive benefits for each week she is unemployed and submits a Continued Claim Form. Therefore, the claimant should continue submitting Continued Claim Forms in order to receive payments pending the appeal hearing.507 If the employer wins the appeal (and any subsequent appeals), the claimant may have to pay back any benefits received after receiving notice of the employer appeal.508 This, however, isn’t automatic. In order to seek a reimbursement of back benefits, the EDD will need to initiate the “overpayment” process against the claimant, which includes notice and an opportunity to appeal. (For more information regarding overpayments, see “Overpayments” in Chapter 5.) A claimant cannot be required to pay back any benefits she received before first being notified of her employer’s appeal and notified that she may be required to repay the benefits in the event of a reversal by an Administrative Law Judge.509 Furthermore, a claimant will not have to repay benefits if both the EDD and the Administrative Law Judge awarded her benefits, but she then loses on appeal to the CUIAB in Sacramento.510 Repayment also is not required if the claimant loses in later appeals in state court after a favorable final ruling by CUIAB.511 B. Notice of Hearing After the appeal is filed and the EDD acknowledges the appeal, the Office of Appeals will send all the parties a “Notice of Hearing.” This Notice must be mailed to, but not necessarily received by, the claimant at least 10 days before the hearing date.512 Date, Time, and Place of Hearing The Notice provides the time, date, and place of the hearing, and the name of the Administrative Law Judge who will preside over the hearing.513 70 CHAPTER 6. THE APPEALS PROCESS If the employer’s name and address are not listed on the Notice (usually in the upper left corner), it means that the employer is not a party to the appeal, and therefore will not receive notice of the hearing. Interpreter The Notice will indicate if an interpreter is scheduled to participate in the hearing (typically based on whether the claimant requested one in the course of appealing). If the claimant needs an interpreter and the Notice does not indicate that one will be participating, the claimant should call the Office of Appeals immediately to request one. The phone number for the Office of Appeals is listed on the Notice. The Issue(s) on Appeal The Notice of Hearing states the issue or issues that the Administrative Law Judge will decide at the hearing. The claimant should focus on these issues because, regardless of what else may have happened between the claimant and the EDD, or the claimant and her employer, the Administrative Law Judge very rarely takes evidence on an issue not in the notice.514 Related, the absence of an issue can provide a clear basis for objecting to certain employer testimony at the hearing. If the claimant believes a relevant issue has not been listed on the Notice of Hearing, she should contact the Office of Appeals as soon as possible to request that the additional issue be added. The notice lists the issues by citing to the applicable Unemployment Insurance Code section and summarizing what that section requires. This section of the Notice is boilerplate legal language and notoriously confusing; you’ll likely need to translate it for the claimant. The notice may identify more than one issue on appeal or more than one reason for the stated category of disqualification. For example, a claimant whom the EDD disqualified because she was fired for misconduct from her most recent job, will often see two code sections on her appeal hearing notice: “1256. Did the claimant voluntarily leave employment without good cause. Was the claimant discharged for misconduct connected with the work” and “1030/32. Should the employer’s reserve account be charged for any benefits paid to the claimant.” In this common example, the first issue – 1256 – seems to raise two separate questions. This, however, shouldn’t mislead or alarm the claimant. There may very well be no dispute about whether the claimant voluntarily left or was terminated, in which case only the legal standard applicable for the type of separation will be at issue. Additionally, the Administrative Law Judge will not ask questions or take testimony about whether the employer’s reserve account is subject to charges. The same facts surrounding the separation also apply to whether the employer’s account will be charged. If the claimant did not file her appeal on time, the notice will list this issue: “LATE 1 Was the appeal filed within 20 days of notice. If not, is there good cause for any delay (UI sections 1030(c), 1328, 1377, 2707.2 2737.” CHAPTER 6. THE APPEALS PROCESS 71 At the hearing, the Administrative Law Judge will normally accept evidence both on whether the claimant had good cause to file late and on the merits of her appeal. However, the Administrative Law Judge’s written decision will first make a “threshold” decision about whether the claimant had good cause for filing late. If the Administrative Law Judge determines that the claimant did not have good cause for filing late, she will not decide the merits of the case. If the Claimant Cannot Attend the Scheduled Hearing If the claimant has a serious scheduling conflict with the hearing date, she should call the Office of Appeals at the phone number given on the hearing notice immediately and ask for the hearing to be rescheduled. The appeals office does not have to grant a continuance unless the claimant shows good cause,515 (i.e. a reason that effectively prevents her from attending on the scheduled date). A conflicting personal obligation usually will not constitute good cause for rescheduling, unless the claimant has no reasonable alternatives. On the other hand, the claimant may have good cause if the notice was not mailed at least 10 days before hearing date. If the claimant’s mail arrived late and it was not her fault, she may also have a good argument for a continuance. (She is far less likely to succeed if it was a mere failure to frequently check her mailbox.) The claimant’s case may be dismissed if she appealed and she does not appear at the hearing.516 However, she can request another hearing at which time, before presenting her case on the merits, she will be required to show good cause for not appearing at the first hearing. If the claimant knows before the hearing is set that she will be unavailable during a timeframe when the hearing might be scheduled, she may have a better chance of avoiding the scheduling conflict or getting a continuance by advising the Office of Appeals of the conflict before it sets a hearing date. If she does so in writing, this letter will be in her file as proof of her diligent attempts to attend the hearing. C. Interviewing the Claimant If you intend to represent a claimant at an appeal hearing (or if you are evaluating whether to do so), it is essential that you conduct a detailed and in-person (if possible) intake interview. It is not uncommon to have as little as a few days to prepare for a hearing, so it’s important to take advantage of this opportunity to cover (at least) the following topics: 72 Get the facts! Make sure you have a clear timeline and understand all the relevant facts. Eliciting information from claimants is a skill that requires substantial practice. You may want to begin with open-ended background questions and transition into more closed-end, clarifying questions. This is your opportunity to make sure you really understand the facts of the case. For example, you may know the claimant’s reason for quitting her job and think that reason amounts to good cause, but you’ll need to figure out what steps, if any, the claimant took to resolve the problems before resigning. Alternatively, if the claimant was terminated for absenteeism, you’ll need to learn all the details regarding how often she was absent, whether she had advance permission, why she missed those days of work, and whether or not she was warned about her absences. These details are often crucial to the case and will dictate how you prepare for the hearing. CHAPTER 6. THE APPEALS PROCESS It is often fruitful, particularly in separation cases, to ask the claimant to explain the facts from the perspective of the former employer. Ask the claimant to speculate about how the former employer will likely characterize the key events. This provides the claimant with an opportunity to explain any weaknesses in the case, which might not otherwise come out. Use the issues listed on the Hearing Notice as your guide to ensure you don’t spend time on facts that do not relate to the issues that will be decided at the hearing. The appeal file. Make arrangements with the claimant to get a copy of the appeal file. (For more information, see “Getting and Reviewing the Appeal File” below.) Documents, witnesses, and statements. Be sure to ask the claimant to bring any potentially relevant documents to this first meeting, including any documents from the EDD and CUIAB, and any potentially relevant employment documents. This is also the time to brainstorm with the claimant about the necessity of seeking out witnesses (or witness statements) and procuring any documents not currently in the claimant’s possession. (For more information, see “Securing Documents, Witnesses, and Statements” below.) Retainer and Authorization. If you intend to enter into a retainer agreement with the claimant, this is an appropriate time to do so. One good reason to enter into such an agreement is to specify with clarity the scope and extent of your involvement in the claimant’s appeal. If necessary, this is also a good time to have the claimant sign an “Authorization to Disclose Information” form (which, if necessary, will assist you in securing the claimant’s Appeal File on her behalf). Even if you do not enter into a formal, written retainer agreement with the claimant, you and the claimant should be absolutely clear about the role you will play in the appeals process. Next steps. In addition to arrangements regarding the appeal file and any witnesses or documents, this is the time to set up a second (and final) meeting with the claimant. At this next meeting, you’ll prepare the claimant for the hearing, so it should take place as close to the hearing date as possible. If necessary, you can do this meeting the day of the hearing. (For more information, see “Preparing Claimant for the Hearing” below.) When interviewing claimants at this stage, it is important to keep in mind that most claimants have recently lost a job, are often in dire (or near dire) financial straits, and are facing the added pressure of fighting for unemployment insurance benefits that will usually only meet a fraction of their financial needs. This is almost always a very difficult time in a claimant’s life, and interviews about these topics should be conducted with sensitivity. D. Getting and Reviewing the Appeal File Shortly after a claimant or employer submits an appeal, the EDD gathers all its paper documents and sends them to the Office of Appeals. These documents are referred to here as the “Appeal File.” The Appeal File is an excellent source of potentially relevant documents and, importantly, is the only set of CHAPTER 6. THE APPEALS PROCESS 73 documents that the Administrative Law Judge will review prior to the hearing and (barring any objections) make part of the appeal hearing record. Claimant’s Right to EDD Records A claimant is entitled to her EDD records in order to “properly present a claim for benefits” or “to acquaint *the claimant+ or her authorized agent with her existing or prospective right to benefits.”517 Upon request by telephone or email, the EDD will mail a paper copy of the requested information to a claimant within ten days. The claimant has an absolute right to inspect and copy its contents without charge.518 The claimant can gain access to her file as soon as it is transferred to the Office of Appeals for the hearing. This transfer generally occurs a week or two before the Notice of Hearing is sent out, or three weeks before the hearing itself. Once the claimant receives the Notice of Hearing, her appeal file has already been transferred to the Office of Appeals and is ready for viewing. Advise the claimant to physically go to the Office of Appeals immediately to obtain a copy of her file so that she (and her advocate) can review it. (Note: the Notice of Hearing tells claimants to arrive fifteen minutes before the hearing to view the file, but does not inform them that they can come earlier to obtain a copy.) If the claimant has not yet received her Notice of Hearing, she can phone the Office of Appeals and ask if her file is available for her to copy. The Office of Appeals is generally receptive to claimants wishing to copy their files. However, if any claimant is denied access to her file, she should politely and respectfully assert her right to access the information and, if necessary, ask to speak with the presiding judge to obtain it. If the claimant cannot get the Appeal File in-person, she can call the Office of Appeals and ask that a copy be sent by fax. The Office of Appeals may even be willing to fax the Appeal File directly to the claimant’s representative. If you want to obtain the Appeal File on behalf of the claimant – in-person or by fax – you should be prepared to fax or deliver an Authorization to Disclose Information form, which clearly indicates that the claimant has given you the authority to obtain this information on her behalf. Review the Appeal File The appeal file contains important information about the claim. You should become intimately familiar with its contents because the Administrative Law Judge will be referring to documents in the file throughout the hearing, and because the file contains vital information from the claimant, the employer, and the EDD. In most files, reviewing documents from back to front, you will find the following: Claim Notes. These are dot matrix printouts of EDD computer screens that reflect various activities on the claim. These are difficult to decipher, but you can skim these notes, as necessary, to put together a timeline of all notices and phone calls between the claimant and the EDD. Employer Protest. This is the employer’s written response to the EDD’s “Notice of Unemployment Insurance Claim Filed.” The employer has ten days after receiving this Notice to provide facts to the EDD that may affect the claim. If the employer opted to provide this information (many do not), it may represent one of the only written explanations of how the claimant separated from the job. If 74 CHAPTER 6. THE APPEALS PROCESS there are documents in the protest that seem damaging to the claimant, be sure to discuss these documents in detail with the claimant. Record of Claim Status Interview. This is a set of handwritten or computer-generated notes from the interviews the EDD conducted with the claimant and/or the employer. Compare the claimant’s statements with her explanation of the separation and carefully read the employer’s statements as they may be the only indication of the employer’s allegations. Notice of Determination. This is the document sent to the claimant and/or the employer that describes the EDD’s initial benefit determination. Most of the language is boilerplate and generally unhelpful. The first couple of sentences of the second paragraph normally contain the only language that is personalized to the claimant. Appeal letter. If the employer filed the appeal, this letter likely will contain vital information regarding its challenge to the claimant’s benefits. If the claimant included a lengthy explanation of her position, you may need to address any problems, inconsistencies, etc. Notice of Hearing. You should already have a copy of this. It is described above. E. Securing Documents, Witnesses, and Statements Witnesses are rare at appeal hearings, usually because most witnesses will be former co-workers of the claimant and may fear retaliation if they testify on behalf of the claimant. Although such retaliation is illegal, workers are often understandably not willing to take such a risk. A witness who still works for the employer may even lie at the hearing to protect her job; a lying witness is worse than no witness. If the claimant decides she would like to call a witness on her behalf, make sure the witness is relevant to the case. A relevant witness has first-hand knowledge of facts bearing directly on the contested issue, not simply a friend who can verify the claimant was a “good worker.” Witnesses can appear personally at the hearing or submit written testimony by affidavit. An affidavit is simply a statement in which the witness describes those matters she knows, or has observed, that have direct bearing on an issue in the case. The witness must sign and date the affidavit; a sworn affidavit is preferable. A sworn affidavit is simply an affidavit in which the sentence before the signature line reads: “I swear under the penalty of perjury and the laws of the state of California that the foregoing is true and correct to the best of my knowledge and belief.” Affidavits are generally easier to obtain from a witness than personal appearance at a hearing. However, testimony given in-person is entitled to more weight than an affidavit (even if the affidavit is sworn under the penalty of perjury) because the other party has an opportunity to cross-examine the inperson witness.519 Witness and Document Subpoenas CHAPTER 6. THE APPEALS PROCESS 75 A claimant can secure personal attendance of a witness (and further require that the witness bring specific documents) by asking the Office of Appeals to issue a subpoena. Claimants should think carefully before requesting a subpoena for a witness who is hesitant to appear voluntarily because that witness may well present testimony that is hostile to the claimant. The claimant may request a subpoena for strategic reasons. For example, a witness, particularly a witness who still works for the employer, may agree to appear only if she is “forced” to, so that her employer will not think she is voluntarily acting against its interests. Witnesses who testify pursuant to a subpoena also have some measure of job protection for any work they miss in responding to the subpoena.520 Another strategic reason to request a subpoena may be to enable the claimant to ask for a continuance if the subpoenaed witness does not appear. Non-appearance of a witness who has been subpoenaed will normally constitute good cause for a continuance. If the witness has not been subpoenaed, the Administrative Law Judge will likely refuse to reschedule the hearing. If a claimant decides it is prudent to seek a subpoena, she has very little time to do so and must act quickly. As a general rule, a subpoena should be requested at least a week before the hearing. To request a subpoena, the claimant should visit the Office of Appeals and complete a Subpoena Declaration. An Administrative Law Judge must approve the request before the subpoena will be issued. Normally an Administrative Law Judge is on duty in the Office of Appeals who is responsible for, among other tasks, reviewing subpoena requests. There are two types of subpoenas. Document Subpoenas. A document subpoena is referred to as a “Subpoena Duces Tecum.” To obtain a document subpoena for one or more documents, the claimant must complete a subpoena declaration at the Office of Appeals stating 1) the name(s) and a description of the document(s) requested, 2) the name of the person in possession of the document(s), and 3) the materiality of the documents to an issue in the case. If the Administrative Law Judge is satisfied that the documents are material to the issue, she will sign the subpoena, which must then be properly served (see below). Witness Subpoenas. A personal subpoena compels the attendance of a witness at the hearing. If the witness fails to appear, the subpoena can be enforced by application to a superior court. To obtain a personal subpoena, the claimant must complete a subpoena declaration at the Office of Appeals stating 1) the name of the witness, and 2) the materiality of the witness to an issue in the case (i.e. what she will testify to). As with a document subpoena, an Administrative Law Judge must approve the subpoena request and the subpoena must be properly served (see below). Service of a Subpoena. A witness subpoena or document subpoena (subpoena duces tecum) must be personally served on either the witness or the employer. The claimant is not permitted to serve the subpoena herself, but may ask a friend or her representative to do so. When serving an employer, serving the person at the front desk is generally acceptable. The person who serves the witness or employer must then complete a proof of service indicating who was served and when service was completed. The subpoena is not enforceable unless a completed proof of service is filed with the Office of Appeals. 