DI / DE 8509

SAMPLE, this page for reference only

EDD Employment Development Department State of California Logo

 
Date
Blank Line
 
Claimant's Name
Claimant's Address
City, State, ZIP Code
 

Notice of Online Account Registration

The Employment Development Department (EDD) is sending this notice as a security measure.

Blank Line has registered for an EDD online account for Disability Insurance (DI) or Paid Family Leave (PFL) This user may now log in to the EDD online account anytime by typing the following link in their browser: edd.ca.gov
Note: Please keep the email address and mailing address current on this account to receive any notifications about changes made to this account. If the email address and/or mailing address changes, please remember to update the account profile.
If this user account should not have been created, immediately report this by visiting Help Fight Fraud (edd.ca.gov/en/about_edd/fraud) and selecting the Report Fraud link. The online fraud form is the fastest method to report fraud and you will receive a receipt number for your submission. If you do not have access to the internet, you may call to speak with an EDD representative at ‎ 1-800-229-6297.
Employment Development Department (EDD)
State of California
 
This mail was sent to Blank Line and contains information directly related to your EDD account. This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should destroy this message.
PO Box 826880, MIC 29 Sacramento, CA 94280-0001 ‎1-800-480-3287 edd.ca.gov

DE 8509 Rev. 2 (2-22) (INTRANET)