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I went through the exact same thing last year with CA SDI! The "insufficient evidence" reason is so vague and unhelpful. What really helped me was requesting a copy of my entire file from EDD - you can see exactly what they have on record and what might be missing. Sometimes they don't receive all the medical records you think you sent. Also, for the appeal, make sure you highlight any functional limitations your condition causes (like inability to sit/stand for long periods, concentration issues, etc.) rather than just listing diagnoses. The appeals process took about 3 months for me, but I eventually got approved. Hang in there! 💪
This is super helpful advice! I had no idea I could request my entire file from EDD. How do you go about doing that? Is there a specific form or do you just call them? And thanks for the tip about focusing on functional limitations - I definitely emphasized the wrong things in my original application.
You can request your file by calling EDD's SDI line or submitting a written request - I think there's a form on their website called "Request for Information" or something similar. Fair warning though, it can take a few weeks to get it back. But it's totally worth it because you'll see exactly what medical records they have (or don't have) and can fill in any gaps. The functional limitations thing is huge - they care way more about "can't lift 10 lbs" than "diagnosed with XYZ condition." Good luck with your appeal!
Congratulations Dominique! That's such great news and what a relief that must be. Your story gives me hope - I'm dealing with a similar situation where EDD says I have an old claim from 2020 that's interfering with my new filing. I've been waiting 6 weeks now with no updates. Did you have to provide any specific documentation about your COVID-era claim during the interview, or did they already have all the information they needed in their system?
@Jade O'Malley I didn't have to provide any extra documentation about the COVID claim during the interview! The interviewer actually had all that information already pulled up in their system. She just asked me to confirm a few basic details like when I originally filed it and when I went back to work. Most of the questions were actually about my recent layoff - they wanted to make sure I was legitimately laid off due to lack of work and not fired or anything like that. Definitely push to get that phone interview scheduled if you can - it really does seem to be the fastest way to get these overlapping claim issues resolved. Good luck!
This is such a helpful thread! I'm in a similar boat - filed 6 weeks ago and just found out there's an issue with an old claim from 2021 that was never properly closed. Reading through everyone's experiences here really helps calm my nerves about the whole process. It's crazy how many people are dealing with these overlapping claim issues from the pandemic years. Sounds like as long as you're honest during the interview and have your employment documentation ready, things usually work out. Thanks for sharing your journey Dominique - really gives the rest of us hope!
I've been struggling with my PFL application too. Has anyone had success getting through to an actual person recently? The wait times seem incredibly long and I keep getting disconnected. Also wondering if there are any specific documents I should have ready before calling to make the process smoother once I do get through.
Hey Liam! I'm in the same boat - just starting to navigate this PFL process and it's overwhelming. From what I've read here, it sounds like having your SSN, zip code, date of birth, and weekly benefit amount ready is key. I'm also curious about the document preparation - maybe birth certificates or medical records depending on your situation? Has anyone made a list of all the paperwork needed? Would love to know what worked for others before I dive into those long wait times!
As someone who's been through the PFL process, I'd recommend having these documents ready before calling: 1) Your Social Security card or number, 2) Birth certificate of the family member you're caring for (if applicable), 3) Medical certification forms from the doctor, 4) Your employment information including employer's name and address, and 5) Banking information for direct deposit setup. Also, try calling right when they open at 8 AM - I had better luck getting through then. The automated system Katie mentioned really does work if you follow those exact steps. Good luck everyone!
Thanks Nia, this is super helpful! I'm just getting started with understanding PFL and this document checklist is exactly what I needed. Quick question - do you know if there's a difference in required documents between caring for a new baby versus caring for a sick family member? Also, did you find the 8 AM call time consistently worked, or was it just luck? I'm trying to plan the best strategy before I start making calls.
One more thing to note - if this is your first benefit payment ever, EDD might issue it on their Money Network debit card instead of direct deposit, even if you requested direct deposit. This is a security measure they sometimes implement. You might want to watch your mail for the card. Subsequent payments would then follow your direct deposit preference. If that's the case, you can transfer funds from the card to your bank once you receive it.
The Money Network card typically takes 7-10 business days to arrive by mail after your first payment is processed. If your online status changes from 'pending' to 'paid' but you don't see a direct deposit, this is likely what happened. Once you get the card, you can set up transfers to your bank account or continue using the card (it works like a regular debit card). For future payments, the direct deposit should work as expected. If your status doesn't change from 'pending' to 'paid' within the next few days, that's when you should try contacting EDD directly.
Just checked again and it switched from 'pending' to 'paid' an hour ago! Guess I'll wait for that Money Network card in the mail. Thanks everyone for your help!
Awesome news @Connor Byrne! That's exactly what happened to me too - status changed to paid and then got the card about a week later. Pro tip: once you get the Money Network card, you can download their app to check the balance and set up account alerts. Makes it way easier to track when funds are loaded. And like others mentioned, future payments should go straight to your direct deposit after this first one!
Edwards Hugo
One more important thing: If your wife does end up signing something (ideally the "mutual separation agreement" that someone suggested), when she files for unemployment, she should be ready for an eligibility interview. EDD almost always schedules these when there's any hint of a voluntary quit. During that interview, she needs to clearly explain that while she signed a document, she did not truly quit voluntarily - the school eliminated her position and gave her no real choice. The EDD interviewer will likely contact the school to verify, which is why it's so important to have documentation showing this wasn't a true voluntary resignation. If the employer contradicts what your wife says during this interview, things get more complicated. That's why having things in writing is so crucial.
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Gianna Scott
•this is so true!!! my eligibility interview was super stressful cuz i wasnt prepared for all their questions. they ask EVERYTHING about why u left ur job and u better have the right answers ready!!
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Sydney Torres
UPDATE: I just spoke with my wife and she managed to negotiate with the director! They agreed to give her a formal layoff notice instead of asking for a resignation. The director admitted they were trying to "keep their paperwork clean" but understood how a resignation could harm her benefits eligibility. She'll be eligible for recall if enrollment increases, but at least now there's no question about her EDD eligibility. Thanks everyone for the advice - it gave us the confidence to push back!
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Kaitlyn Jenkins
•That's excellent news! A formal layoff is MUCH better for EDD purposes. Make sure she keeps a copy of that layoff notice - she'll need to upload it when filing her claim. So glad your wife stood her ground!
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Anastasia Kozlov
•Wait, I'm confused - this update says it's from Sydney Torres but the original post was from Dylan Fisher about his wife. Is this the same situation or a different one? Either way, great outcome! A formal layoff notice is definitely the way to go for unemployment eligibility.
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