76 CHAPTER 6. THE APPEALS PROCESS Notices to Attend (or Notice to Attend and Produce) If a claimant does not want to go to the trouble of obtaining and serving a subpoena for a witness or a document, she can request a Notice to Attend (or Notice to Attend and Produce). This Notice does not compel the witness to appear (i.e. there are no legal sanctions if the witness does not comply) but it does inform her that she should appear before the Administrative Law Judge and present testimony (and, if requested, bring specific documents). Although it does not carry the same force of law, a Notice to Attend (or Notice to Attend and Produce) is easier to obtain than a subpoena, and the Office of Appeals will arrange service of the Notice by mail. F. Developing a Theory of the Case An important step in preparing for the hearing is to create a basic theory of the case. The theory of the case should be a clear, main theme supported by all of the other information. Develop the theory of the case by fitting the facts of the case to the most advantageous application of the law (e.g. Unemployment Insurance Code, regulations, and supporting case law). 1. Misconduct Cases Structure the theory of the case for a misconduct appeal by disputing one or more elements of misconduct or by asserting one or more established defenses to a misconduct charge. Disputing the elements of misconduct As discussed in “No-Fault Separation from Most Recent Work” in Chapter 3, the employer must prove four elements to sustain a charge of misconduct. Misconduct is defined as (a) a material duty owed to the employer, (b) that was substantially breached, (c) the breach must be willful or wanton, and (d) it must tend to harm the employer’s business interests. To prevail, the claimant must only convince an Administrative Law Judge that one or more of these elements was not present. This could be accomplished in any one of the following ways: Argue that the claimant did not owe the duty in question. For example, employees do not owe their employers a duty to commit dishonest or illegal acts, nor do they owe a duty to perform a job assignment that endangers their own safety or the safety of others. Also, claimants do not owe a duty to perform duties outside the scope of employment (e.g. personal errands for a supervisor). Argue that the breach was trivial, not substantial. Administrative Law Judges normally rely on a common sense definition of substantial. For example, three days away from work without permission would likely be substantial, whereas being ten minutes late for work one time would be trivial. Argue that the breach was neither willful nor wanton. This is normally the key element the employer will have to prove. It must show the claimant knew or reasonably should have known her behavior was a breach of the duty in question. You can argue that the claimant’s conduct was CHAPTER 6. THE APPEALS PROCESS 77 merely a good faith error in judgment or a case of ordinary negligence. This is easier to prove if the claimant was not warned about her behavior, either verbally or in writing, or if she can show the employer generally accepted the type of behavior she is accused of engaging in. Argue that no harm to the employer’s business interests could flow from the claimant’s behavior. This element is difficult to dispute because the employer merely needs to show the behavior tends to harm its interests, not that the claimant’s actions actually damaged the business. Established defenses to a misconduct charge The theory of a misconduct case should assert any applicable defenses. (These defenses, including poor performance, lack of causal connection, and employer condonation, are discussed in “No-Fault Separation from Most Recent Work” in Chapter 3.) 2. Voluntary Quit Cases The definition of good cause for a voluntary quit, and examples of the application of that definition to the most common disputes are described in “Quits” in Chapter 3. In contested cases, the employee generally bears the burden of proving her reasons for leaving constitute good cause. Structure the theory of a voluntary quit case in one of the following ways: If the claimant has more than one reason for quitting, argue the Rabago rule. In many cases, an employee might have more than one reason for quitting. Under established case law (Rabago v. UIAB), an employee will be found to have quit with good cause as long as one of her purported reasons constitutes good cause and that reason was a “substantial motivating factor” in her decision to resign.521 Analogize the case to established reasons for good cause. The most common reasons employees normally quit their jobs (e.g. a compelling domestic situation, a reasonable fear for health or safety, or intolerable working conditions) and the statutes, regulations, and case law that define some of those reasons as good cause are discussed in “Quits” in Chapter 3. If there is no case on point, argue based on the definition. Good cause is “a real substantial and compelling reason of such nature as would cause a reasonable person genuinely desirous of retaining employment to take similar action.”522 If the examples from “Quits” in Chapter 3 are not applicable to a particular case, argue that a reasonable person would have quit her job under the circumstances your client endured. Be sure the client did not negate good cause. In some cases, the claimant may have had good cause for quitting but failed to take reasonable steps to preserve her job before quitting. 78 CHAPTER 6. THE APPEALS PROCESS 3. Able and Available Cases The requirements that a claimant be “able” and “available” to accept work are discussed in “Able to Work” and “Available for Suitable Work” in Chapter 3. The structure of the theory of the case for an able or available denial will vary considerably depending on the facts involved. Generally, the claimant should be prepared to show that any limitations the EDD determined she has placed on her ability to accept work are trivial and will not substantially affect her chances of becoming employed. For example, if the EDD determines the claimant is not available for work because she has limited the geographical area of her work search, the claimant should be prepared to show how far she is willing to travel to obtain work and what forms of transportation she can use (including carpools and public transportation). If, on the other hand, the EDD determined that school or childcare commitments make her unavailable for work, the claimant may be able to show creative ways whereby she can work fulltime and fulfill these other obligations (e.g. childcare arrangements with friends or family or a modification of her school schedule that would allow for full-time work). Whatever the situation, be creative and think of ways to balance commitments that the EDD may not have considered in making its initial determination. 4. Overpayment Cases As discussed in “Overpayments” in Chapter 5, a claimant who is overpaid benefits will be required to repay the amount of the overpayment to the EDD unless all of the following elements are present: The overpayment was not due to fraud, misrepresentation or willful nondisclosure by the claimant; The overpayment was received without fault; and The recovery of the overpayment would be “against equity and good conscience.” If the overpayment resulted from a claimant’s false statement, she also will be liable for a penalty equal to 30 percent of the overpaid benefits. The theory of the case will depend on both the reasons for the overpayment and the client’s financial condition at the time the EDD requests repayment. The reason for the overpayment. The various causes of overpayments are described in “Overpayments” in Chapter 5. If the EDD believes the claimant was overpaid because of an alleged false statement, the theory of the case should attempt to show that either 1) the claimant did not make the alleged statement or omission, or 2) if she did make the statement or omission, she had a reasonable basis on which to do so. If the claimant was overpaid because of an EDD mistake, this portion of the case should be fairly straightforward because the claimant is not guilty of fraud and received the money without fault. Whatever the reason for the overpayment, the claimant will still be required to pay it back unless she can convince the judge she cannot afford it. Argue that the client cannot afford to repay the overpayment. Even if the client did not commit fraud and receiving extra benefits was not her fault, the client will still need to show that recovery of the money would be “against equity and good conscience.” This element of a case, which is described in “Overpayments” in Chapter 5, essentially requires that the claimant show financial hardship to avoid CHAPTER 6. THE APPEALS PROCESS 79 repayment. She will be asked about her ability to pay her current expenses and should be prepared to detail her income, expenses, assets, and debts. She also may avoid liability for repayment by showing she changed her position in reliance on the money received, but the Administrative Law Judge will probably weigh this reliance against the lack of hardship on the claimant. Finally, you can argue that requiring repayment would defeat the objectives of the Unemployment Insurance code, which is to be “liberally construed to further the legislative objective of reducing the hardship of unemployment.”523 G. Drafting Examination Questions and the Closing Argument Having a well-reasoned and thorough set of questions for parties and witnesses is fundamental to asserting the claimant’s rights and providing her with quality representation. Craft questions not only to emphasize the points that build the theory of the case, but also to anticipate employer defenses and responses. Although it is impossible to know exactly what will transpire at the hearing, it is helpful to prepare questions and a closing argument that anticipate employer arguments. If the employer does not raise a particular argument, simply do not use the corresponding questions or closing argument section. If the employer does raise the argument, you are prepared. Basic Guidelines for Crafting Questions The theory of the case should guide the questions. Group questions according to each separate issue within the appeal. For example, if the claimant has a procedural issue, such as whether she had good cause for a late appeal, and a substantive issue, such as whether she was fired for misconduct, these issues should be separated when drafting direct examination questions. More complicated issues can be subdivided. For example, if a claimant quit her job for several reasons, each of these purported reasons can be a separate section within the direct exam. This kind of grouping makes it easier to keep the information organized and accessible. Do not ask questions that do not have a clear connection to the issues in the case (as described in the Notice of Hearing), even if the client is upset about an unrelated workplace issue. For example, if the issue is whether the claimant’s tardiness amounts to misconduct, do not ask questions that explore how often she was able to take a break at work. Questions should not be compound inquiries that compel the witness to respond to multiple inquiries or give complicated, multi-part answers. Make sure to identify the source of the information in a question, particularly if the question is aimed to elicit a response related to earlier testimony. For example, “Ms. Smith, you testified that you tried to resolve this situation with your employer. Can you explain what you did to try and make things better?” Questions should not assume facts not in evidence, meaning they should not encompass any information that has not been previously testified to or is not already in the record. In the example above, if the claimant had not actually testified that she had previously tried to resolve the situation, 80 CHAPTER 6. THE APPEALS PROCESS asking her how she tried to do so would assume a fact not in evidence. Representatives should not be presenting any new information. Direct Examination Typically, the Administrative Law Judge will begin the questioning with basic questions about the parties and the claim (e.g. names of parties, duration of employment, etc.). You should, nevertheless, be prepared with these basic questions as well because the Administrative Law Judge may turn the entire direct over to you. Direct examination should be designed to track the issues in the case and ensure that favorable testimony can be offered on every element of every claim. To limit objections from the opposing party that may be sustained by the Administrative Law Judge, do not ask leading questions (e.g. “Isn’t it true that…?”) unless the issue is not critical, and do not inquire into irrelevant matters. Hearsay testimony is generally admissible but disfavored and entitled to less weight. For more information regarding the admissibility of evidence at hearings, see “The Hearing” below. To keep a nervous claimant “on track,” avoid questions that are compound, open-ended, or invite an open-ended response (but it’s OK to ask open-ended questions to a confident witness). If you have time, you also should write the answers that the questions are expected to elicit (according to the information the claimant has already provided). Drafting expected answers in advance will better ensure a good flow of questions and should allow any remaining holes in the claimant’s story to easily be identified. Knowing the answer to a question also allows you to check off (and not ask) a specific question if the information it was designed to elicit comes out at the hearing some other way. If you intend to submit any documents into the record, you will need to draft questions that lay the foundation for each document. As described in “The Hearing” below, laying the foundation means asking questions to elicit information about the source and content of a document. For example, if you want to admit a note from the claimant’s doctor that confirms the claimant quit for health reasons, you could do so by asking the following questions: Did you see a doctor about your condition? When did you see that doctor? Did that doctor diagnose you? Did your doctor provide you with a note? (While showing claimant the note) Do you recognize this document? What is it? After the claimant identifies the note, you have properly laid the foundation and can then ask that the Administrative Law Judge mark the exhibit and admit it into the record. CHAPTER 6. THE APPEALS PROCESS 81 Cross-Examination It is difficult to plan cross-examination of the employer because you will not know exactly what the employer’s position will be (although the employer may have revealed some of this information in the Record of Claim Status Interview or in other correspondence with the EDD). You may not even know who will provide testimony on behalf of the employer. Try to anticipate all of the employer’s possible defenses and be prepared to question the employer to challenge those defenses. Unlike direct examination, in cross-examination, avoid questions that are open-ended or invite an openended response. It is important to “pin down” the employer. Leading questions — those that call for a “yes” or “no” answer — should be used whenever possible. For example, a good question might begin with “Isn’t it true that…” Do not ask questions to which you do not know the answers because the employer may well not give the answer you would like and say something that will damage your client. Finally, do not ask questions that invite the employer to reiterate its own version of events. Importantly, it is perfectly acceptable not to cross-examine a witness. There may be nothing gained from it. Whether you choose to cross-examine the opposing party or not, you should pay special attention to what the witness did not say. Oftentimes, the most important element of an employer’s testimony is what is omitted. In such cases, rather than questioning the employer, it may be best to make reference to the omissions in your closing statement. For example, “Your honor, the employer did not provide any testimony challenging my client’s explanation of …” Re-Direct Limit re-direct questions to issues the employer raised during cross-examination of your witness. For example, if the employer suggests to the claimant that the reasons for quitting are pretextual and the true reasons she quit were an unrelated cause, re-direct questions should allow the claimant to openly address the allegations the employer raised. Remember, avoid such questions on direct examination because the employer might otherwise not “open the door” on that issue at all and the claimant’s reasons for quitting may go unchallenged. Closing Argument The closing argument should be a concise summary of how the facts you have proved in the hearing correspond to the law, including applicable case law, code provisions, and regulations. Administrative Law Judges are often impatient at the end of a hearing, so it is essential that you show your respect for their time (and knowledge), and not try to cover too much ground. With very few exceptions, a closing statement should be no more than two to five minutes. The closing argument can be prepared in outline form so that you can “check off the box” for each of the relevant facts you proved at the hearing. Using an outline also ensures you will not read the closing statement verbatim from a prepared script, which often is less persuasive. However, if you are more comfortable preparing a completely drafted closing argument, it is certainly acceptable to do so. If you draft the complete closing argument, it is useful to refer directly to testimony or documentary evidence 82 CHAPTER 6. THE APPEALS PROCESS by saying, for example, “as the supervisor Mr. Johnson admitted, he did not even want to fire my client for this alleged offense.” H. Preparing Claimant for the Hearing Shortly before the hearing, you should meet with the claimant (and any witnesses, if possible) to prepare for the hearing. Your two principal goals for this final pre-hearing meeting are 1) to make sure the claimant knows what to expect at the hearing and 2) to practice direct and cross-examination questions with the claimant and any available witnesses. What to Expect. Claimants often have a lot of anxiety about confronting a former employer and appearing in a quasi-judicial forum. It is typically reassuring and comforting for the claimant to have a clear understanding of what to expect. Start with how the claimant will get to the hearing and what time to arrive, and then walk her through the entire process. A clear understanding of what will happen at the Office of Appeals on the day of her hearing will go a long way toward reducing her anxiety. (For more details regarding hearing procedures, see “The Hearing” below.) Examination Practice. This is the heart of the final pre-hearing meeting. You should remind the claimant that you and/or the Administrative Law Judge (and, potentially, the former employer) will be asking her questions at the hearing. Now is the time to practice. When reviewing the direct examination questions, do not tell the client what the answers to the questions “should be.” The claimant needs to tell the truth in her own words. If the client does not understand the information a question is designed to elicit, you can review the information the client has provided, verify it is correct, and suggest that the client simply supply that information in her own words. Alternatively, think of a different question that is clearer to the claimant. Let the claimant know that if she does not provide a relevant piece of information, you will ask additional follow-up questions during the hearing to ensure that the record is complete and accurate. Another reason to avoid giving the client the “right” answers is that if her testimony appears rehearsed or too polished, she may appear coached and less credible. (Note: if an employer asks the claimant about her preparations with a representative, you can object that the content of such communication is privileged. However, the claimant should be prepared to testify that she was not “coached” about what to say.) Practicing cross-examination will help prepare the client for contentious questioning from her employer and ensure that the client will be able to undo or minimize any damage that could result from the employer’s questioning, especially if there are any glaring problems