8/31/2021 Confirmation — Application Submitted

Confirmation — Application Submitted

You Successfully Submitted Your Application
BRIAN WESTON, you submitted an application for unemployment benefits on August 31, 2021. Your confirmation number is 38519549. Keep this
number for your records.

We are currently processing applications and will contact you if we need any additional information within the next few weeks. Meanwhile, visit
After You Apply for important steps you must take to make sure your benefit payments are not delayed or denied.

Important Next Steps

Visit After You Apply to learn about important steps you must take to be eligible for benefits, such as:

Looking for important documents from the EDD. Once your application is processed, we will mail documents to you with information
about your claim.
Notice of Unemployment Insurance Claim Filed (DE 1101CLMT) (PDF)
Notice of Unemployment Insurance Award(DE 429Z) (PDF)
Employment Development Department Customer Account Number Notification (DE 5614) (PDF)
Unemployment Insurance Benefits: What You Need to Know (DE 1275B) (PDF)
Continued Claim (DE 4581) (PDF)
Certifying for benefits every two weeks. You must certify to receive benefits. Use UI Online to quickly tell us if you are still unemployed.
You can also access your claim history, view your payment history, request tax forms, and check your inbox.
Registering for CalJOBSSM. Use CalJOBS to search for jobs, build résumés, access career resources, and gather information on education
and training programs.

We recommend you bookmark the After You Apply page for later reference.

Canceling a UI Claim
To cancel a claim, do not certify for benefits.

You can only cancel a claim if you meet all of the following requirements:

Benefits have not been paid.

You haven’t been issued a written notice of disqualification.
There is no overpayment from a previous claim.
The benefit year of your claim has not ended.

Once a claim is canceled, you cannot submit an application for a new claim using the same beginning date.

Applicant Information

First Name
BRIAN

Middle Initial
J

Last Name
WESTON

Social Security number (SSN)

XXX-XX-6451

Date of Birth
11/15/1963
2
1. Gender
Male

2. If you have used any other names, list them.

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8/31/2021 Confirmation — Application Submitted

Contact Information
1. What is your mailing address?

Location
United States

Number, Street, and Apartment/Unit or PO Box Number

30 Cornhill St Apt 708

City
Boston

State
MA - Massachusetts

ZIP Code
02108

2. Is your residence address the same as your mailing address?

No

Provide your residence address.

Location
United States

Number, Street, and Apartment/Unit

17 court st Apt 708

City
boston

State
MA - Massachusetts

ZIP Code
02108

3. If you do not live in California, select the name of the county or county-equivalent (for example, parish, borough, census area,
independent city, etc.) where you live.
Suffolk County, MA

4. Phone Number
Do not enter hyphens or parentheses.

4a. Phone Type

Citizenship Information
1. Are you a U.S. citizen or national?
Yes

Statistical Information
1. Education
Associates Degree

2. Are you a veteran?

No

3. What race or ethnic group do you identify with?

2
White, not Hispanic

4. Do you have a disability?

No

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5. Preferred Spoken Language

English

6. Preferred Written Language

English

Last Employer
Employer Name Employer Mailing Address Employer Physical Address

You indicated you did not work for any

employer within the last 18 months. If you
would like to change your response, select
Modify.

School Employee Information

1. Did you work for or provide services to or on behalf of any educational institution between 04/01/2020 to today?
No

Availability Information
1. What type of work do you normally perform?
REAL-ESTATE AGENT (real estate)

2. What other type of work can you perform?

REAL-ESTATE AGENT (real estate)

3. Is the type of work you normally perform seasonal?

No

4. Do you expect to return to work for a former employer?

No

5. Do you have a date to start work?

No

6. Are you ready and willing to accept work that matches your work skills and educational background? (Example: If offered a job, would
you be able to accept it?)
Yes

7. Are you currently self-employed (have your own business or work as an independent contractor) or plan to become self-employed?
No

8. Are you a member of a union or a non-union trade association?

No

Additional Information
1. Are you receiving, or will you receive within the next two weeks, a pension or retirement that is not Social Security or Railroad
Retirement, which is based on your own work or wages?
No

2. Are you receiving or do you expect to receive workers' compensation?

No

3. Are you currently attending or have a scheduled start date to attend school or training?
No 2
4. Are you now or have you been in the last 18 months an officer of a corporation, officer of a union, or the sole or major stockholder of a
corporation?
No

5. Did you serve as elected public official or Governor-exempt appointee in the last 18 months?
No
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No

Disaster Information
1. Are you unemployed as a direct result of a recent disaster (for example: COVID-19, earthquake, flood, mudslide, or fire) in California?
Yes

1a. Select the type of disaster.

COVID-19

1a.1. What is your annual income for calendar year 2019? If you are a business owner, self-employed, independent contractor or gig
worker provide your net annual income for calendar year 2019.
$43,000.00

1a.2. Provide the date your business, employment, or self-employment was interrupted as a direct result of COVID-19. For example,
the date your business closed, or the date your hours were reduced, or the date you were furloughed or placed on leave of absence
without pay, or the date you were going to start work but couldn't due to COVID-19.
12/21/2020

1a.3. Select the option that best describes how you were impacted by the COVID-19 public health emergency.
You had to quit your job as a direct result of COVID-19.

1b. At the time of the disaster, in which county did you reside?
Alameda County

1c. At the time of the disaster, in which county did you work?
Alameda County

1d. At the time of the disaster, was your unemployment caused by your need to travel through a disaster county?
No

1e. Select the option that best applies to you.

Head of Household As a Result of the Disaster

1e.1. How many hours did you work per week prior to the disaster?

1e.2. Explain briefly how the disaster affected your ability to continue or begin your self-employment.

1e.3. What is the physical address of your business?

Number and Street

City

State

ZIP Code

1f. I declare under penalty of perjury that the information I have provided, including the reason I am unemployed due to the COVID-
19 public health emergency, is true and correct to the best of my knowledge or belief. I understand that intentional
misrepresentation in self-certifying that I fall within one or more of the COVID-19 categories is fraud and that I may be subject to
criminal prosecution if I have been found to have committed fraud to receive Pandemic Unemployment Assistance benefits. I also
declare under penalty of perjury that I am a U.S. citizen or national; or an alien in satisfactory immigration status and permitted to
work by USCIS.

N I have read and understand each of the questions, and I have reviewed and agree with the answers to each of the
questions I am submitting through this automated system.

Thank you for completing this survey.

2
Log Out

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