Template letters for undocumented workers applying for DI and PFL.
If you are undocumented and have
paystubs and/or W-2s, use this
template letter, personalize it, and
attach it to your DI or PFL claim form:
[Date]
Disability Insurance Branch
Employment Development Department
To Whom it May Concern:
My name is [full name]. My date of
birth is [date]. The social security
number or social security numbers
I have worked under is [ssn]. (If
applicable: My EDD Client Number is
[number].)
I have attached the following proof
of my wages during my base period:
[paystubs, W-2s].
Please let me know if you need any
additional information. You can reach
me at [phone number]. I would like
the EDD to communicate with me in
[my preferred language].
Thank you.
[signature]
[full name]
If you are undocumented and were paid in
cash, use this template letter, personalize it,
and attach it to your DI or PFL claim form:
[Date]
Disability Insurance Branch
Employment Development Department
To Whom it May Concern:
My name is [full name]. My date of birth is [date].
The social security number or social security numbers
I have worked under is [ssn]. (If applicable: My EDD
Client Number is [number].)
My employer paid me in cash.
I worked as a [job] for [employer name] from
[date] to [date/present]. My employer’s address
is [address]. My employer’s phone number is
[number]. My employer’s email address is [email].
[Add the above information for all other jobs/
employers during the past 18 months.]
My employer paid me [amount] every [frequency
(e.g. week, two weeks)]. I have attached the
following proof of my wages during my base period:
[cash deposit statements, Venmo, PayPal, receipts,
etc.].
Please let me know if you need any additional
information. You can reach me at [phone number].
I would like the EDD to communicate with me in [my
preferred language].
Thank you.
[signature]
[full name]
Created with funding from the California Labor and Workforce
Development Agency. For questions, contact Legal Aid at Work’s Work
and Family Helpline at (800) 880-8047. Legal Aid at Work cannot ensure
this information is current or be responsible for any use to which it is put.
www.legalaidatwork.org
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