with the case. For example, if the claimant’s reasons for quitting are “borderline” good cause, pressing the client on those reasons that are not so strong will prepare her to defend her actions and her decision to quit. Here are some final reminders to provide the claimant regarding how to respond to the hearing questions: Directly answer the specific question that was asked. A claimant should pause before answering and carefully consider the scope of the question and how to answer it before responding. CHAPTER 6. THE APPEALS PROCESS 83 Ask the questioner for clarification before answering any questions that she finds confusing or unclear. Not understanding the question may cause the claimant to give a contradictory or inaccurate answer, and this, in turn, could harm her credibility. Respond in a respectful and honest way. Many cases come down to a question of credibility. The Administrative Law Judge will be evaluating the claimant’s credibility throughout the hearing, so the manner of responding is almost as important as the content of the response. For example, a claimant may be trying to establish that she did not get into an angry argument with a customer. If the claimant displays anger or a short temper in the hearing, her credibility will be severely compromised. The claimant should be respectful and polite at all times. Avoid talking too much. A claimant should pay close attention to how much the Administrative Law Judge wants her to explain. When in doubt, she should err on the side of saying too little; otherwise she risks bringing up issues that are better left unsaid or frustrating the Administrative Law Judge with irrelevant information. If the Administrative Law Judge needs more information from the claimant, she will ask a follow-up question. Do not get angry or confrontational with the employer. The claimant should focus on telling her story and avoid getting upset over what the employer says, even if the employer lies. Getting angry, accusing the employer of lying, or answering the employer’s questions in a sarcastic manner will most likely hurt the claimant’s credibility. The Administrative Law Judge will not allow either party to be abusive. If the claimant feels she is about to get emotional, she can ask for a short break. I. The Hearing The purpose of the appeal hearing is for an independent Administrative Law Judge to ascertain the facts and legal merits of the case, and ultimately to affirm or reverse a determination by the EDD. The Administrative Law Judge will review all the relevant facts and make a decision de novo, meaning she gives no weight or deference to what the EDD previously decided. This hearing is especially important because it is the parties’ only chance to create a record of the facts. This record will serve as the basis for any and all future appeals. Hearings are scheduled to last 45 minutes, and rarely go longer than an hour unless the issues are complex or the case involves a large number of witnesses. On occasion, hearings will be continued to another day if they cannot be completed within the time allotted. Who May Attend Parties. All parties may attend the hearing and present evidence. The party who is not appealing is not required to attend the hearing, but may do so. The EDD is technically a party to the hearing, which gives the Department the right to attend the hearing and defend or represent its decisions. It is exceedingly uncommon for a representative of the EDD to participate in a hearing. 84 CHAPTER 6. THE APPEALS PROCESS Witnesses and Representatives. All the parties may bring witnesses and may have representatives who can ask questions and present legal arguments on their behalf. Representatives need not be licensed attorneys; anyone can serve as a representative. The Public. Most hearings are open to the public,524 but rarely attended by anyone other than the parties, witnesses, and representatives. As a courtesy, those who want to observe the hearing, or to attend solely for the purpose of moral support, should ask the Administrative Law Judge’s permission. Before the Hearing You and the claimant should plan to arrive early to the hearing. Check in with the receptionist upon your arrival. You should inform the receptionist that you are representing the claimant and explain that you would like a copy of the decision mailed to your office. The receptionist will likely offer you the opportunity to review the Appeal File. You should have reviewed the Appeal File in advance, but it is a good idea to review it again quickly to ensure that no new information was added. Be aware that there is only one official copy of the Appeal File and thus all the parties will have to share this single file in advance of the hearing. (For more information, see “Getting and Reviewing the Appeal File” above.) If applicable, you should confirm with the receptionist that the claimant is expecting an interpreter. The interpreter is often available before the hearing, if necessary, to help the claimant review the Appeal File. If the interpreter does not show up, the hearing will have to be rescheduled. The CUIAB is required to provide an interpreter.525 If the party who filed the appeal arrives late or does not show up, the Administrative Law Judge may dismiss the case for non-appearance.526 If a claimant is running late, she should call the Office of Appeals immediately. Usually the Administrative Law Judge will wait fifteen minutes after the scheduled hearing time before dismissing a case, but she is not required to provide this buffer. Prior hearings sometimes run late, so the hearing may not start on time. When the Administrative Law Judge is ready and after all the parties have checked-in, the Administrative Law Judge will enter the waiting room and escort the parties (and any witnesses) to a hearing room. At any given Office of Appeals, there are typically several hearing rooms and several hearings taking place simultaneously. Opening the Hearing The Administrative Law Judge conducts the hearing in a hearing room that is not much larger than, and set up like, a small conference room. The Administrative Law Judge is in charge of the hearing, and decides what evidence to admit, what testimony will be heard, who may attend, whether there will be any departure from procedure, whether a party is talking too much, whether the testimony is relevant, when the hearing will end, and who is telling the truth. In general, Administrative Law Judges are helpful to the unsophisticated claimant, and will answer questions and assist claimants who get stuck or confused. The claimant should not be fearful of or intimidated by the Administrative Law Judge, but the CHAPTER 6. THE APPEALS PROCESS 85 claimant and the representative should be respectful to the Administrative Law Judge and should be careful not to interrupt her. The Administrative Law Judge, who does not wear a robe, sits at the head of a conference table. The claimant and her representative (and any witnesses) will normally sit on one side of the hearing table. You should try to sit between the Administrative Law Judge and the claimant, so that the claimant can face the Administrative Law Judge when responding to your questions. Any opposing parties and witnesses will sit on the opposite side of the table. The Administrative Law Judge typically begins a hearing by going through the following steps: Turns on a recording device to make the audio record of the proceedings. Provides an overview of hearing procedure, asks if anybody has any questions or concerns, and briefly explains the issues in the case and the applicable law.527 For example, in a misconduct case, the Administrative Law Judge usually reads the legal definition of misconduct. Numbers the documents in the appeal file and, if there are no objections, admits them into evidence. Swears in the parties and witnesses.528 Witnesses are normally sequestered, which means the Administrative Law Judge asks them to leave the room until it is time to testify. Gets the names and “appearances” (e.g. “Representative for the claimant”) of any representatives. This is a good time to give the Administrative Law Judge your business card. The Case The Administrative Law Judge usually does most of the questioning during the hearing (particularly if the claimant and employer are not represented) and will decide, usually at the beginning of the hearing, which party to question first, explaining the order that testimony and evidence will be presented.529 Opening statements are rare, but either side may request to give one in a complex case. Claimant’s case. The Administrative Law Judge will typically conduct the examination of the claimant and the claimant’s witnesses, if any. In a voluntary quit case, the claimant is normally questioned first and asked to explain her reasons for quitting. In a discharge case, the Administrative Law Judge will normally question the claimant after the employer and ask her to respond to the employer’s charges of misconduct. The claimant can present any relevant documents that she has to the Administrative Law Judge. (For more information regarding the use of documents, see below.) After the Administrative Law Judge finishes questioning the claimant, the Administrative Law Judge will give the representative an opportunity to do any additional examination. (Note: In some cases, the Administrative Law Judge will turn over the entire examination to the representative, which is why it’s important to be prepared to do a full examination). This is the opportunity to elicit any important facts and testimony from the claimant that did not come out during the Administrative Law Judge’s examination. One strategy is to literally check off your questions (and expected answers) as the Administrative Law Judge asks questions 86 CHAPTER 6. THE APPEALS PROCESS (and elicits expected answers), and then use your remaining, unchecked questions as a guide to your examination of the claimant. You may have only a few clarifying questions for the claimant or you may have several unexplored issues to cover. At the conclusion of the direct examination, the employer (or employer’s representative) will have the opportunity to cross-examine the claimant, and you will get an opportunity to re-direct (which often isn’t necessary). This process is repeated for any witnesses. Employer’s case. The Administrative Law Judge will ask questions of the employer and the employer’s witnesses, if any. The employer normally presents evidence before the claimant in a discharge case and after the claimant in a voluntary quit case. The employer also may give relevant documents to the Administrative Law Judge. You will have the opportunity to cross-examine the employer and its witnesses to undermine their story and impeach their credibility. Although you may have outlined some potential cross-examination questions, you will almost always have to think on your feet and modify or abandon your plan during the hearing. Resist the urge to ask too many questions. For example, if you have noted an important inconsistency in the employer’s story, do not raise it on cross-examination and give the employer an opportunity to explain it and rehabilitate the testimony. Instead, save it and point it out when you deliver your closing argument. If the claimant is not represented and has questions for the employer, she should avoid asking questions in a confrontational or angry way. Rather than arguing with the employer, the claimant should ask the Administrative Law Judge if she can later make a closing statement and present her arguments then. The claimant does not have to ask any questions of the employer and should be advised not to if her questions will only invite the employer to re-emphasize its own side of the story. Presenting Evidence: Witnesses, Documents & Objections Most formal rules of evidence do not apply at the hearing. Instead, Administrative Law Judges conduct hearings simply to ascertain the substantial rights of the parties530 and to admit relevant evidence if it is “the sort of evidence on which responsible persons are accustomed to rely in the conduct of serious affairs.”531 An Administrative Law Judge may exclude relevant evidence only if its probative value is substantially outweighed by the probability that its admission will take too much time, or lead to prejudice or injustice.532 Among other things, this means that claimants and employers normally can admit copies of documents, rather than originals and usually can rely on hearsay testimony. (Hearsay is discussed below). Witnesses. Bringing a witness to testify at the hearing is generally better than offering a letter or an affidavit. Testimony given at the hearing, under oath and subject to the other party’s crossexamination, is entitled to more weight than statements in affidavit form, whether sworn or not.533 However, an Administrative Law Judge does not have to believe an unreliable or contradictory witness over a credible written affidavit. 534 Therefore, a claimant should try to present as much of her CHAPTER 6. THE APPEALS PROCESS 87 testimony as possible through witnesses, but should not worry if she has to submit a letter instead, such as one from a doctor too busy to come to the hearing, especially if the fact is not likely to be disputed by the employer at the hearing. Witnesses may be subpoenaed to attend the hearing. (For more information regarding subpoenas, see “Securing Documents, Witnesses, and Statements” above.) Documents. You or the claimant can submit relevant documents, such as performance reviews or letters to or from the employer. Usually, the claimant does not need to submit the originals, but should bring them to the hearing if she has them. In addition, you or the claimant should take at least three copies to the hearing, one for the claimant’s reference, one for the Administrative Law Judge, and one for the employer. (The employer is entitled to copies of all documents that the claimant submits.) The documents may be admitted in one of two ways: You or the claimant can ask the receptionist to add the documents to the appeal file in the waiting room before the hearing. If the employer is in the waiting room, you should give the employer its copies at this time. The Administrative Law Judge will normally number and admit the documents as part of the appeal file at the beginning of the hearing. Alternatively, you can introduce the documents into evidence during the hearing by questioning the claimant about what the document is and where it came from, and then asking that the document be admitted into evidence. If the claimant does not have an advocate, she can give the documents to the Administrative Law Judge during the hearing and the Administrative Law Judge will ask the claimant the necessary questions, if any, to admit the documents into evidence. The process of asking questions to identify the source and nature of the document is known as “laying the foundation.” (For more information about laying the foundation for documents, see “Drafting Examination Questions and the Closing Argument” above.) Objections. The Administrative Law Judge will not necessarily ask if either side has any objections to the testimony or proffered evidence, so you will likely have to interject with your objections. Objections do not need to be presented in a particular form, but you should identify the objectionable evidence or questioning, and state a reason why it is objectionable. The following objections are often used: Irrelevant: If the employer wants to introduce evidence or begins to testify to information that is detrimental to the claimant’s interest and irrelevant to the issues in the case (e.g. work performance in a “voluntary quit” case), you may object: “Your honor, I object to the employer’s testimony/evidence because it is irrelevant.” Hearsay: Hearsay is any out-of-court statement that is offered for its own truth.535 For example, a supervisor’s testimony that a co-worker said she saw the claimant stealing from the cash register is hearsay. Hearsay, while admissible, is accorded less weight than the testimony of a witness describing what she personally saw or did. For this reason, you should object to hearsay (or at least point out to the Administrative Law Judge that the evidence is hearsay) if the information presented is particularly damaging. 88 CHAPTER 6. THE APPEALS PROCESS Misleading: A question is misleading if it cannot be answered without making an unintended admission. For example, if the employer were to ask “Do you still get drunk?” the question is misleading because if the employee answers “no,” she may be inadvertently admitting that she did so in the past. (This question is also objectionable because it assumes facts not in evidence and is also probably irrelevant because it concerns conduct after the employee no longer worked for the employer.) Compound: A compound question is a single question that asks the respondent to give more than one answer. For example, a compound question to the claimant might be “Did you fail to report to work on June 8 and not call the employer?” Argumentative: Argumentative questions reveal the examiner’s view of facts. For example, if an employer were to ask, “Why did you persist in leaving voicemail messages for your co-worker after you were warned to stay away from her?” this question is argumentative. (It also assumes facts not in evidence if the employer has not presented evidence that the employee was previously warned). Assumes facts not in evidence: If the employer or its representative asks a question that contains information not in the record or not previously testified to, you could object, “Your honor, I object to the employer’s question of the claimant because it assumes facts not in evidence. The employer’s representative is providing information rather than asking a question.” Speculation: Questions call for speculation if the answer that is called for is nothing more than hypothetical. For example, an employer’s asking “Do you think my company would fire someone who made one minor mistake?” is objectionable based on speculation. Some Administrative Law Judges do not like the testimony to be interrupted by objections, particularly if they are repetitive or unwarranted. You may need to read the mood of the Administrative Law Judge and adjust the nature and frequency of any objections, accordingly. Concluding the Hearing The Administrative Law Judge normally will allow a few minutes at the end of the hearing for the parties to present closing statements, if they choose to do so.536 The statement should be no more than a few minutes, and should briefly connect the testimony to the appropriate legal standard. For example, summarize the testimony (e.g. “My client’s undisputed testimony clearly established X, Y, and Z”) and then show how those facts connect to a legal standard (e.g. “There is no dispute that my client was terminated for poor work performance, and legal sources X, Y, and Z establish that poor work performance is not misconduct”). The Administrative Law Judge will be familiar with the law applicable to the case, so a closing statement is not absolutely necessary. If the Administrative Law Judge indicates that there is no need for the claimant to present a closing argument, the claimant (or advocate) should insist only if she believes she will present some highly pertinent information or a novel legal theory. CHAPTER 6. THE APPEALS PROCESS 89 Following any closing statements, the Administrative Law Judge will end the hearing by asking the parties if either side has any questions. Following any final questions, the Administrative Law Judge will conclude the hearing, advise the parties when they should expect a decision, stop the recording, and usher the parties out of the hearing room. J. The Decision The claimant usually receives the Administrative Law Judge’s written decision in the mail between two days and three weeks after the hearing.537 Recently, some claimants are reporting that decisions are not arriving for several months after the hearing. Nonetheless, if more than a month has passed since the hearing, the claimant may want to call the Office of Appeals and get an update. The Administrative Law Judge’s written decision will include a statement of the facts that she relied on in making her decision and the reasons for her decision based on the law.538 If the claimant filed her appeal late and the Administrative Law Judge makes a “threshold” decision that the claimant did not have good cause for filing late, the Administrative Law Judge usually does not decide the merits of the appeal, even if she accepted evidence on the merits during the hearing. If the claimant disagrees with the decision, she can appeal to the CUIAB as described below. K. Board Appeals A claimant who disagrees with the Administrative Law Judge’s decision has 20 calendar days from the date of mailing of the decision (indicated on the first page of the decision) to appeal the decision to the Appeals Board (also referred to as just “the Board”) in Sacramento.539 (For more information regarding the composition of the Appeals Board, see “History and Framework of the Unemployment Insurance System” in Chapter 1.) This is referred to as a second-stage appeal. A claimant who files late will have her appeal dismissed, unless she can show good cause for missing the deadline. Two of seven members of the Board will review the Administrative Law Judge’s decision and the record of the appeal hearing. If they disagree, a third board member will break the tie.540 (Despite use of a 3member panel, this Guide continues to refer to the decision-maker as “the Board” or “the Appeals Board” throughout this section.) The parties may request the record of the first-stage appeal hearing and present written argument as described below. The Board will decide the appeal based on the record, the testimony, and other evidence presented at the hearing before the Administrative Law Judge. The Board will overturn the Administrative Law Judge’s decision only if it is arbitrary or against the weight of the evidence.541 Because of this standard, most decisions are affirmed on appeal unless there is an obvious legal error or wholly arbitrary finding of fact that is not supported by any evidence in the record. The Appeals Board will rarely, if ever, overturn an Administrative Law Judge’s credibility determinations, so this second-stage appeal is very difficult to win if the claimant’s argument is that the Administrative Law Judge should have believed her story rather than employer’s story. 