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DI / DE 2521A
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SAMPLE
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Cancellation of Eligibility Review
Blank Line
Date of Mailing or Service of Notice
Blank Line
Claim Effective Date
Blank Box
The Eligibility Review which was scheduled for you on
Blank line
,
Blank line
, has been cancelled. If you have any questions regarding this cancellation, please call (
FOIS
name) at (Telephone Number).
Employment Development Department
P.O. Box
City, CA ZIP Code
DE 2521A Rev 1. (3-18)
(INTRANET)
Email Address:
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