Comments, Suggestions, And/or Complaints (DE 8123) 8123 De8123
User Manual: 8123
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Comments, Suggestions, and/or Complaints 1. Contact Information Name Address Phone Number Alternate Number Email Address Preferred Language Did Someone Assist You in Completing This Form? ☐ Yes ☐ No Name Phone Number 2. Incident Information Date of Incident Location/Address 3. Service Area ☐ Unemployment Insurance ☐ Tax-Related Services ☐ Disability Insurance ☐ Workforce Services ☐ Paid Family Leave ☐ CalJobsSM 4. Language Access Issue (check all that apply) ☐ ☐ ☐ ☐ ☐ Cannot reach an EDD representative ☐ Other ☐ Yes ☐ No Lack of bilingual personnel Lack of forms/materials in multiple languages Lack of signs informing the public of translation services Other 5. Please enter your comment, complaint, or suggestion in the space provided below. If additional space is needed, you may use the back of this form or attach an additional sheet. ☐ Yes 6. Would you like a response? DE 8123 Rev. 6 (10-17) (INTERNET) Page 1 of 2 ☐ No CU Mail the completed form to the appropriate address below. Unemployment Insurance Employment Development Department PO Box 826880 – UIPCD, MIC 40 Sacramento, CA 94280-0001 Disability Insurance or Paid Family Leave Employment Development Department PO Box 826880 – DICO, MIC 29 Sacramento, CA 94280-0001 Tax Assistance: Employers – General Correspondence Employment Development Department Taxpayer Assistance Center PO Box 826880 Sacramento, CA 94280-0001 Workforce Services Branch Employment Development Department Customer Outreach Unit PO Box 826880, MIC 69 Sacramento, CA 94280-0001 General Questions or Comments Employment Development Department PO Box 826880, MIC 83 Sacramento, CA 94280-0001 Language Access Complaints Equal Employment Opportunity Office PO Box 826880, MIC 49 Sacramento, CA 94280-0001 DE 8123 Rev. 6 (10-17) (INTERNET) Page 2 of 2
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