90 CHAPTER 6. THE APPEALS PROCESS The appealing party can notify the Board that she wishes to withdraw the appeal for any reason at any time before the Board’s decision is issued.542 A party who withdraws an appeal can have it reinstated only if she shows good cause for the reinstatement and makes her request within 20 days after the dismissal order (or shows good cause for missing this deadline).543 Step One: File the Appeal An appeal must be filed in writing,544 but need not include a lengthy statement of the reasons a claimant disagrees with the Administrative Law Judge’s decision.545 The claimant should write a letter stating that she disagrees with the Administrative Law Judge’s decision and wants to appeal. She should include her name, address, phone number, social security number, and the case number. She should sign and date the letter, and mail it to the Office of Appeals where her case was heard. Step Two: Acknowledgment of Appeal If the claimant is the appealing party, the Office of Appeals will send the claimant a letter acknowledging receipt of the appeal, providing the Appeals Board case number (which should be used in all future correspondence), and advising the claimant of her procedural options. The opposing party will receive a similar notice, and a copy of the appeal. Claimants will receive a similar letter if their employer files an appeal with the Board. In such cases, the acknowledgement of appeal letter is the claimant’s first notice of the appeal. Step Three: Requesting a Copy of the Record Within 12 calendar days after the mailing of the appeal acknowledgment letter, the parties may request a copy of record of the hearing, which will include a written transcript and/or a copy of the tape from the hearing and the documents in the record. A claimant will not be charged for a copy of the record.546 Along with the copy of the record, the parties receive a new deadline for submitting a written argument, which will be 12 calendar days after the mailing of the record. 547 Step Four: Additional Evidence The Board is usually limited to the facts presented as shown in the official transcript of the case and the documents offered in evidence. The Board may direct the taking of new or additional evidence on its own motion or on request of a party. The Board requires a request by a party to be in writing, show the materiality of the new or additional evidence to be offered, and the reasons why it was not offered at the hearing before the Administrative Law Judge. A copy of the request must be mailed to the other parties in the case and a proof of service must be delivered to the Appeals Board. If additional documentary evidence is offered, the Board may accept it without further hearing and offer the opposing party an opportunity to respond to the evidence. 548 Step Five: Written Argument CHAPTER 6. THE APPEALS PROCESS 91 If the claimant does not request the record, she has 12 calendar days after the mailing of the appeal acknowledgment letter to submit her written argument.549 If the claimant does request the record, she has 12 calendar days after the mailing of the record to submit her written argument.550 In light of the quick deadline, you may want to begin drafting (or at least planning) the written argument before receiving a copy of the record. A written argument is not required; the Board will review the record of the case and issue a decision regardless of the submission of any written argument. The written argument is essentially a brief. It outlines the facts of the case, as those facts were presented to the Administrative Law Judge, and presents any legal arguments the claimant or advocate believes are viable. No precise legal form is required for the written argument, but it should address only evidence already in the record and the applicable law. The format of a written argument will depend on several factors, including whether you are requesting that the Board overturn or affirm an Administrative Law Judge decision and whether your principle arguments are factual or legal. Most written arguments should be structured as follows: 1. Introduction. The introduction can be very brief, stating the basic information about the claim (name, social security number of the claimant and the Appeals Board case number) and informing the CUIAB that you are representing the claimant in her request to either affirm or overturn the Administrative Law Judge’s decision. 2. Statement of Facts. The statement of facts should come entirely from the record of the hearing. To the extent possible, you should cite to the page or point in the record when a particular fact was either testified to, or demonstrated by, documentary evidence (this task is far easier if you are able to review a transcript of the hearing rather than a tape recording). Present the facts in the light that is most favorable to your client, but do not mischaracterize the record. 3. Argument(s). The argument section is the heart of your brief. Divide it into sections, each of which represents a different argument. For example, you may have one section arguing that the Administrative Law Judge incorrectly applied the burden of proof, another section arguing that a particular element of misconduct was not proven by evidence in the record, and a third section arguing that the judge gave improper weight to a particular piece of evidence because it was hearsay testimony. Structure your arguments by placing your strongest legal arguments first, and include supporting factual assertions (from the record) and legal authority (from statutes, regulations, and case law). 4. Conclusion. In some cases, the conclusion to a written argument briefly reiterates the arguments presented above. In other cases, the conclusion will merely read: “For all the reasons cited above, the decision of the Administrative Law Judge should be overturned/affirmed.” A copy of the written argument must be mailed to the other parties in the case and a proof of service must be delivered to the Appeals Board. Step Six: The Board’s Decision 92 CHAPTER 6. THE APPEALS PROCESS The Board will issue a written decision, stating the facts and the reasons for its decision, and explaining the claimant’s appeal rights.551 In most cases, the decision will be mailed within 60 days of the submission of the appeal.552 If the claimant was found eligible for benefits by both the EDD and the Administrative Law Judge, the claimant will not have to repay any benefits she was overpaid if the Board overturns the decision. If the Board reversed the Administrative Law Judge’s decision and found the claimant eligible for benefits, she will receive back benefits for any prior weeks when she was otherwise eligible. Upon receipt of the decision by the Board, contact the claimant as soon as possible to review and explain the result, and ask if she has any further questions. You should also explain each party’s appeal rights, letting your client know that the non-prevailing party may file an appeal in the form of a writ of mandate in superior court. Writs are discussed in the next section. L. Writs Board decisions may be appealed by Writ of Mandate to the superior court of appropriate venue. The claimant must file the Writ within six months from the date of the mailing of the CUIAB decision.554 In most cases, claimants can go to court only after exhausting the administrative process, including appealing to an Administrative Law Judge and then to the Board.555 553 The superior court will review the administrative record to determine whether the claimant had a fair hearing and whether there was any prejudicial abuse of discretion. 556 The court will consider new evidence on a limited basis, such as if the evidence could not have been produced through the exercise of reasonable diligence or was improperly excluded during the administrative process.557 CHAPTER 6. THE APPEALS PROCESS 93 M. Advocate Checklist: Key Steps in Preparing for an Appeal Hearing This Checklist presumes that the claimant has already submitted an appeal and received a Notice of Hearing. It is designed as a one-page, high-level reminder of the key steps in the first-stage appeals process. Review the relevant sections of this chapter for more details. STEP 1: Conduct Detailed Client Intake Interview o o o o o o Remind client about ongoing duties: job search, Continued Claim Forms, etc. Review client’s employment documents and agency notices (from the EDD and CUIAB). Get all the facts! Make sure you fully understand the chronology of key events. Arrange for client to get the Appeal File, and get a copy to you ASAP. Decide about using and securing any documents, witnesses, and statements. Sign any retainer agreement and/or authorization form(s). STEP 2: Advocate’s Preparation for the Hearing o o o o o Review the Appeal File and follow up with claimant about any inconsistencies. Take steps (as necessary) to secure documents, witnesses, and statements. Research the applicable law and develop “theory of the case.” Draft list of examination questions for claimant and any witnesses. Draft outline of closing statement. STEP 3: Final Preparation Session with Client o o o Remind client about ongoing duties: job search, Continued Claim Forms, etc. Provide client with detailed chronology of what to expect on the day of the hearing, including the hearing procedures. Practice direct and cross-examination of client, and provide suggestions and feedback. STEP 4: The Hearing o o o Arrive early in order to check in with the receptionist, review the Appeal File for any new information, and (if necessary) connect with the interpreter. Remind the client of the importance of: staying calm and respectful, asking for clarification if she doesn’t understand a question, and staying narrowly focused on the key issues. Ensure that your client provided all the important testimony. This is your principal responsibility in the hearing. STEP 5: After the Hearing o o o 94 Remind client about ongoing duties: job search, Continued Claim Forms, etc. Confirm client’s contact information, and remind client to notify you of any future changes. Upon receipt of the Administrative Law Judge’s written decision: ensure client understands the decision, review deadlines for next appeal (as necessary), and clarify your role in any future proceedings (as necessary). CHAPTER 6. THE APPEALS PROCESS CHAPTER 7. SPECIAL PROGRAMS California’s Unemployment Insurance (UI) system includes a variety of “special programs” that fall outside the standard claim for regular benefits. These include Benefit Extensions, the Work Sharing Program, Partial Claims for Benefits, the California Training Benefits Program, Disaster Unemployment Insurance, and Trade Adjustment Assistance. This chapter provides a high-level overview of each program; a more comprehensive review of these programs is beyond the scope of this Guide. A. Benefit Extensions Following the exhaustion of normal UI benefits, a California claimant may be eligible for additional benefits through two different extension programs: the Emergency Unemployment Compensation (EUC) program and the Federal Extended Duration (Fed-ED) program. California has elected to pay EUC benefits to claimants prior to Fed-ED benefits.558 Claimants cannot collect both benefits from both extension programs simultaneously. Both programs are discussed below. 1. Emergency Unemployment Compensation Program On June 30, 2008, President Obama signed the Supplemental Appropriations Act, 2008 (Public Law 110252), which provided for the “Emergency Unemployment Compensation” (EUC) program. This temporary extension program has been amended four times since its original passage.559 Benefits The EUC program, funded 100% by the federal government, provides up to four tiers of benefits for claimants who have exhausted their regular UI benefits. Tiers one and two provide up to 20 and 14 weeks of benefits, respectively, for claimants in all states.560 Tiers three and four provide up to 13 and 6 weeks of benefits, respectively, for claimants in states that meet threshold unemployment rates.561 The Weekly Benefit Amount of an EUC claim is equal to the Weekly Benefit Amount of the underlying regular UI claim.562 State Eligibility Requirements There are no state eligibility requirements for California claimants to be eligible for EUC tiers one and two. Eligibility for tiers three and four require that California “trigger” on to the respective tiers. California triggers onto a tier three period: When the Insured Unemployment Rate (IUR) in California (averaged over the course of 13 weeks) equals or exceeds 4.0 percent; or When the average Total Unemployment Rate (TUR) for the most recent three months equals or exceeds 6.0 percent.563 CHAPTER 7. SPECIAL PROGRAMS 95 California triggers onto a tier four period: When the Insured Unemployment Rate (IUR) in California (averaged over the course of 13 weeks) equals or exceeds 6.0 percent; or When the average Total Unemployment Rate (TUR) for the most recent three months equals or exceeds 8.5 percent.564 As of January 2010, California has met these thresholds and thus has been “triggered” on to EUC tier three and four periods continuously since November 8, 2009, the effective date of those tiers. Therefore, assuming they meet the other eligibility requirements, California claimants are currently eligible for up to 53 weeks of EUC benefits. To determine the current status of California’s EUC triggers, see the U.S. Department of Labor’s weekly trigger reports, available online at http://www.workforcesecurity.doleta.gov/unemploy/claims_arch.asp. Claimant Eligibility Requirements The requirements to receive EUC benefits are stricter than the requirements to receive normal UI benefits. In addition to meeting the usual eligibility criteria, an EUC claimant must also: Have exhausted all rights to regular UI benefits; and Have had 20 weeks of full-time insured employment or the equivalent in insured wages in the applicable, underlying Base Period.565 (California interprets this requirement to mean Base Period earnings of more than 40 times the Weekly Benefit Amount or more than 1.5 times the highestgrossing quarter in the Base Period.566) Dates The EUC program is temporary. The last effective date an individual can file an initial EUC extension (tier one) is February 21, 2010.567 The last effective date an individual can augment to an additional EUC tier (tier two, three, or four) is February 28, 2010 (i.e. after February 28, 2010, claimants are not entitled to move from one tier of benefits to the next tier of benefits).568 Once a claimant has qualified for a particular tier of benefits, the claimant is eligible to be paid those benefits through the week ending August 6, 2010.569 Process The EDD will automatically file EUC claims on behalf of claimants; claimants do not need to contact the EDD to initiate the process. Once eligible, claimants will certify their eligibility via the submission of Continued Claim Forms, similar to the certification process for regular benefits. 96 CHAPTER 7. SPECIAL PROGRAMS 2. Federal Extended Duration Program On August 10, 1970, the federal government enacted the Federal-State Extended Unemployment Compensation Act of 1970 (Public Law 91-373). (The federal government refers to this program as “Extended Benefits” or “EB,” but this Guide will follow the EDD’s practice of referring to it as the “Federal Extended Duration” program or “Fed-ED.”) The program has been amended several times, but remains a permanent extension program (as distinct from the temporary Emergency Unemployment Compensation program, discussed above).570 Benefits The Fed-ED program, funded 50% by the state government and 50% by the federal government, provides for claimants who have exhausted their regular UI and EUC benefits to receive up to an additional 13 or 20 weeks of benefits when a state “triggers” on to a Fed-ED period. The Weekly Benefit Amount of a Fed-ED extension claim is equal to the Weekly Benefit Amount of the underlying regular UI claim. State Eligibility Requirements Traditionally, California law has called for the state to “trigger” on to a Fed-ED period only in one of the following two circumstances: When the Insured Unemployment Rate (IUR) in California (averaged over the course of 13-weeks) is five percent or greater and the IUR exceeds 120 percent of the average of such rates for the corresponding 13 week periods in the preceding two calendar years; or When the IUR in California (averaged over the course of 13 weeks) is six percent or greater.571 Even in times of high unemployment, California’s IUR rarely (if ever) has exceeded five percent, thus California rarely (if ever) has triggered on to a Fed-ED period under these requirements. Without triggering on to a Fed-ED period, California claimants are not eligible to receive Fed-ED extended benefits. On February 17, 2009, President Obama enacted the American Recovery and Reinvestment Act of 2009 (ARRA), Public Law 111-5. One provision of this bill, since amended, requires the federal government to temporarily pay for 100% of the cost of Fed-ED extended benefits through February 28, 2010 (in lieu of the traditional 50-50 federal-state cost sharing).572 On March 27, 2009, in response to the temporary 100% federal funding, California Governor Schwarzenegger enacted ABx3 23, which (consistent with an option provided by the federal law) provides that California will “trigger” on to a Fed-ED period under the following condition: When the average Total Unemployment Rate (TUR) for the most recent three months exceeds 6.5 percent; and CHAPTER 7. SPECIAL PROGRAMS 97 When the average TUR equals or exceeds 110 percent of such average rate for either or both of the corresponding periods ending in the two preceding calendar years.573 Furthermore, ABx3 23 calls for 20 weeks of extended benefits (rather than 13) when California “triggers” on to a “High Unemployment Period” (HUP). A HUP occurs under the following condition: When the average Total Unemployment Rate (TUR) for the most recent three months exceeds 8.0 percent; and When the average TUR equals or exceeds 110 percent of such average rate for either or both of the corresponding periods ending in the two preceding calendar years.574 Following the addition of these optional, temporary triggers, California has been “triggered” on to a FedED period continuously since February 22, 2009. Therefore, assuming they meet the other eligibility requirements, California claimants are currently eligible for up to 20 weeks of Fed-ED extended benefits. To determine the current status of California’s Fed-ED triggers, see the U.S. Department of Labor’s weekly trigger reports, available online at http://www.workforcesecurity.doleta.gov/unemploy/claims_arch.asp. (This federal government website refers to “Extended Benefits” or “EB” triggers.”) Claimant Eligibility Requirements The requirements to receive Fed-ED extended benefits are stricter than the requirements to receive normal UI benefits. In addition to meeting the usual eligibility criteria, a Fed-ED claimant must also: Have exhausted all rights to regular UI benefits and EUC benefits (discussed above); Have had 20 weeks of full-time insured employment or the equivalent in insured wages in the applicable, underlying Base Period.575 (California interprets this requirement to mean Base Period earnings of more than 40 times the Weekly Benefit Amount or more than 1.5 times the highestgrossing quarter in the Base Period.576); Document at least three work search contacts on the back of each Continued Claim Form;577 and Accept offers of suitable work that may not be in the claimant’s normal occupation. (The term “suitable work” is construed much more broadly in the Fed-ED program than it is with respect to regular UI claims.578) Dates The Fed-ED program does not expire; however, California’s newly enacted optional trigger provisions (discussed above) are temporary, and are currently set to expire with the end of the 100% federal funding of the program on February 28, 2010. The expiration of the optional triggers may mean California will trigger off and no longer be in a Fed-ED period, and thus no California claimants will be entitled to Fed-ED benefits. 98 CHAPTER 7. SPECIAL PROGRAMS Process The EDD will automatically file Fed-ED claims on behalf of claimants; claimants do not need to contact the EDD to initiate the process. Once eligible, claimants will certify their eligibility via the submission of Continued Claim Forms, similar to the certification process for regular benefits. B. Work Sharing Claims California’s Work Sharing program (also referred to as a “Short-Time Compensation” program) was the first program of its kind in the nation. It was established by the California State Legislature in 1978.579 The objective of the Work Sharing program is to help employers and employees avoid some of the burdens that accompany a layoff situation. An employee receives Work Sharing UI benefits when her wages and hours have been reduced in lieu of a lay off. Employers are spared the expense of recruiting, hiring, and training new employees. If employees are retained during a temporary slowdown, employers can quickly gear up when business conditions improve. Eligibility Any employer who has a reduction in production, services, or other conditions that cause the employer to seek an alternative to layoffs may participate in the Work Sharing program. Employer participation is voluntary.580 Two of the specific requirements are: A minimum of two employees, comprising at least 10 percent of the employer’s regular workforce or a unit of the workforce, must be affected by a reduction in wages and hours worked. The reduction in wages and hours worked also must be at least 10 percent.581 Benefits Employees participating in the Work Sharing program, if otherwise eligible, will receive the percentage of their weekly unemployment insurance benefit amount that equals the percentage of the reduction in normal hours and wages for that week due to Work Sharing. If the percentage of wage reduction differs from the percentage of hour reduction, the amount payable is based on the lesser percentage. Any additional wages earned during the week in the employment of an employer(s) other than the Work Sharing employer will be deducted dollar for dollar from the Work Sharing benefits. For example, an employee normally works a five-day workweek and is paid $500. If this employee’s workweek is reduced to four days, the employee’s weekly wages would be $400. This is a 20 percent reduction in wages and hours. The Work Sharing benefits for this employee are 20 percent of the Unemployment Insurance benefits the employee would receive if the employee were totally unemployed. If the employee’s weekly Unemployment Insurance benefit amount is $300, the employee would qualify for $60 in Work Sharing benefits. This results in a reduction in gross wages of only $40 for that week ($400 + $60 = $460). The Process CHAPTER 7. SPECIAL PROGRAMS 99 To participate in the Work Sharing program, an employer must submit a Work Sharing Plan Application (Form DE 8686) to the EDD. A copy of the application is available online at http://www.edd.ca.gov/pdf_pub_ctr/de8686.pdf. If a collective bargaining agreement covering the affected work unit is in effect, the Work Sharing Plan Application must be signed by each appropriate bargaining agent. Following review and approval of an application, the EDD sends the employer a letter of approval, one mail claim packet for each participating employee, and a ten-week supply of weekly certification forms for each employee. Pending re-authorization, a plan shall expire six months after its effective date.582 The EDD may terminate a Work Sharing plan for good cause if the plan is not being carried out according to its terms and intent.583 During the weeks of reduced hours and wages, the employer issues the certification forms to the participating employees, and the employees complete the forms (thus certifying their eligibility) and submit them to the EDD. An employee first submits a “Work Sharing Initial Claim and Payment Certification” (Form DE 4511WS) and then, for each successive week, submits a “Work Sharing Certification” (Form DE 4581WS). C. Partial Claims Partial claims are similar to claims under the Work Sharing program with two major exceptions. First, employers are required to certify partial claims whereas employer participation in the Work Sharing program is optional. Second, partial claims are only available to a worker when her gross earnings are no more than 1.33 times her Weekly Benefit Amount (whereas the Work Sharing program is available to an employee regardless of her salary). Eligibility A person is eligible for a partial claim if during a week she meets all of the following conditions: She was employed by a regular employer. She worked less than her normal customary full-time hours for her regular employer because of a lack of full-time work. She was continuously attached to her regular employer (e.g. there was not a severance of the employer-employee relationship).584 Her gross earnings, after deducting the first $25 or 25 percent of the total earnings (whichever is greater), are less than her weekly Unemployment Insurance benefit amount. A person is ineligible for a partial claim if she: 100 Is receiving benefits under the Work Sharing program. CHAPTER 7. SPECIAL PROGRAMS Has been laid off for a period in excess of two consecutive weeks or for two consecutive weeks during which she performed no services for the regular employer.585 (In such a case, she would be eligible to file a regular claim for benefits.) The Process The EDD provides employers with a “Notice of Reduced Earnings” (Form DE 2063). A sample of this notice is available online at http://www.edd.ca.gov/pdf_pub_ctr/de2063.pdf. The employer completes this form to certify that the employee is expected to return to work. The employer “shall, not later than five days after the termination of any payroll week in which the employer has had in its employ a partially unemployed individual” give the completed form to the employee.586 The employee then completes the Notice of Reduced Earnings and submits it to the EDD to file a partial UI claim. “Completion Instructions” (Form DE4209) are available online at http://www.edd.ca.gov/pdf_pub_ctr/de4209.pdf. A claimant may file a first or subsequent partial claim for partial unemployment benefits within 28 days after she was furnished with the Notice of Reduced Earnings.587 The 28-day period may be extended for good cause.588 However, a first or subsequent partial claim shall not be valid if it is filed more than 13 weeks after the end of the Benefit Year (actual or potential) during which the week of partial unemployment occurred.589 Employees who file for partial benefits are not required to look for work because they remain employed. D. California Training Benefits Program The California Training Benefits (CTB) program allows an eligible claimant who lacks competitive job skills to receive UI benefits while attending a training or retraining program approved by the EDD. Furthermore, with a Training Extension (TE), the claimant can receive these benefits for up to 52 weeks. Under the CTB program, the traditional role of UI changes from proving partial wage replacement while an individual looks for work to one of assisting an individual in training or retraining in an effort to return the individual to full employment. A claimant approved to participate in the CTB program does not have to look for work, be available for work, or accept suitable work.590 Eligibility Requirements Enrollment in the CTB program requires an approved job-training program and the timely filing of a Training Extension (TE) claim. Approved Job Training Program A claimant is automatically approved for CTB if she is otherwise eligible for unemployment benefits and is enrolled in training that is authorized by the federal Workforce Investment Act,591 the federal Trade Act of 1974,592 the state-funded Employment Training Panel,593 or she is a participant in the California Work Opportunity and Responsibility to Kids (CalWORKs) program.594 CHAPTER 7. SPECIAL PROGRAMS 101 Otherwise, a claimant who is not enrolled in one of the specified programs listed above, can also qualify for the CTB program if all of the following requirements are met:595 She is unemployed for four or more consecutive weeks or unlikely to return to her most recent workplace because of a closure, layoffs, or technological advances, or because a disability prevents her from using her existing skills. Reasonable employment opportunities for which she is fitted by training and experience do not exist or are substantially diminished in her geographic area.596 The training that she wants to attend relates to an occupation or skill for which there are reasonable employment opportunities (i.e. there is not a surplus of workers with those skills). The program is full-time and can be completed within one year. The program is primarily intended to provide skills that will allow the claimant to immediately get a job and not primarily intended to meet the requirements of a degree from a community college, college, or university. The claimant can reasonably be expected to complete the training. The two requirements that are most difficult to meet are 1) showing a lack of opportunities for current skills, and 2) showing there are reasonable employment opportunities (high demand) in the field the claimant wishes to enter. Timely Filing a Training Extension Claim In order to qualify for a Training Extension – the additional 26 weeks of training benefits, which are in addition to 26 weeks of regular benefits – a claimant must make an inquiry to the EDD about the CTB program before receiving her 16th week of unemployment benefits.597 A claimant’s waiting-period week and any weeks in which she does not actually collect benefits (e.g. because she is working) do not count toward the 16-week time limit.598 A claimant who does not file on time is ineligible for the training benefits, even if she had a good reason for missing the deadline.599 One exception to this rule is that a claimant who missed the deadline because she did not receive notification might be able to qualify for benefits (because the EDD failed to meet its duty to notify the claimant about the training benefits).600 Continuing Eligibility Requirements A claimant who is receiving training benefits does not have to meet the following eligibility requirements that govern regular UI claims: available for work, actively seeking work, and not refusing suitable job offers without good cause.601 However, a claimant must be physically and mentally able to work.602 In addition, she must provide written verification of attendance and satisfactory progress with each Continued Claim Form.603 She will not receive benefits for any week where she fails to provide such verification.604 102 CHAPTER 7. SPECIAL PROGRAMS Training Benefits A claimant who qualifies for training benefits can receive up to 52 weeks of UI benefits, less any benefits paid on her regular unemployment claim and any federal extension benefits. 605 For example, a claimant who received six weeks of regular unemployment benefits and then applied for the training benefits could get 46 weeks of training benefits. Benefits are payable until the training is completed or the maximum amount of benefits is paid. E. Disaster Unemployment Assistance Disaster Unemployment Assistance (DUA) is a federal program that provides financial assistance and employment services to jobless workers and the self-employed when they are unemployed as a direct result of a major natural disaster. A major disaster means any hurricane, tornado, storm, flood, high water, wind-driven water or tidal wave, earthquake, drought, fire or other catastrophe declared by the President to warrant government assistance to communities and individuals. The DUA program is administered by the U.S. Department of Labor and State Employment Security Agencies under the Disaster Relief and Emergency Assistance Act of 1974, as amended by the Robert T. Stafford Disaster Relief and Emergency Act of 1988. Eligibility An individual shall be eligible to receive a payment of DUA with respect to a week of unemployment if she meets all of the following eligibility requirements:606 That week begins during a Disaster Assistance Period; The applicable State for the individual has entered into an Agreement that is in effect with respect to that week; The individual is an unemployed worker or an unemployed self-employed individual; The individual's unemployment with respect to that week is caused by a major disaster;607 The individual has filed a timely initial application for DUA and, as appropriate, a timely application for a payment of DUA with respect to that week; That week is a week of unemployment for the individual; The individual is able to work and available for work within the meaning of the applicable State law; provided, that an individual shall be deemed to meet this requirement if any injury caused by the major disaster is the reason for inability to work or engage in self-employment; or, in the case of an unemployed self-employed individual, the individual performs service or activities that are solely for the purpose of enabling the individual to resume self-employment; CHAPTER 7. SPECIAL PROGRAMS 103 The individual has not refused a bona fide offer of employment in a suitable position, or refused without good cause to resume or commence suitable self-employment, if the employment or selfemployment, could have been undertaken in that week or in any prior week in the Disaster Period; and The individual is not eligible for compensation608 or for waiting period credit for such week under any other Federal or State law, except that an individual determined ineligible because of the receipt of disqualifying income shall be considered eligible for such compensation or waiting period credit. An individual shall be considered ineligible for compensation or waiting period credit (and thus potentially eligible for DUA) if the individual is under a disqualification for a cause that occurred prior to the individual's unemployment due to the disaster, or for any other reason is ineligible for compensation or waiting period credit as a direct result of the major disaster. Benefit Payments DUA consists of weekly payments that are computed in the same way as regular unemployment insurance payments (i.e. based on a Base Period of earnings as prescribed by state UI law). The Base Period for a DUA claimant is the most recently completed tax year prior to the last date worked. For most claimants this is the prior calendar year. The exception to this is that an unemployed self-employed individual may base a claim on net selfemployment earnings. She may use an alternate tax year, but it must still be her most recently completed tax year. The minimum weekly amount will be 50 percent of the average unemployment compensation amount in California. Under federal regulations, weekly DUA payments are reduced by partial earnings, any insurance for wage loss due to illness or disability, supplemental UI benefits resulting from union agreements, or private income protection insurance. Duration of Benefits DUA benefits are payable only for weeks that fall within the Disaster Assistance Period, which begins with the first day of the week following the date of the disaster and ends 26 weeks after the date the disaster was declared. F. Trade Adjustment Assistance Trade Adjustment Assistance (TAA) was established under the Trade Act of 1974 to help American workers who lost their jobs as a result of increased imports, or shift in production to foreign countries. It is a federal program administered by the U.S. Department of Labor (DOL) and cooperating state employment security agencies. 104 CHAPTER 7. SPECIAL PROGRAMS The Trade Act has been amended several times over the past 35 years. The latest amendments in 2009 made substantive changes to the TAA program including expanded coverage to more workers and firms (including those in the service sector), and improved workers' opportunities for training, health insurance coverage, and reemployment. Allowances and Special Assistance Eligible workers receive Trade Readjustment Allowances (TRA) during periods of unemployment. The program also assists workers to regain satisfactory employment through the use of a full range of employment services and, if needed, provides classroom and/or on-the-job training, job search, and relocation allowances. Recipients of TRA benefits may also be eligible for the Health Coverage Tax Credit program. A basic claim is a fixed dollar amount payable within a 130-week benefit period that begins with the first week following the worker's most recent TRA-qualifying separation. Within the 130-week benefit period, the worker may receive up to 26 weeks of regular Unemployment Insurance (UI) benefits, 26 weeks of basic TRA benefits, and up to 78 weeks of additional TRA allowances while attending training. In addition, individuals needing to complete remedial education courses may be entitled to another 26 weeks of additional TRA allowances. The weekly TRA rate is the same as for UI. The maximum TRA benefit is 78 times the weekly UI benefit amount minus the total amount of a worker’s UI claim and any related extensions. Petitioning for TAA If increased import competition has contributed significantly to the workers' unemployment, a petition for TAA may be filed by any group of three or more workers of a firm or subdivision of a firm, their union, or their duly authorized representative. The group may petition the U.S. DOL for a determination of eligibility to apply for TAA. Workers may obtain a Petition for TAA (Form ETA 9042A) by contacting the EDD or downloading the petition form from the U.S. DOL, Employment and Training Administration (ETA) Web site at www.doleta.gov/tradeact/petitions.cfm. Certification If the U.S. DOL determines that trade import injury has occurred, it will issue a certification of eligibility so that employees who have been laid off or had their hours reduced, as well as incumbent workers, may apply for TAA. A certification is an official authorization by the U.S. DOL for a specified group of workers to apply for TAA. The certification indicates the date that the group of workers becomes eligible to apply for TAA. A worker who learns that her group has been certified must contact the local EDD office to apply for TAA. The EDD will determine if the worker is covered by the certification, and whether basic qualifying requirements have been met. CHAPTER 7. SPECIAL PROGRAMS 105 Qualifying Requirements The basic qualifying requirements are: The worker must have been laid off for lack of work on or after the certified date of the trade impact and before the termination date of the certification. The worker must have had weekly wages of $30 or more in adversely affected employment in at least 26 of the previous 52 weeks, ending with the week of the worker's separation. Affected workers who move to another state and learn subsequently that former employees of their previous company have been certified eligible to apply for TAA should contact the nearest employment office immediately to file a benefit application. 106 CHAPTER 7. SPECIAL PROGRAMS APPENDICES APPENDICES 107 A. Additional Resources Primary Sources California Unemployment Insurance Code: http://www.leginfo.ca.gov/cgi-bin/calawquery?codesection=uic&codebody=&hits=20 California Code of Regulations: http://ccr.oal.ca.gov Employment Development Department (EDD) Home Page: http://www.edd.ca.gov/Unemployment/default.htm Contact Information: http://www.edd.ca.gov/Unemployment/Contact_UI.htm Benefit Determination Guide: http://www.edd.ca.gov/UIBDG/ Fact Sheets, Forms, and Publications: http://www.edd.ca.gov/Unemployment/Forms_and_Publications.htm Frequently Asked Questions: http://www.edd.ca.gov/Unemployment/FAQ_-_Contacting_UI.htm Unemployment Insurance – A Guide to Benefits and Employment Services (40-pg PDF): http://www.edd.ca.gov/pdf_pub_ctr/de1275a.pdf California Unemployment Insurance Appeals Board (CUIAB) Home Page: http://www.cuiab.ca.gov/index.shtm Contact Information: http://www.cuiab.ca.gov/directory.shtm Twenty-Seven Ways to Avoid Losing Your Unemployment Appeal (11-pg PDF): http://www.cuiab.ca.gov/directory.shtm Appeals Procedure (10-page PDF): http://www.cuiab.ca.gov/documents/Appeals%20Procedure%20Manual.pdf Unemployment Appeals – A Guide for Claimants, Employers, and their Representatives (51-pg PDF): http://www.cuiab.ca.gov/documents/Unemployment%20Appeals%20Guide.pdf Precedent Decisions http://www.cuiab.ca.gov/precedent_decisions.shtm Secondary Sources California UI and Disability Compensation Programs, 10th Edition (2006), David O’Brien FS&K Publishing, 23801 Calabasas Road #2025, Calabasas CA 91302, (818) 206-9234 108 APPENDICES B. EDD and CUIAB Forms For easy reference, the following list is comprised of all the EDD and CUIAB forms referenced in the text of the Guide, and the page number of each reference. (Check the lower left corner of any EDD or CUIAB form to find the form number, and then use the list below to find a discussion of that form in the Guide.) Form # Form Name / Online version (if available) DE 1000M Appeal Form http://www.edd.ca.gov/pdf_pub_ctr/de1000m.pdf 67 DE 1080CZ Notice of Determination/ Ruling http://www.edd.ca.gov/pdf_pub_ctr/de1080cz.pdf 57 DE 1101CLMT Notice of Unemployment Insurance Claim Filed (for Claimant) http://www.edd.ca.gov/pdf_pub_ctr/de1101clmt.pdf 48 DE 1101CZ Notice of Unemployment Insurance Claim Filed (for Employer) http://www.edd.ca.gov/pdf_pub_ctr/de1101cz.pdf 45 DE 1101I Unemployment Insurance Application http://www.edd.ca.gov/pdf_pub_ctr/de1101id.pdf 43 DE 1326C Request for Identity Verification http://www.edd.ca.gov/pdf_pub_ctr/de1326c.pdf 51 DE 1326CD Acceptable Documents For Identity Verification http://www.edd.ca.gov/pdf_pub_ctr/de1326cd.pdf 51 DE 1326E Request for Information http://www.edd.ca.gov/pdf_pub_ctr/de1326e.pdf 52 DE 1444CT Notice of Overpayment http://www.edd.ca.gov/pdf_pub_ctr/de1444ct.pdf 65 DE 1857A Employee Rights to UI and State Disability Insurance 5 DE 1857D Employee Rights to UI 5 DE 2063 Notice of Reduced Earnings http://www.edd.ca.gov/pdf_pub_ctr/de2063.pdf DE 2320 For Your Benefit, California's Program for the Unemployed http://www.edd.ca.gov/pdf_pub_ctr/de2320.pdf DE 2456 CalJOBS Brochure http://www.edd.ca.gov/pdf_pub_ctr/de2456.pdf DE 4209 Notice of Reduced Earnings: Completion Instructions http://www.edd.ca.gov/pdf_pub_ctr/de4209.pdf APPENDICES Page 101 5 50 101 109 Form # Form Name / Online version (if available) DE 429Z Notice of Unemployment Insurance Award http://www.edd.ca.gov/pdf_pub_ctr/de429z.pdf DE 4511WS Work Sharing Initial Claim and Payment Certification DE 4581 Continued Claim Form DE 4581WS Work Sharing Certification DE 6315 Notice of Appeal and Transmittal of Appealed Determination DE 8686 Work Sharing Plan Application http://www.edd.ca.gov/pdf_pub_ctr/de8686.pdf 110 Page 55 100 46 100 70 100 APPENDICES C. Acronyms For easy reference, the following list is comprised of acronyms found throughout this Guide, and in various EDD and CUIAB materials and forms. ALJ ARRA BDG BP BY CCF CTB CUIAB DOL DUA EB EDD ETA EUC FAC FUTA HUP IAW IUR LWIA MBA P-B PJSA P-R SDI SSA TAA TE TRA TUR UC UI UIB UTF WBA APPENDICES Administrative Law Judge American Recovery and Reinvestment Act of 2009 Benefit Determination Guide Base Period Benefit Year Continued Claim Form California Training Benefits program California Unemployment Insurance Appeals Board Department of Labor Disaster Unemployment Insurance Extended Benefits Employment Development Department Employment and Training Administration Emergency Unemployment Compensation Federal Additional Compensation Federal Unemployment Tax Act High Unemployment Period Initial Assistance Workshop Insured Unemployment Rate Local Workforce Investment Area Maximum Benefit Amount Precedent Benefit Decision Personalized Job Search Assistance Precedent Ruling Decision State Disability Insurance Social Security Act Trade Adjustment Assistance Training Extension Trade Readjustment Allowances Total Unemployment Rate Unemployment Compensation Unemployment Insurance Unemployment Insurance Benefits Unemployment Trust Fund Weekly Benefit Amount 111 ENDNOTES 1 For the sake of variety and simplicity, “claimants” is used interchangeably throughout this Guide with “clients,” “workers,” and “former employees.” The occasional use of “clients” is not intended to suggest the establishment of a formal attorney-client relationship. 2 Public Law 74-271, approved August 14, 1935 (HR 7260). 3 There are three types of certifications. See Social Security Act § 302(a) and Federal Unemployment Tax Act §§ 3303, 3304. Procedures for these certifications are codified at Code Fed. Regs., tit. 20, § 601. 4 Code Fed. Regs., tit. 20, § 602.1 et. seq. 5 Gibson v. Unemployment Insurance Appeals Board (1973) 9 Cal.3d 494, 499. See also Wang v. C.U.I.A.B. (1990) 225 Cal.App.3d 412. 6 Unemp. Ins. Code, § 301. 7 Unemp. Ins. Code, §§ 305, 305.5, 305.6, 310. 8 http://www.edd.ca.gov/About_EDD/EDD_Services.htm. 9 To identify the subject matter covered in the precedent decisions, the precedents have been given a letter abbreviating the category. The most common are P-B (Precedent Benefit Decisions) and P-R (Precedent Ruling Decisions). 10 Unemp. Ins. Code, § 976. 11 Unemp. Ins. Code, §§ 1025, 1026. 12 Non-profit organizations and government employers can choose to forgo tax contributions and reimburse the state each quarter for benefits paid to former employees. Unemp. Ins. Code, §§ 710 (public entities), 801 (non-profit organizations). 13 In some types of separation from work, former employees otherwise eligible for benefits are paid out of the fund, but a specific employer’s reserve account is not charged. Unemp. Ins. Code, § 1032. For example, the employer’s reserve account may not be charged for benefits paid to a former employee who quit to move for her spouse or registered domestic partner. 14 Unemp. Ins. Code, § 976. 15 Unemp. Ins. Code, § 1342. 16 Unemp. Ins. Code, § 1342. 17 Unemp. Ins. Code, § 1237, subd. (a). 18 Unemp. Ins. Code, § 1237, subds. (a), (b). 19 Labor Code § 98.6. 20 Cal. Code Regs., tit. 22, § 10890-1, subds. (b), (c). 21 Unemp. Ins. Code, § 1089. 22 “Discharge” and “termination” are used interchangeably throughout this Guide. 23 Unemp. Ins. Code, § 1089; Cal. Code Regs., tit. 22, § 1089-1. 24 Unemp. Ins. Code, § 1089. 25 Labor Code § 1198.5. 112 ENDNOTES 26 Labor Code § 432. 27 Labor Code § 226; Wage Order § 7. 28 Labor Code § 226. 29 Id. 30 Unemp. Ins. Code, § 1276. Cal. Code Regs., tit. 22, §§ 1253-1, 1253-2. 31 The EDD’s use of a Base Period that does not recognize or consider wages earned in the most recent months prior to a claim for benefits is both antiquated and unfair. Studies indicate that it disproportionately penalizes low-wage workers and women, who tend to move in and out of the labor force with greater frequency. In March 2009, in order to qualify for approximately $280 million in federal incentive funding, California enacted legislation (ABX3 29), which requires the EDD to implement an “Alternate Base Period,” which would consider wages earned in the most recently completed calendar quarter in determining eligibility for a UI claim. The legislation requires that these modifications be in effect by April 2011. 32 Unemp. Ins. Code, § 1276. 33 Unemp. Ins. Code, § 1275-1281. 34 Unemp. Ins. Code, § 1280. 35 Unemp. Ins. Code, § 1281, subd. (b). 36 Unemp. Ins. Code, § 601 et seq. 37 Cal. Code Regs., tit. 22, § 629-1, subd. (b). 38 Unemp. Ins. Code, § 629. 39 Unemp. Ins. Code, § 631. 40 Unemp. Ins. Code, § 632. (Note: Federal workers collect Unemployment Insurance through their state agency.) 41 Unemp. Ins. Code, § 634.5, subd. (a). 42 Unemp. Ins. Code, § 649. 43 Unemp. Ins. Code, § 642. 44 Unemp. Ins. Code, § 610. 45 Unemp. Ins. Code, § 646. 46 Unemp. Ins. Code, § 645. 47 Unemp. Ins. Code, § 647. 48 See Unemp. Ins. Code, § 1264 and Cal. Code Regs., tit. 22, § 1264-1, subd. (a). 49 Id. 50 Cal. Code Regs., tit. 22, § 1264-1, subd. (b). 51 Cal. Code Regs., tit. 22, § 1326-13, subd. (b). 52 Cal. Code Regs., tit. 22, § 1326-13, subd. (c)(1). Note that this section includes the complete list of satisfactory “verification responses.” 53 Cal. Code Regs., tit. 22, § 1326-13 subd. (a), citing to § 121 of the Immigration Reform and Control Act of 1986, 42 USC 1320(b)-7(d). 54 Cal. Code Regs., tit. 22, § 1326, subd. (a). ENDNOTES 113 55 Cal. Code Regs., tit. 22, § 1326-13, subd. (b). 56 Cal. Code Regs., tit. 22, § 1326-13, subd. (b). 57 Cal. Code Regs., tit. 22, § 1326-13, subd. (c)(2). 58 Cal. Code Regs., tit. 22, § 1326-13, subd. (b). 59 Cal. Code Regs., tit. 22, § 1326-13, subd. (f). 60 Unemp. Ins. Code, § 100. 61 Unemp. Ins. Code, § 1256. 62 Unemp. Ins. Code, § 1256.3; P-B-154; P-B-267. 63 P-B-269. 64 P-B-5; P-B-270. See also Cal. Code Regs., tit. 22, § 1256-2. 65 Cal. Code Regs., tit. 22, § 1256-2, subd. (c)(2); P-B-5; P-B-210; P-B-270. 66 Cal. Code Regs., tit. 22, § 1256-2, subd. (b)(3). 67 Unemp. Ins. Code, § 1256. 68 Unemp. Ins. Code, § 1327. 69 Zorrero v. Unemployment Insurance Appeals Bd. (1975) 47 Cal.App.3d 434 [120 Cal.Rptr. 855]. 70 O’Connell v. Unemployment Insurance Appeals Bd. (1983) 149 Cal.App.3d 54 [196 Cal.Rptr. 505]. 71 Yellow Cab Co. v. CUIAB (1961) 194 Cal.App.2d 343 [15 Cal.Rptr. 425]. 72 Cal. Code Regs., tit. 22, § 1256-1, subd. (d); P-B-37. 73 Cal. Code Regs., tit. 22, § 1256-1, subd. (d); P-B-189; P-B-218. 74 Cal. Code Regs., tit. 22, § 1256-1, subd. (d); P-B-39. 75 Cal. Code Regs., tit. 22, § 1256-1, subd. (d); P-B-164. 76 Cal. Code Regs., tit. 22, § 1256-1; P-B-166. 77 Id. 78 Cal. Code Regs., tit. 22, § 1256-1, subd. (d); P-B-27. 79 Cal. Code Regs., tit. 22, § 1256-1, subd. (d); P-B-37. 80 P-B-102. 81 P-B-458. 82 Unemp. Ins. Code, § 1256. 83 Unemp. Ins. Code, § 1256; see also Zorrero v. Unemployment Insurance Appeals Bd. (1975) 47 Cal.App.3d 434. 84 Cal. Code Regs., tit. 22, § 1256-30(b). 85 Unemp. Ins. Code, § 100. 86 Rowe v. Hansen (1974) 41 Cal.App.3d 512. 87 Unemp. Ins. Code, § 1256; Maywood Glass Company v. Stewart (1959) 170 Cal.App.2d 719. See also Zorrero v. Unemployment Insurance Appeals Bd. (1975) 47 Cal.App.3d 434, Prescod v. California Unemployment Insurance Appeals Board (1976) 57 Cal.App.3d 29. 114 ENDNOTES 88 Maywood Glass Co. v. Stewart (1959) 170 Cal.App.2d 719 [339 P.2d 947]; P-B-214; P-B-222; P-B-224. See also P-B-3 at 5-6. 89 Cal. Code Regs., tit. 22, § 1256-38. See also P-B-14; P-B-223. 90 Maywood Glass Co. v. Stewart (1959) 170 Cal.App.2d 719; Silva v. Nelson (1973) 31 Cal.App.3d 136 [106 Cal.Rptr. 908] (single offensive remark to employer was a mistake or error in judgment, not misconduct). See also P-B-3 at 5-6. 91 P-B-14 (a truck driver who had five accidents, three of which were his fault, in a single year committed misconduct). 92 P-B-193. 93 Cal. Code Regs., tit. 22, § 1256-43, subd. (b); P-B-191 (off-duty drunken driving not misconduct); P-B-189 (offduty gambling not misconduct). 94 P-B-217 (off-duty possession of narcotics is misconduct for a pharmacist). 95 Cal. Code Regs., tit. 22, § 1256-30, subd. (c). 96 Id. See also Packers Hide Association v. NLRB (8th Cir. 1966) 360 F.2d 59; P-B-192. 97 P-B-106 (claimant was employed on a ship and employer said discharge was effective at the end of the voyage). 98 Cal. Code Regs., tit. 22, § 1256-36, subd. (b). 99 Cal. Code Regs., tit. 22, § 1256-36 (Comments). 100 Cal. Code Regs., tit. 22, § 1256-36, subd. (b)(1) (defining different types of orders that are considered unreasonable). 101 P-B-219. 102 Cal. Code Regs., tit. 22, § 1256-36, subd. (b)(2). 103 Id. 104 Cal. Code Regs., tit. 22, § 1256-36, subd. (b)(3); Benefit Determination Guide at Misconduct 255, subd. (B). 105 Cal. Code Regs., tit. 22, § 1256-36 (Comments). 106 Id. 107 Cal. Code Regs., tit. 22, § 1256-36, subd. (b)(4). 108 Silva v. Nelson (1973) 31 Cal.App.3d 136. 109 P-B-216. 110 Cal. Code Regs., tit. 22, § 1256-31, subd. (b). 111 Cal. Code Regs., tit. 22, § 1256-31, subd. (c). 112 Cal. Code Regs., tit. 22, § 1256-31, subd. (c)(1). 113 Cal. Code Regs., tit. 22, § 1256-31, subd. (c)(2). 114 Cal. Code Regs., tit. 22, § 1256-40, subd. (c)(1). See also Drysdale v. Dept. of Human Resources Development (1978) 77 Cal.App.3d 345 [142 Cal.Rptr. 495]. 115 Cal. Code Regs., tit. 22, § 1256-40, subd. (c)(2). 116 Cal. Code Regs., tit. 22, § 1256-40, subd. (c)(3). ENDNOTES 115 117 Cal. Code Regs., tit. 22, § 1256-40, subd. (d). 118 Cal. Code Regs., tit. 22, § 1256-34, subd. (b); P-B-10 (witness committed misconduct when he did not report a theft and did not cooperate in the investigation). 119 Cal. Code Regs., tit. 22, § 1256-34, subd. (b). 120 Benefit Determination Guide at Misconduct 140, subd. (A) (interpreting Cal. Code Regs., tit. 22, § 1256-34, subd. (b), as permitting the condonation defense when the employer has knowledge of the specific dishonest acts and fails to reprimand). 121 Cal. Code Regs., tit. 22, § 1256-34, subds. (c), (d). 122 Cal. Code Regs., tit. 22, § 1256-39, subd. (c)(3). 123 P-B-57 (holding former airline employee who had his employer’s miniature bottles of liquor in his car committed misconduct, where his only explanation was that an unknown third party must have put the bottles there). See also Benefit Determination Guide at Misconduct 140, subd. (E). 124 Jackson v. EDD (1981) 80-4418 (mail carrier committed misconduct for discarding mail, even though he was acquitted of federal criminal charges); P-B-57. 125 Delgado v. Unemployment Insurance Appeals Bd. (1974) 41 Cal.App.3d 788 [116 Cal.Rptr. 497] (holding cashier did not commit misconduct when she failed to ring up three sales at the time of the sale in order to prevent customers from waiting, especially because her supervisor condoned this practice and she was never warned not to do it). 126 Buchwell v. EDD (1980) 79-6313 (claimant discharged for misconduct where he falsified his job application by claiming that he left his previous job because his father died, when, in fact, he had been fired from that job for insubordination). 127 Cal. Code Regs., tit. 22, § 1256-34, subd. (e)(5); P-B-241 (claimant who checked “no” when asked whether he had ever been arrested did not commit misconduct because Cal. Lab. Code § 432.7 prohibits most employers from asking about arrests that did not result in convictions on the initial employment application form. But the employer can ask about arrests in the employment process following receipt of the initial application form). See also P-B-77 (decided prior to enactment of Cal. Lab. Code § 432.7); P-B-78. See also the provisions on medical examinations and inquiries, the Americans with Disabilities Act, 42 U.S.C. § 12112 subd. (d); Fair Employment and Housing Act, Gov. Code, § 12940, subd. (e). 128 P-B-77 (concurring opinion); Benefit Determination Guide at Misconduct 140, subd. (I). 129 P-B-184 (rejecting employer’s argument that claimant must have misrepresented his past work experience because he failed to perform satisfactorily); Benefit Determination Guide at Misconduct 140, subd. (I). 130 Cal. Code Regs., tit. 22, § 1256-38, subd. (b)(3); Benefit Determination Guide at Misconduct 390, subd. (B). 131 Cal. Code Regs., tit. 22, § 1256-39, subd. (b); P-B-192 (not misconduct where claimant was discharged because two co-workers, who did not get along with him, said that they would quit if he were not fired). 132 Cal. Code Regs., tit. 22, § 1256-39, subd. (c)(1). 133 Id.; P-B-167 (taxi driver did not commit misconduct because he did not provoke the fight with a co-worker and he hit the co-worker only in self-defense). 134 Morris v. Unemployment Insurance Appeals Bd. (1973) 34 Cal.App.3d 1002 [110 Cal.Rptr. 630]. 135 Benefit Determination Guide at Misconduct 390, subd. (A)(2) (a claimant did not commit misconduct by saying, “If you go on talking, this hammer will go to your head” because his co-worker considered the remark a joke). 116 ENDNOTES 136 P-B-185 (sleeping on the job is not misconduct where claimant, who was recently switched to the night shift, dozed momentarily on one occasion while seated upright at his work station with a pencil still in his hand). 137 Benefit Determination Guide at Misconduct 310, subd. (B) (noting that good excuses for falling asleep on duty include tiredness because the employer asked the employee to work overtime and taking medication that the employee did not know would make her drowsy). 138 Cal. Code Regs., tit. 22, § 1256-37, subd. (b)(1), (3); P-B-221 (hotel bellman committed misconduct when he drank alcohol with guests on one occasion, even though he did not know of employer’s rule). 139 Cal. Code Regs., tit. 22, § 1256-37, subd. (c); Benefit Determination Guide at Misconduct 270, subd. (A)(3). 140 Such claimants are ineligible under Unemp. Ins. Code, § 1256.4, subd. (a), rather than being ineligible because they committed misconduct under § 1256. See Jacobs v. CUIAB (1972) 25 Cal.App.3d 1035 [102 Cal.Rptr. 364] (holding that if an alcoholic has an irrestible compulsion to drink, his actions are not willful as § 1256 requires). 141 Unemp. Ins. Code, § 1256.4, subd. (b); P-B-465. 142 Cal. Code Regs., tit. 22, § 1256-37, subd. (b)(2). 143 Cal. Code Regs., tit. 22, § 1256-37, subd. (b)(4). 144 P-B-191 (janitor discharged for off-duty drunken driving arrest not fired for misconduct). 145 AFL-CIO v. Unemployment Insurance Appeals Bd. (1994) 23 Cal.App.4th 51 [28 Cal.Rptr.2d 210] (refusing to take a drug test is misconduct because job on an offshore oil drilling platform was hazardous); Benefit Determination Guide at Misconduct 270, subd. (A)(5) (reporting to work with an obvious hangover – bloodshot eyes, wrinkled clothes and the smell of alcohol on one’s breath – is misconduct). 146 See AFL-CIO v. Unemployment Insurance Appeals Bd. (1994) 23 Cal.App.4th 51; P-B-454; P-B-470 (all addressing when an employee’s refusal to take a drug test is misconduct). 147 P-B-217 (off-duty possession of narcotics is misconduct for a pharmacist). 148 P-B-27. See also Cal. Code Regs., tit. 22, § 1256-3, subd. (b). 149 Cal. Portland Cement Co. v. CUIAB (1960) 178 Cal.App.2d 263 [3 Cal.Rptr. 37]. 150 Cal. Code Regs., tit. 22, § 1256-10, subd. (c)(5); P-B-237; P-B-246. See also “Caring for Family Members” below. 151 Cal. Code Regs., tit. 22, §§ 1256-13, subd. (c), 1256-15, subds. (b) & (c). See also “Unsafe Working Conditions” below. 152 Rabago v. Unemployment Insurance Appeals Bd. (1978) 84 Cal.App.3d 200 [148 Cal.Rptr. 499]. 153 P-B-8. 154 Cal. Code Regs., tit. 22, § 1256-3, subd. (b). For example, if a claimant says she quit to move for her husband to a place that would be too far to commute for her job, but then she actually made the commute for months before quitting, she might be disbelieved, unless she can argue that she was trying the commute out as part of his reasonable efforts to keep her job. 155 Cal. Code Regs., tit. 22, § 1256-3, subd. (c); P-B-8. 156 Id. 157 158 P-B-457. Cal. Code Regs., tit. 22, § 1256-16, subds. (c), (d); P-B-247; P-B-258; P-B-287; Benefit Determination Guide at Voluntary Quit 285, subd. (C). ENDNOTES 117 159 Cal. Code Regs., tit. 22, § 1256-16, subd. (d); P-B-246 (holding that employer was obligated to offer leave to employee, even though she did not explicitly request it, because it knew of her situation and she did not know about its leave of absence policy). See also P-B-94; P-B-248; P-B-256. 160 P-B-44 (job offer was not a transfer because claimant would have to change employers, and therefore, the claimant did not have to accept the offer in order to avoid negating good cause); P-B-232. 161 P-B-232. 162 Lewis v. Unemployment Insurance Appeals Bd. (1976) 56 Cal.App.3d 729 [128 Cal.Rptr. 795]. See also Cal. Code Regs., tit. 22, § 1256-16, subd. (b); P-B-145. 163 Cal. Code Regs., tit. 22, § 1256-15, subd. (b). 164 P-B-238. 165 Perales v. Dept. of Human Resources Development (1973) 32 Cal.App.3d 332 [108 Cal.Rptr. 167]. Unemp. Ins. Code, § 1256; see also Zorrero v. Unemployment Insurance Appeals Bd. (1975) 47 Cal.App.3d 434; Cal. Portland Cement Co. v. CUIAB (1960) 178 Cal.App.2d 263 [3 Cal.Rptr. 37]. 166 Unemp. Ins. Code, § 1256. 167 Id. Family Code § 297 defines domestic partners as same-sex partners, both of whom are at least age 18, or opposite-sex partners if one person is at least 62 years old, and requires that they register with the state. See also Benefit Determination Guide at Voluntary Quit 155, subd. (D)(5). 168 Unemp. Ins. Code, § 1256. 169 Id.; P-B-236 (typist who quit her Palo Alto job to move with her husband to Hayward did not have good cause because distance, travel time and cost did not make it unreasonable for her to commute); P-B-334 (maintaining family unity was good cause for wife who quit to move with her husband to Wisconsin). 170 P-B-232; P-B-287. 171 Unemp. Ins. Code, § 1032, subd. (c). An employer has to provide information to EDD within 10 days of receiving notice that a claim has been filed, as required by Unemp. Ins. Code, § 1030, in order to avoid having its reserve account subject to charges. 172 Norman v. Unemployment Insurance Appeals Bd. (1983) 34 Cal.3d. 1 [192 Cal.Rptr. 134]. 173 MacGregor v. Unemployment Insurance Appeals Bd. (1984) 37 Cal.3d. 205 [207 Cal.Rptr. 823]. 174 Cal. Code Regs., tit. 22, § 1256-10, subd. (c)(5); P-B-237 (good cause where claimant moved out-of-state so that parents could care for his minor children); P-B-246 (mother who quit to care for her child had no reasonable alternatives because nursery would not watch the child who had been exposed to measles, mother was denied a transfer to the night shift and employer did not offer her a leave of absence). 175 Cal. Code Regs., tit. 22, § 1256-10, subd. (c)(1); P-B-202 (quitting to prepare dinner for spouse, who was not ill, is not good cause); P-B-209 (desire to be with family on Sunday was a personal preference, rather than good cause); P-B-239 (caring for seriously ill husband is good cause). See also Cal. Code Regs., tit. 22, § 12569, subd. (c) (defining “family”); Benefit Determination Guide at Voluntary Quit 155, subd. D(5) (“a registered domestic partner is considered equal to a spouse”). 176 Cal. Code Regs., tit. 22, § 1256-10 (Comments); P-B-299 (resigning to move near ill mother is not good cause because claimant was not needed to provide care). 177 Cal. Code Regs., tit. 22, § 1256-10, subd. (c)(1); P-B-238 (quitting to visit mother who had suffered a potentially fatal heart attack is good cause). 178 P-B-238. 179 Unemp. Ins. Code, § 1256; Benefit Determination Guide at Voluntary Quit 155, subd. (D)(6). 118 ENDNOTES 180 Benefit Determination Guide at Voluntary Quit 155, subd. (D)(6). 181 Id. 182 Unemp. Ins. Code, § 1032, subd. (d). An employer has to provide information to EDD within 10 days of receiving notice that a claim has been filed, as required in Unemp. Ins. Code, § 1030, in order to avoid having its reserve account subject to charges. 183 Cal. Code Regs., tit. 22, § 1256-15, subd. (d)(3); P-B-254 (pregnant claimant who did not consult a doctor before quitting did not have good cause). See also P-B-94 (claimant who could not perform her “strenuous duties” as a nurse’s aide as her pregnancy advanced had good cause to quit). 184 Cal. Code Regs., tit. 22, § 1256-15, subd. (d)(1). 185 Rabago v. Unemployment Insurance Appeals Bd. (1978) 84 Cal.App.3d 200. 186 P-B-144. 187 P-B-263 (claimant under doctor’s care who suffered from colds and nervousness because of work conditions had good cause). See also P-B-117 (claimant who quit to move away from smoggy area did not have good cause because he was not following a doctor’s advice and his symptoms, if any, were minor); P-B-251 (claimant did not have good cause because he declined to provide medical evidence of wife’s condition); Benefit Determination Guide at Voluntary Quit 235, subd. (B). 188 P-B-276 (even though he did not consult a doctor, ship cook with severe cold and pleurisy pains had good cause because of his prior medical history). 189 Cal. Code Regs., tit. 22, § 1256-15, subds. (b), (d)(1). 190 Cal. Code Regs., tit. 22, § 1256-15, subd. (b). 191 P-B-78 (claimant who accepted a job knowing that it required lifting but did not tell employer about his back problems negated his good cause to quit when the job aggravated his back problems). 192 Cal. Code Regs., tit. 22, §§ 1256-13, subd. (c); 1256-15, subds. (b), (c). 193 Id.; P-B-298 (truck driver had good cause to quit when he had a minor accident caused by a defective emergency brake, which the employer had still not repaired a month after the driver first complained). 194 Cal. Code Regs., tit. 22, § 1256-15, subd. (b). 195 Id. 196 P-B-126. See also Cal. Code Regs., tit. 22, § 1256-23, subd. (b). 197 P-B-300. See also P-B-139 (conditions were intolerable where supervisor put his hands on employee, cursed and shoved her, and made prying inquiries into her personal life). 198 Cal. Code Regs., tit. 22, § 1256-23, subd. (b). 199 Unemp. Ins. Code, § 1256.2 (discrimination based on race, color, religious creed, sex, national origin, ancestry and physical disability); Unemp. Ins. Code, § 1256.7 (sexual harassment); Cal. Code Regs., tit. 22, § 1256.2-1 (discrimination based on age (40 or older), mental disability, medical condition, marital status or any other unlawful basis). 200 See Prescod v. Unemployment Insurance Appeals Bd. (1976) 57 Cal.App.3d 29 [127 Cal.Rptr. 540] (sex discrimination); Morrison v. Unemployment Insurance Appeals Bd. (1976) 65 Cal.App.3d 245 [134 Cal.Rptr. 916]. 201 Unemp. Ins. Code, § 1256.2, subd. (b); Cal. Code Regs., tit. 22, § 1256.2-1, subd. (e) (when the violation is unintentional, the employee must notify the employer and give the employer a chance to take action, but is ENDNOTES 119 not required to file a formal complaint or charge with a state or federal agency to meet the reasonable efforts condition). 202 Cal. Code Regs., tit. 22, § 1256.2-1, subd. (e). 203 Unemp. Ins. Code, § 1256.7; P-B-475 (claimant sexually harassed by a co-worker had good cause). 204 Cal. Code Regs., tit. 22, § 1256-23, subd. (c). See also Benefit Determination Guide at Voluntary Quit 440, subd. (B)(2). 205 P-B-295. 206 Cal. Code Regs., tit. 22, § 1256-23, subd. (c)(8). 207 Cal. Code Regs., tit. 22, § 1256-23, subd. (c)(1). 208 Cal. Code Regs., tit. 22, § 1256-23, subd. (c)(3), (6). 209 P-B-307. 210 Cal. Code Regs., tit. 22, § 1256-23, subd. (c)(4). 211 Cal. Code Regs., tit. 22, § 1256-23, subd. (b). 212 Cal. Code Regs., tit. 22, § 1256-15, subd. (e). 213 Cal. Code Regs., tit. 22, §§ 1256-6, subd. (b)(3), 1256-15, subd. (e). 214 Cal. Code Regs., tit. 22, §§ 1256-22, subd. (b)(4), (5), 1256-23, subd. (c); P-B-296 (employee had good cause to quit when employer materially altered the employment agreement by eliminating his expected overtime and increasing his room and board rates). 215 Cal. Code Regs., tit. 22, § 1256-14, subd. (b). 216 Cal. Code Regs., tit. 22, § 1256-22, subd. (c)(3) (no good cause if employee quits because employer demanded “reasonable periodic deductions” from wages for cash shortages or equipment damage caused by the worker’s “culpable negligence or willful dishonesty”); P-B-457 (driver had good cause to quit because the employer deducted from his wages losses over which he had no control, including a citation for an overweight truck). See also Cal. Code Regs., tit. 22, § 1256-7, subd. (d)(8). 217 Cal. Code Regs., tit. 22, §§ 1256-22, subd. (b)(1), (2); Benefit Determination Guide at Voluntary Quit 500, subd. (A)(7). 218 Benefit Determination Guide at Voluntary Quit 500, subd. (A)(7). 219 P-B-8; P-B-457. 220 P-B-124. See also Cal. Code Regs., tit. 22, § 1256-22 (Comments); Bunny’s Waffle Shop v. Cal. Employment Com. (1944) 24 Cal.2d 735 [151 P.2d 224]. 221 P-B-88 (claimant quit without good cause when he accepted layoff over job downgrade with 11.2 percent pay reduction); P-B-127. See also P-B-286 (claimant left work without good cause when he refused to accept a transfer from skilled to unskilled work paying 13 percent less); P-B-291 (claimants offered a layoff or a job downgrade with an 11.2 percent pay reduction had good cause to take layoff because they would lose their seniority and recall rights, and they believed work was available elsewhere). Note: An amendment to Unemp. Ins. Code §, 1256 has eliminated the need for balancing these factors in cases for unionized workers, such as P-B-286 and P-B-291 – and overruled the result in P-B-286). 222 Id. 223 Id. 224 Id. 120 ENDNOTES 225 Unemp. Ins. Code, § 1256. 226 P-B-242 (no good cause because a two-hour, 30-minute round-trip commute was customary for the Los Angeles area); P-B-245 (good cause where claimant, already exhausted by 12-hour workdays, had to drive two hours each way); P-B-303 (no good cause because commuting between Oakland and San Francisco is customary). 227 P-B-232 (good cause where claimant declined a transfer that meant a three-hour round-trip commute and an increase in her child-care costs). 228 P-B-25 (claimant did not have good cause to quit when she lost her ride to work because she could have repaired her car or searched more thoroughly for a car pool); P-B-233 (good cause where claimant who lost her ride to work had to ride bus for 1.5 hours round trip and walk 11 blocks home at 2 a.m.). 229 Cal. Code Regs., tit. 22, § 1256-19, subd. (c)(1); P-B-277 (good cause where claimant resigned only after she was given her start date for her new job, but then that job fell through because the bookkeeper she was replacing did not retire as planned). 230 Cal. Code Regs., tit. 22, § 1256-19, subd. (c). 231 Cal. Code Regs., tit. 22, § 1256-19, subd. (c)(3). 232 Cal. Code Regs., tit. 22, § 1256-19, subd. (c)(2). 233 Cal. Code Regs., tit. 22, § 1256-19, subd. (c)(1). 234 P-B-123. 235 Cal. Code Regs., tit. 22, § 1256-6, subd. (b)(2). 236 Cal. Code Regs., tit. 22, § 1256-6, subd. (b)(4). 237 Cal. Code Regs., tit. 22, § 1256-6, subd. (b)(5) (for example, good cause to quit would exist if a claimant who objects to war started working for an employer not engaged in any war-related activity, but that employer later decided to make bombs and assigned the claimant to the bomb project). 238 Cal. Code Regs., tit. 22, § 1256-6, subd. (b)(1). 239 Cal. Code Regs., tit. 22, §§ 1256-6, subd. (b)(3), 1256-15, subd. (e). 240 P-B-126 (claimant who quit because he believed that he was not subordinate to plant foreman and should not have to follow his instructions did not have good cause); P-B-138 (claimant who quit because he resented being supervised by a younger man did not have good cause); P-B-297 (claimant who quit because a coworker was shirking her duties did not have good cause). See also Cal. Code Regs., tit. 22, § 1256-23, subd. (f). 241 Cal. Code Regs., tit. 22, § 1256-20, subd. (c)(2) (Comments); P-B-280 (claimant who quit because he wanted to work night shifts so that he could earn extra income during the day did not have good cause); P-B-301 (claimant whose hours were reduced from full time to part time did not have good cause). 242 Cal. Code Regs., tit. 22, § 1256-20; P-B-281 (good cause where claimant quit because she worked a split shift and had no reasonable place to rest during her three-hour break). 243 Cal. Code Regs., tit. 22, § 1256-20, subd. (c)(1) (Comments). 244 Cal. Code Regs., tit. 22, §§ 1256-18, subd. (f); 1256-19, subd. (b); P-B-366. 245 Id. 246 Cal. Code Regs., tit. 22, § 1256-14, subd. (c). 247 Cal. Code Regs., tit. 22, § 1256-14, subd. (b). 248 Cal. Code Regs., tit. 22, § 1256-23, subd. (c)(6). ENDNOTES 121 249 Cal. Code Regs., tit. 22, § 1256-18, subd. (f); P-B-270. 250 Cal. Code Regs., tit. 22, § 1256-18, subd. (f); P-B-271 (welder had good cause to quit to accept a job doing crop-dusting as an independent contractor because he was going to be laid off soon and his union had no other work for him). 251 Cal. Code Regs., tit. 22, § 1256-5, subd. (b); Perales v. Dept. of Human Resources Development (1973) 32 Cal.App.3d 332 (no good cause where claimant quit to attend English classes a few days before he would have finished pruning peach trees). 252 Cal. Code Regs., tit. 22, § 1256-5, subd. (c)(1). 253 Cal. Code Regs., tit. 22, § 1256, subd. (c)(3). 254 Unemp. Ins. Code, § 1267; Cal. Code Regs., tit. 22, §§ 1256-4, 1256-5, subd. (c)(2); Benefit Determination Guide at Voluntary Quit 40, subd. (B). 255 Cal. Code Regs., tit. 22, § 1256-1, subd. (d)(1); P-B-228. 256 Eradonna Sanchez v. Unemployment Insurance Appeals Bd. (1984) 36 Cal.3d 575 [205 Cal.Rptr. 501]; P-B-271. 257 Cal. Code Regs., tit. 22, § 1256-7; P-B-229 (no good cause where claimant quit to protest employer’s reprimand for being late in returning from his lunch break. Claimant was late because his car broke down, but he did not tell the employer about the breakdown). 258 Cal. Code Regs., tit. 22, § 1256-7, subd. (d)(1). 259 Cal. Code Regs., tit. 22, § 1256-7, subd. (d)(2). 260 Cal. Code Regs., tit. 22, § 1256-7, subd. (d)(9). 261 Cal. Code Regs., tit. 22, § 1256-7, subd. (d)(3), (7). 262 P-B-300. 263 In some cases, the CUIAB and courts refer to these types of discharges as “voluntary quits without good cause.” E.g. Evenson v. Unemployment Insurance Appeals Bd. (1976) 62 Cal.App.3d 1005 [133 Cal.Rptr. 488]; P-B-209; P-B-288. In other decisions, the CUIAB and courts have called these types of discharges “constructive quits” or merely asked whether the separation was the worker’s fault. E.g. Steinberg v. Unemployment Insurance Appeals Bd. (1978) 87 Cal.App.3d 582 [151 Cal.Rptr. 133]; P-B-423. 264 Cal. Code Regs., tit. 22, § 1256-1, subd. (f); Steinberg v. Unemployment Insurance Appeals Bd. (1973) 87 Cal.App.3d 582, 584 [151 Cal.Rptr. at p. 134]; Benefit Determination Guide at Voluntary Quit 135 subd. (G). 265 Unemp. Ins. Code, § 1256.1; Cal. Code Regs., tit. 22, § 1256-31, subd. (d)(1); P-B-45; P-B-50; P-B-289. See also P-B-443 (defining “24 hours”). 266 Cal. Code Regs., tit. 22, § 1256-31, subd. (d)(1); P-B-261 (claimant, who was fired because he was absent after his arrest but who entered pleas of not guilty to charges of failing to pay child support and resisting arrest, is entitled to a presumption of innocence and, therefore, he did not constructively quit because he did not willfully commit a crime). 267 Cal. Code Regs., tit. 22, § 1256-31, subd. (d)(1)(B); Kaylor v. Dept. of Human Relations Development (1973) 32 Cal.App.3d 732 [108 Cal.Rptr. 267] (construing Unemp. Ins. Code, § 1256.1 as not applying to this type of incarceration to avoid a violation of the Equal Protection Clause). 268 Cal. Code Regs., tit. 22, § 1256-31, subd. (d)(2). 269 Benefit Determination Guide at Voluntary Quit 360, subd. (A)(3). See Unemp. Ins. Code, § 1256.1, subd. (b) (permitting the EDD to reconsider a determination during the Benefit Year if the initial determination was made before the final disposition of a court or before a guilty plea was entered and that determination was not appealed). 122 ENDNOTES 270 P-B-288. 271 P-B-423 (school bus driver who failed a certificate renewal test three times did not constructively quit because her inability to pass was because of emotional problems and not willful or deliberate). 272 Evenson v. Unemployment Insurance Appeals Bd. (1976) 62 Cal.App.3d 1005; P-B-290. 273 P-B-209. 274 Id. 275 P-B-471 (holding claimant could not reasonably have known that letting his personal car insurance lapse would jeopardize his job because, although his actions did lead to his driver’s license being suspended, he was still permitted to drive his employer’s truck at work and could not have known his employer’s insurance carrier would refuse to cover him). 276 P-B-211. 277 Lab. Code, § 2920, subd. (a); P-B-275. 278 Gaspar v. United Milk Producers (1944) 62 Cal.App.2d 546 [144 P.2d 867]; P-B-264. 279 Unemp. Ins. Code, § 1262. This rule, coupled with the rule that a claimant collecting UI benefits is not required to accept a position open due to a trade dispute, allows the state to remain neutral in trade disputes. Matson Terminals Inc. v. Cal. Employment Com. (1944) 24 Cal.2d 695, 707 [151 P.2d 202, 209]. 280 P-B-24; P-B-399. 281 P-B-399. 282 Bodinson Manufacturing Co. v. Cal. Employment Com. (1941) 17 Cal.2d 321 [109 P.2d 935] 283 Bunny’s Waffle Shop v. Cal. Employment Com. (1944) 24 Cal.2d 735 (holding employees did not voluntarily leave when their employers cut their pay to try to force their union to negotiate collectively, rather than individually, with the employers). 284 McKinney v. Cal. Employment Stabilization Com. (1949) 34 Cal.2d 239 [209 P.2d 602]; P-B-24. 285 Bodinson Manufacturing Co. v. Cal. Employment Com. (1941) 17 Cal.2d 321. 286 P-B-112. 287 Hopkins v. Cal. Employment Com. (1944) 24 Cal.2d 744 [151 P.2d 229]; P-B-95. 288 Ruberoid Co. v. CUIAB (1963) 59 Cal.2d 73 [27 Cal.Rptr. 878]. 289 P-B-95. 290 Windigo Mills v. Unemployment Insurance Appeals Bd. (1979) 92 Cal.App.3d 586 [155 Cal.Rptr. 63]; Isobe v. Unemployment Insurance Appeals Bd. (1974) 12 Cal.3d 584 [116 Cal.Rptr. 376]. 291 P-B-401. 292 P-B-16. 293 Unemp. Ins. Code, § 1262. 294 P-B-89 (holding trade dispute ended after employer completed maintenance and had work available again, not when the strikers agreed to return to work). 295 Unemp. Ins. Code, § 1253, subd. (c); Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(1); P-B-173. 296 See P-B-197 (holding that simply because the EDD would not refer a noticeably pregnant woman to employers did not render her unable when her doctor advised that she could continue working as a clerk/typist in her seventh month of pregnancy). ENDNOTES 123 297 Unemp. Ins. Code, § 1258; Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(1); P-B-173. 298 P-B-172 (typist/bookkeeper whose doctor restricted her to no more than five hours a work a day was able, even though she could not work full time). 299 P-B-131 (pregnant claimant was not able to work because doctor restricted her to sit-down jobs and she had experience only as a cafeteria worker or waitress). 300 Unemp. Ins. Code, § 1253.5. 301 P-B-409 (claimant whose doctor had restricted her to working only three days a week after her heart attacks was entitled to her full Weekly Benefit Amount, rather than only three-sevenths of the weekly amount). 302 Cal. Code Regs., tit. 22, § 2706-1. 303 Unemp. Ins. Code, § 1253, subd. (c). 304 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (b); Maria Dolores Sanchez v. Unemployment Insurance Appeals Bd. (1977) 20 Cal.3d 55 [141 Cal.Rptr. 146]. 305 Unemp. Ins. Code, § 1258; Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(1); P-B-173. 306 Unemp. Ins. Code, § 1258.5. 307 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(4). Reasons that are good cause for voluntarily quitting are likely to be good cause for restricting a job search or refusing a job offer. 308 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(3); Rios v. EDD (1986) 187 Cal.App.3d 489 [231 Cal.Rptr. 732] (although Texas employers preferred to hire local farmworkers, the claimants, who were migrant farmworkers, were still available to a substantial field of employment because the existence of more than a minimal number of agricultural employers, not actual job vacancies, is all that is required); P-B-180 (remanding to consider potential employers in the relevant area and claimant’s experience and flexibility with respect to other work and pay rate to determine whether a substantial field of employment remained open to the claimant). See also Glick v. Unemployment Insurance Appeals Bd. (1979) 23 Cal.3d 493 [153 Cal.Rptr. 1]. 309 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(2). 310 Maria Dolores Sanchez v. Unemployment Insurance Appeals Bd. (1970) 20 Cal.3d 55; Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (d). 311 Id. 312 Benefit Determination Guide at Able and Available 5, subd. (F). 313 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (e); Gutierrez v. EDD (1993) 14 Cal.App.4th 1791 [18 Cal.Rptr.2d 705] (claimant disqualified as unavailable under Unemp. Ins. Code, § 1253(c) because she did not currently have INS work authorization, even though she was legally permitted to work at the time she earned wages for her Base Period). 314 Alonso v. California (1975) 50 Cal.App.3d 242 [123 Cal.Rptr. 536] (claimant who provided his alien registration number but refused to provide documentary evidence was held unavailable). 315 P-B-464 (Claimant was available in the weeks before Aug. 6, 1988, the date he received his INS work authorization, because, if he had been offered a job before Aug. 6, 1988, he was eligible for work authorization and could have obtained it in the three days specified under the procedures for the employer’s I-9 form). 316 Cal. Code Regs., tit. 22, § 1253(e)-1, subd. (b). 317 Unemp. Ins. Code, § 1253.8; Benefit Determination Guide at Able and Available 5, subd. (C). See also Glick v. Unemployment Insurance Appeals Bd. (1979) 23 Cal.3d 493 [153 Cal.Rptr. 1]. 124 ENDNOTES 318 Precedent Benefit Decision No. P-B-409; Precedent Benefit Decision P-B-172. 319 Unemp. Ins. Code, §§ 1253.8, 1253.9. See also Glick v. Unemployment Insurance Appeals Bd. (1979) 23 Cal.3d 493. 320 Unemp. Ins. Code, § 1267. 321 Maria Dolores Sanchez v. Unemployment Insurance Appeals Bd. (1970) 20 Cal.3d 55. 322 P-B-484. 323 Maria Dolores Sanchez v. Unemployment Insurance Appeals Bd. (1970) 20 Cal.3d 55 (holding claimant, who could not work weekends because she needed to care for her child, was still available to a substantial field of weekday factory or restaurant work). 324 P-B-175 (claimant was “available,” even on the day he spent traveling from Washington state to San Francisco because a former employer had told him he might have a job for him if he came to San Francisco). 325 UAW v. Dept. of Human Resources Development (1976) 58 Cal.App.3d 924 [130 Cal.Rptr. 368] (temporarily laid off claimants who went on personal vacations were not available because, although they had received a firm recall date from their union, they did not provide the union with a way to contact them if work became available earlier); P-B-260 (claimant who left the state to visit a bereaved aunt remained available because he was far down on his union’s hiring list, and he notified the union of his whereabouts and could be back in a day if referred to work). 326 P-B-303 (commute was between Oakland and San Francisco). 327 Benefit Determination Guide at Suitable Work 150, subd. (E). 328 P-B-199. 329 P-B-206 and P-B-180. 330 P-B-199. 331 P-B-179. 332 P-B-199. 333 People v. Nest (1942) 53 Cal.App.2d Supp. 856 [128 P.2d 444] (claimant who ran a clothing business was available because he continued to search for work and his presence at the store was not necessary if he found work). 334 Unemp. Ins. Code, § 1253.1. 335 Loew’s Inc. v. Cal. Employment Stabilization Com. (1946) 76 Cal.App.2d 231 [172 P.2d. 938]. 336 Benefit Determination Guide at Able and Available 195, subd. (C)(4). 337 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(4). 338 P-B-173 (claimant who limited herself to work as an “executive secretary,” at which she had 15 years of experience and which paid higher salaries than regular secretaries, was available). 339 Benefit Determination Guide at Able and Available 195, subd. (C)(4). 340 Unemp. Ins. Code, § 1258. 341 Unemp. Ins. Code, § 1259, subd. (b); Benefit Determination Guide at Suitable Work 500, subd. (A). 342 Benefit Determination Guide at Suitable Work 500, subd. (A)(1). 343 Id. (relying on Unemp. Ins. Code, § 1258); P-B-320. ENDNOTES 125 344 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (d); Maria Dolores Sanchez v. Unemployment Insurance Appeals Bd. (1970) 20 Cal.3d 55. 345 Unemp. Ins. Code, § 1257, subd. (b). 346 P-B-490. 347 P-B-310. 348 Unemp. Ins. Code, § 1259. 349 Cal. Code Regs., tit. 22, § 1253(c)-1, subd. (c)(4). 350 P-B-490. 351 Unemp. Ins. Code, § 1253, subd. (c). 352 Unemp. Ins. Code, § 1257, subd. (b). 353 See Cal. Code Regs., tit. 22, §§ 1256-18, subd. (f); 1256-19, subd. (b). These regulations do not address the situation of leaving a temporary job to seek a permanent job, but they do provide that leaving work to look for another job is not good cause, unless the person quit part-time work to seek full-time work because the part-time job hindered an effective search. 354 Unemp. Ins. Code, § 1253, subd. (e); Cal. Code Regs., tit. 22, § 1253(e)-1. 355 Cal. Code Regs., tit. 22, § 1253(e)-1, subd. (a). 356 See P-B-196 (occasional contacts with friends about openings was not an active search); P-B-235 (applying for work at two employers over almost five weeks would not be an active search; applying for jobs at 13 employers over about six weeks is an active search). 357 Cal. Code Regs., tit. 22, § 1253(e)-1, subd. (d)(1). 358 Cal. Code Regs., tit. 22, § 1253(e)-1, subd. (d)(2). 359 Cal. Code Regs., tit. 22, § 1253(e)-1, subd. (d)(5). 360 Unemp. Ins. Code, § 1252, subd. (a)(1). 361 Unemp. Ins. Code, § 1252, subd. (a)(4). 362 Unemp. Ins. Code, § 1252, subd. (a)(2). 363 Benefit Determination Guide at Total Partial Unemployment 5, subd. (B)(2). 364 Unemp. Ins. Code, § 1252, subd. (a)(2). 365 Title 22, Cal. Code Regs., tit. 22, § 1326-1, subd. (b)(1)(A) 366 Unemp. Ins. Code, § 1260, subd. (a). 367 Unemp. Ins. Code, §§ 1257, subd. (a), 1260, subd. (c). 368 Unemp. Ins. Code, § 1326. 369 Unemp. Ins. Code, § 1276. Cal. Code Regs., tit. 22, §§ 1253-1, 1253-2. 370 See Cal. Code Regs., tit. 22, § 1326-10, subd. (a). 371 PB-491. 372 Id. 373 See Cal. Unemp. Ins. Code §§ 451, 453. 374 See Cal. Unemp. Ins. Code, §§ 455, 455.5. 126 ENDNOTES 375 See Unemp. Ins. Code, §§ 452. 376 O’Brien, David W. California Unemployment Insurance and Disability Compensation Programs, 10 ed. Calabasas: MMVI FS&K Publishing Inc., 2006: 569. 377 “You must actively seek work and should register for Job Search assistance with the local employment office in your state.” (from “Unemployment Insurance Application” page of the EDD’s website, http://www.edd.ca.gov/uirep/uiapp.htm). 378 State X uses its own requirements to determine whether a claimant is available for work and then reports its findings to the EDD, which determines eligibility. 379 O’Brien, David W. California Unemployment Insurance and Disability Compensation Programs, 10 ed. Calabasas: MMVI FS&K Publishing Inc., 2006: 569. 380 “A Guide To Benefits and Employment Services,” page 23 at http://www.edd.ca.gov/uirep/de1275a.pdf. 381 See “A Guide To Benefits and Employment Services,” at http://www.edd.ca.gov/uirep/de1275a.pdf. 382 Unemp. Ins. Code, § 1327. 383 Unemp. Ins. Code, § 1327. 384 Id. 385 Unemp. Ins. Code, § 1256. 386 Maitland v. E.D.D. (1982), 130 Cal.App.3d [181 Cal.Rptr. 587]. 387 Cal. Code Regs., tit. 22, § 1326-6, subd. (b). 388 Cal. Code Regs., tit. 22, § 1326-6, subd. (c). 389 Cal. Code Regs., tit. 22, § 1326-6, subd. (e) (referring to Cal. Code Regs., tit. 22, § 1326-10 for an explanation of good cause). 390 P-B-448. 391 Cal. Code Regs., tit. 22, § 1326-6, subd. (e) (referring to Cal. Code Regs., tit. 22, § 1326-10 for an explanation of good cause). 392 Unemp. Ins. Code, § 1253, subd. (b). 393 Unemp. Ins. Code, § 1253, subd. (f). 394 Unemp. Ins. Code, § 1253, subd. (f). 395 Unemp. Ins. Code, § 1253, subd. (e). 396 Cal. Code Regs., tit. 22, § 1326-3, subd. (a). 397 Cal. Code Regs., tit. 22, § 1326-3, subd. (b). 398 Cal. Code Regs., tit. 22, § 1326-3, subd. (c). 399 Cal. Code Regs., tit. 22, § 1326-3, subd. (d). 400 Cal. Code Regs., tit. 22, § 1326-3, subd. (e). 401 Cal. Code Regs., tit. 22, § 1326-2, subd. (b)(2)(A). 402 Cal. Code Regs., tit. 22, § 1326-13(a) citing to § 121 of the Immigration Reform and Control Act of 1986, 42 USC 1320(b)-7(d). 403 Solway v. EDD, a 1978 Superior Court case, in which the EDD entered into a stipulation agreeing to follow this practice. See also Benefit Determination Guide at Miscellaneous 30. ENDNOTES 127 404 Id. 405 Unemp. Ins. Code, § 1252(a). 406 Cal. Code Regs., tit. 22, § 1326-4. 407 Unemp. Ins. Code, § 1277. 408 Unemp. Ins. Code, § 1277; Benefit Determination Guide at Miscellaneous 15, subd. (D). 409 Unemp. Ins. Code, § 1277. 410 Unemp. Ins. Code, § 1277. 411 Id.; Benefit Determination Guide at Miscellaneous 15, subd. (D). 412 Unemp. Ins. Code, § 1277, subd. (a). 413 Cal. Code Regs., tit. 22, § 1277-2; P-B-156. 414 Molnar v. Unemployment Insurance Appeals Bd., 57 Cal.App.4th 1448 [67 Cal.Rptr.2d 771] (receiving salary continuance pay does not satisfy the requirement of performing a service). 415 Cal. Code Regs., tit. 22, § 1277-2, subd. (b). 416 Unemp. Ins. Code, § 1277, subd. (b). 417 Unemp. Ins. Code, § 1277.5. 418 Unemp. Ins. Code § 1277.5 seems to permit doubling, regardless of whether the claimant was paid unemployment benefits. However, the Benefit Determination Guide at Miscellaneous 15, subd. (D)(3) permits doubling of the amount of wage-loss benefits received through the state disability insurance program or workers’ compensation, only if the claimant was paid benefits on the first unemployment claim. 419 Unemp. Ins. Code, § 1330. 420 Id. 421 Id. 422 Unemp. Ins. Code, §§ 1328, 1330. 423 A claimant will sometimes receive a “Notice of Determination” rather than a “Notice of Determination/Ruling.” If the last employer previously submitted a timely response to the “Notice of UI Claim Filed,” the EDD’s eligibility determination for the claimant is also a determination regarding whether the last employer’s reserve account will be charged. In such cases, the Notice is a “Determination/Ruling” and sent to both parties. If the last employer fails to respond to notice of the claim filed, the last employer loses party status, does not receive notice of the determination, and the claimant receives a “Notice of Determination.” 424 Cal. Code Regs., tit. 22, § 1326-13; Unemp. Ins. Code, § 1253 subd. (a). 425 Unemp. Ins. Code, § 1256. 426 Unemp. Ins. Code, § 1260, subd. (a). 427 Cal. Code Regs., tit. 22, § 1260, subds. (a)-1(b). 428 Unemp. Ins. Code, § 1253, subd. (c). 429 Cal. Code Regs., tit. 22, § 1253, subd. (c)-2. 430 Unemp. Ins. Code, § 1257, subd. (b). 431 Unemp. Ins. Code, § 1260, subd. (b). 128 ENDNOTES 432 Unemp. Ins. Code, § 1253, subd. (e); Cal. Code Regs., tit. 22, § 1253, subd. (e)-1. 433 See Benefit Determination Guide at Miscellaneous 35, subd. (B)(6). “Not applying ESW disqualifications retroactively is a policy of the Department; there is no statutory authority covering the procedure.” 434 Unemp. Ins. Code, § 1253, subd. (b). 435 Unemp. Ins. Code, § 1253, subd. (f). 436 Benefit Determination Guide at Miscellaneous 100, subd. (A)(1). 437 Unemp. Ins. Code, § 1257, subd. (a). 438 P-B-72; P-B-369. 439 Id. 440 P-B-224. 441 P-B-474. 442 Id. (Spanish speaker, knowing he was required to report his inability to work, hired an English speaker to fill out his Continued Claim Forms but did not tell his agent he was injured and unable to work). But see P-B-418 (non-English-speaking carpenter who asked a co-worker to fill out his Continued Claim Form did not know his responses on the form were false when his co-worker, whom he had told about his earnings, failed to properly report those earnings). Note: The Continued Claim Form is now available in Spanish. 443 P-B-224 (claimant did not make a false statement when she told the EDD and honestly believed that she was fired for refusing to work Saturdays, but the employer told the EDD she was fired for poor work performance). 444 See P-B-436 (a claimant has an obligation to ensure information provided to the EDD is accurate and, therefore, made a false statement when she collected duplicate benefits because she did not remember receiving and cashing her first benefit check). 445 P-B-347 at 4 (finding “inherently improbable” a claimant’s story of forgetting her earnings because she was worried over financial matters). 446 Unemp. Ins. Code, § 1257, subd. (a). 447 Unemp. Ins. Code, § 1260, subd. (c). 448 Unemp. Ins. Code, § 1260, subd. (d). 449 P-B-369; Benefit Determination Guide at Miscellaneous 45, subd. (A). 450 Unemp. Ins. Code, § 2101 et seq.; Penal Code, § 470. 451 Unemp. Ins. Code, § 1263. 452 Unemp. Ins. Code, § 1260, subd. (c), (d). 453 Unemp. Ins. Code, § 1260, subd. (c), (d). 454 Unemp. Ins. Code, § 1375. 455 Unemp. Ins. Code, § 1375.1 456 Unemp. Ins. Code, § 1382. 457 Id. 458 Id. 459 Unemp. Ins. Code, § 1375; Cal. Code Regs., tit. 22, § 1375-1, subd. (a). ENDNOTES 129 460 P-B-347; P-B-369. 461 Cal. Code Regs., tit. 22, § 1375-1, subd. (c). 462 P-B-368. 463 Cal. Code Regs., tit. 22, § 1375-1(d); Gilles v. Dept. of Human Resources, (1974) 11 Cal. 3d 313, 323 [113 Cal.Rptr. 374]. 464 P-B-377. 465 See Unemp. Ins. Code, § 1255 (not permitting the collection of unemployment benefits from more than one state at the same time). 466 P-B-368. 467 Cal. Code Regs., tit. 22, § 1375-1, subd. (d)(2). 468 Id. 469 Id. 470 E.g. Gibson v. Unemployment Insurance Appeals Bd., 9 Cal. 3d 494, 499 [108 Cal.Rptr. 1, 4]; Flores v. Unemployment Insurance Appeals Bd. (1973) 30 Cal.App.3d 681, 684 [106 Cal.Rptr. 543, 546]. 471 Unemp. Ins. Code, § 100. 472 P-B-392. 473 Id. 474 P-B-377. 475 P-B-392. 476 Cal. Code Regs., tit. 22, § 1375-1, subd. (e). 477 Id. 478 Unemp. Ins. Code, § 1376; Cal. Code Regs., tit. 22, § 1375-1, subd. (g). 479 Unemp. Ins. Code, § 1376. 480 Unemp. Ins. Code, § 1377. 481 Id. 482 Cal. Code Regs., tit. 22, § 1375-1, subd. (f). 483 Id. 484 Unemp. Ins. Code, § 1379, subd. (d). 485 Unemp. Ins. Code, § 1379, subd. (a), (b). 486 Gov. Code, § 12419..5 487 Cal. Code Regs., tit. 22, § 5008, subd. (a) (refering to the definition of “filing” in Cal. Code Regs., tit. 22, § 5000, subd. (gg)). 488 Cal. Code Regs., tit. 22, § 5008. 489 Cal. Code Regs., tit. 22, § 5063. 490 Cal. Code Regs., tit. 22, § 5008. 491 Unemp. Ins. Code, § 1328. 130 ENDNOTES 492 Unemp. Ins. Code, § 1377. 493 P-B-354. 494 Cal. Code Regs., tit. 22, § 5004. 495 Cal. Code Regs., tit. 22, § 5051. 496 Unemp. Ins. Code, §§ 1328 (benefit denials), 1377 (overpayments). 497 P-B-347 (good cause for filing an appeal almost a month late). 498 P-B-348, P-B-420. 499 Id. 500 Flores v. Unemployment Insurance Appeals Bd. (1973) 30 Cal.App.3d 681 [106 Cal.Rptr. 543]; Gibson v. Unemployment Insurance Appeals Bd. (1973) 9 Cal.3d 494 [108 Cal.Rptr. 1]. See also P-B-348 (good cause for filing 17 days late because the claimant made an honest and good-faith mistake in believing, based on her reading of the Notice of Determination, that she had to earn $410 before she could appeal). 501 Amaro v. Unemployment Insurance Appeals Bd. (1977), 65 Cal.App.3d 715 [135 Cal.Rptr. 493]. See also Martinez v. Unemployment Insurance Appeals Bd. (1976) 63 Cal.App.3d 500 [133 Cal.Rptr. 806] (no good cause for filing the appeal 20 days late because claimant was caring for sick family members for four days and looking for a place to move); Perez v. Unemployment Insurance Appeals Bd. (1970) 4 Cal.App.3d 62 [83 Cal.Rptr. 871] (no good cause for filing almost five months late because the claimant did not understand the law and believed the EDD’s decision was correct). 502 Gibson v. Unemployment Insurance Appeals Bd. (1973) 9 Cal.3d 494. 503 Cal. Code Regs., tit. 22, § 5050, subds. (a), (b). 504 Cal. Code Regs., tit. 22, § 5050, subds. (e)-(i). 505 Unemp. Ins. Code, § 1332, subd. (b). 506 Unemp. Ins. Code, § 1332, subd. (a). 507 Unemp. Ins. Code, § 1335. 508 Unemp. Ins. Code, § 1335. 509 Cal. Code Regs., tit. 22, § 1375-1, subd. (d)(1). 510 Unemp. Ins. Code, § 1380. 511 Id. 512 Cal. Code Regs., tit. 22, § 5056, subd. (a). 513 The Secretary of Labor interprets §§ 303(a)(1) and 303(a)(3) of the Social Security Act to require that a State law include provisions for appeal hearings and decisions “with the greatest promptness that is administratively feasible.” Code Fed. Regs., tit. 20, § 650.3. A State will be deemed to comply substantially with this requirement if the State has issued at least 60 percent of all first level benefit appeal decisions within 30 days of the date of appeal, and at least 80 percent of all first level benefit appeal decisions within 45 days. Code Fed. Regs., tit. 20, § 650.4. For the third quarter of 2009, only 2.6% of California appeals decisions were issued within 30 days of the date of appeal, and 6.0% of California appeals decisions were issued within 45 days of the date of appeal. 514 Cal. Code Regs., tit. 22, § 5062, subd. (b); P-B-483. 515 Cal. Code Regs., tit. 22, § 5057, subd. (a). 516 Cal. Code Regs., tit. 22, § 5066, subd. (h). ENDNOTES 131 517 Unemp. Ins. Code, § 1095, subd. (b), (c). See also P-R-468. 518 Unemp. Ins. Code, § 1095, subd. (b), (c); Cal. Code Regs., tit. 22, §§ 5010, subd. (j). 519 P-B-218; P-B-293; P-B-378. 520 Lab. Code, § 230, subd. (b). 521 Rabago v. Unemployment Insurance Appeals Bd. (1978) 84 Cal.App.3d 200 [148 Cal.Rptr. 499]. 522 P-B-27. See also Cal. Code Regs., tit. 22, § 1256-3, subd. (b). 523 Gibson v. Unemployment Insurance Appeals Board (1973) 9 Cal.3d 494, 499. 524 Cal. Code Regs., tit. 22, § 5062, subd. (n). 525 Cal. Code Regs., tit. 22, § 5063(b). 526 Id. 527 Cal. Code Regs., tit. 22, § 5062, subd. (m). 528 Cal. Code Regs., tit. 22, § 5062, subd. (c). 529 Cal. Code Regs., tit. 22, § 5062, subd. (m). 530 Unemp. Ins. Code, § 1952. 531 Cal. Code Regs., tit. 22, § 5062, subd. (e). 532 Cal. Code Regs., tit. 22, § 5062, subd. (f). 533 P-B-218; P-B-293; P-B-378. 534 P-B-57; P-B-478. 535 Evid. Code, § 1200, subd. (a). 536 Cal. Code Regs., tit. 22, § 5064. 537 Per the U.S. Department of Labor, the Office of Appeals should decide 60 percent of appeals within 30 days and 80 percent of appeals within 45 days. 538 Cal. Code Regs., tit. 22, § 5065. 539 Unemp. Ins. Code, § 1334. 540 Unemp. Ins. Code, § 409. 541 P-B-10. 542 Cal. Code Regs., tit. 22, § 5103, subds. (a), (b). 543 Cal. Code Regs., tit. 22, § 5103, subds. (c)-(g). 544 Cal. Code Regs., tit. 22, § 5008, subd. (a) (referring to the definition of “filing” in Cal. Code Regs., tit. 22, § 5000, subd. (gg)). 545 Cal. Code Regs., tit. 22, § 5008. 546 Cal. Code Regs., tit. 22, § 5010, subd. (j). 547 Cal. Code Regs., tit. 22, § 5105, subd. (b). 548 Cal. Code Regs., tit. 22, § 5102. 549 Cal. Code Regs., tit. 22, § 5105, subd. (a). 132 ENDNOTES 550 Cal. Code Regs., tit. 22, § 5105, subd. (b). 551 Cal. Code Regs., tit. 22, § 5108. 552 Unemp. Ins. Code, § 1337. 553 Code Civ. Proc., § 1094.5. 554 Unemp. Ins. Code, § 410. 555 Du Four v. Unemployment Insurance Appeals Bd. (1975) 49 Cal.App.3d 863 [122 Cal.Rptr. 859]. 556 E.g. Windigo Mills v. Unemployment Insurance Appeals Bd. (1979) 92 Cal.App.3d 586, 595 [155 Cal.Rptr. 63, 69]. 557 Windigo Mills v. Unemployment Insurance Appeals Bd. (1979) 92 Cal.App.3d 586, 594 [155 Cal.Rptr. 63, 68]. 558 There is a limited exception to this order of payment. Some claimants exhausted their first two tiers of EUC benefits and commenced Fed-ED benefits prior to the enactment of an expansion to the EUC program (i.e. tiers three and four). These claimants will continue to receive any Fed-ED benefits prior to switching to EUC tiers three and four. 559 The date of the four extensions are as follows: November 21, 2008 (Public Law 110-449), February 17, 2009 (Public Law 111-5), November 6, 2009 (Public Law 111-92), and December 19, 2009 (Public Law 111-118). 560 Public Law 110-252, § 4002(b) and (c). 561 Public Law 110-252, § 4002(d) and (e). 562 Public Law 110-252, § 4001(d)(1). 563 Public Law 110-252, § 4002(d). 564 Public Law 110-252, § 4002(e). 565 Public Law 110-252, § 4001(d)(2)(A). 566 Unemp. Ins. Code, § 4552, subd. (e). 567 Public Law 110-252, § 4007, subd. (a). 568 Public Law 110-252, § 4007, subd. (b)(1) and (2). 569 Public Law 110-252, § 4007, subd. (b)(3). 570 The Fed-ED law required states to enact enabling legislation; California’s provisions are codified at Unemp. Ins. Code, §§ 4001 – 4751. 571 Federal-State EUCA of 1970, § 203(d); Unemp. Ins. Code, § 4003, subd. (c)(1) and (2). 572 ARRA, Title II, § 2005. Department of Defense Appropriations Act, 2010, Public Law No. 111-118 (enacted December 19, 2009), § 1009(a)(3) extended the end date of the temporary funding from December 31, 2009 to February 28, 2010. 573 Unemp. Ins. Code, § 4003, subd. (c)(3); Federal-State EUCA of 1970 § 203(f)(1)(A). 574 Unemp. Ins. Code, § 4004, subd. (e); Federal-State EUCA of 1970, § 202(b)(3)(A). 575 Public Law 110-252, § 4001(d)(2)(A). 576 Unemp. Ins. Code, § 4552, subd. (e). 577 Unemp. Ins. Code, § 4554. 578 Unemp. Ins. Code, § 4553. ENDNOTES 133 579 Senate Bill 1471. 580 Unemp. Ins. Code, § 1279.5, subd. (i). 581 Unemp. Ins. Code, § 1279.5. 582 Unemp. Ins. Code, § 1279.5, subd. (a). 583 Unemp. Ins. Code, § 1279.5, subd. (k). 584 These first three requirements are codified at Cal. Code Regs., tit. 22, § 1252-1, subd. (a). 585 Cal. Code Regs., tit. 22, § 1252-1, subd. (b). 586 Cal. Code Regs., tit. 22, § 1326-7. 587 Cal. Code Regs., tit. 22, § 1326-8, subd. (b). 588 Cal. Code Regs., tit. 22, § 1326-10. 589 Cal. Code Regs., tit. 22, § 1326-10, subd. (c). 590 Unemp. Ins. Code, § 1267. 591 Unemp. Ins. Code, § 1269, subd. (a). 592 Unemp. Ins. Code, § 1269, subd. (b). 593 Benefit Determination Guide at Miscellaneous 85, subd. (B). 594 Unemp. Ins. Code, § 1269, subd. (c). 595 Unemp. Ins. Code, § 1269, subd. (d). See also Benefit Determination Guide at Miscellaneous 85. 596 P-B-109. 597 Unemp. Ins. Code, § 1271, subd. (a). 598 P-B-466. 599 Id. 600 Unemp. Ins. Code, § 1271.5, subd. (a). See also P-B-482 (Note, however, that the Legislature rewrote the code section after this decision and it appears that notifying claimants with the “UI Guide to Benefits” will satisfy the EDD’s duty to notify). 601 Unemp. Ins. Code, § 1267. 602 Unemp. Ins. Code, § 1272. 603 Id. 604 Unemp. Ins. Code, § 1272.5. 605 Unemp. Ins. Code, § 1271, subd. (b). 606 Code Fed. Regs., tit. 20, § 625.4. 607 “Major disaster” as provided in Code Fed. Regs., tit. 20, § 625.5. 608 See Code Fed. Regs., tit. 20, § 625.2(d). 134 ENDNOTES
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