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ESD says I'm 'at fault' for COVID-related overpayment - anyone fought this?

Dealing with a frustrating situation with ESD right now. I caught COVID in early January and was sick for about 2 weeks. I did everything by the book - got tested, uploaded my positive results to my ESD account, and marked myself as 'unavailable' on my weekly claims since I was literally too sick to work. ESD paid me for those two weeks, which I thought was correct. Fast forward to now, and suddenly there's an overpayment notice saying I owe $1,750 and that I'm "AT FAULT" for the overpayment! How am I at fault when I provided all documentation and truthfully reported my situation? I filed an appeal because I genuinely don't believe I did anything wrong, though I stated I would pay if ultimately required. Has anyone successfully fought an 'at fault' determination for a legitimate COVID absence? What was your experience? I'm stressed about possibly having to pay this back when I thought I was following all the rules correctly.

Yuki Tanaka

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This EXACT same thing happened to me!!! I was out with COVID for 10 days last November, provided all my test results and doctor notes, and they still said I was "at fault" for a $1,250 overpayment. I appealed and included all my documentation again. Currently waiting for my hearing date. The whole system is RIGGED to deny legitimate claims!!!! Keep fighting it!!!

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Ethan Davis

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Ugh, I'm sorry you're going through this too. Did you get any explanation for why they considered you 'at fault'? My determination letter was super vague.

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Carmen Ortiz

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question - did u get an actual letter explaining why ur at fault? sometimes esd doesnt consider being sick as a valid reason to be unavailable unless ur on standby status or something. the rules are weird about that

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Ethan Davis

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I got a letter, but it just stated the overpayment amount and that I was deemed 'at fault' - no clear explanation why. I wasn't on standby, just a regular UI claim. But they literally have documentation that I had COVID, which seems like it should be a valid reason to be unavailable!

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MidnightRider

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You might have run into the "able and available" requirement. For regular UI, being unavailable for work (even due to illness) can make you ineligible for benefits during that period. When you marked yourself as "unavailable," the system should have flagged it immediately rather than paying you. This is different from COVID-specific programs like PUA that ended in 2021. Under current regular UI rules, you generally need to be able and available for work each week you claim. My suggestion: Make sure your appeal emphasizes that you were truthful in your reporting and that ESD initially approved the payment despite your honest reporting of being unavailable. This may help get the "at fault" designation removed even if you still have to repay. "Not at fault" overpayments have much more flexible repayment options.

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Ethan Davis

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Thank you, this makes more sense now. I didn't realize being sick made me ineligible - I thought as long as I had documentation it would be covered. Do you think I have any chance of winning the appeal completely, or is my best hope just getting the "at fault" part removed?

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Andre Laurent

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I've seen this exact situation with clients I've helped through the UI process. The key distinction is between "fault" and "eligibility" - you can be truthful and still not eligible. Here's what likely happened: 1. You correctly reported being unavailable due to COVID 2. The system paid you anyway (automated error) 3. Later review caught that you weren't eligible because you weren't "able and available" for work 4. The fact you received money you weren't technically eligible for created an overpayment In your appeal, focus on having the "at fault" designation removed since you provided accurate information. "Not at fault" overpayments can be waived in certain circumstances or set up on very manageable payment plans. Key argument: You did not misrepresent anything, and the error was on ESD's side for paying benefits despite your honest reporting of being unavailable.

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Ethan Davis

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This is incredibly helpful, thank you! I'll definitely focus on the "at fault" designation in my appeal rather than trying to avoid repayment entirely. I had no idea the system worked this way.

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same thing happened 2 my brother! he got sick w covid, reported it, got paid, then months later got hit with overpay notice. he just paid it back cuz he didnt want the hassle. such BS the way they treat people

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I understand your frustration! I got nowhere with my COVID-related overpayment appeal for MONTHS until I finally got through to an actual ESD representative who could explain everything. Spent days getting hung up on because of call volume, but then I found this service called Claimyr (claimyr.com) that got me through to an actual person at ESD within about 20 minutes. They have this demo video showing how it works: https://youtu.be/7DieNd3C7zQ?si=26TzE_zGms-DODN3 The agent I spoke with immediately saw that I had documented everything correctly and helped me file the right type of appeal to get the "at fault" designation removed. Still had to repay, but got on a very minimal payment plan because they removed the fault finding.

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Ethan Davis

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Thanks for the tip! I've been trying to call ESD for days with no luck. I'll check out that service - at this point, I just want to talk to someone who can actually explain what happened and help me fix it.

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Mei Wong

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This is actually a common issue right now. The current UI system in Washington requires you to be "able and available" for work each week you claim benefits. When you marked yourself as "unavailable" due to illness, you technically became ineligible for benefits during those weeks. The confusion often stems from the pandemic period when special rules were in place. Those exceptions ended, and we're back to the standard UI rules where being unavailable for work (even with good cause like illness) makes you ineligible for that week. In your appeal hearing, focus on these points: 1. You truthfully reported your status 2. ESD's system incorrectly paid you despite your accurate reporting 3. You had no reason to believe the payment was incorrect 4. Request removal of the "at fault" designation While you may still have to repay the amount, getting the "at fault" designation removed is crucial as it provides more options for manageable repayment plans or potential waiver of the overpayment in certain hardship situations.

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Ethan Davis

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This is really helpful - thank you! My hearing is scheduled for next month, so I'll make sure to focus on these points. It's frustrating that they'd pay me when I clearly reported being sick, then come back months later saying it was my fault. Hopefully I can at least get that designation removed.

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Carmen Ortiz

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bro they just want their money back no matter what. system is broken af

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MidnightRider

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Update on what I shared earlier - if you can provide financial hardship documentation, you might qualify for a waiver of the overpayment entirely, even if they don't remove the "at fault" finding. Form ESD 640-001 is what you need - "Application for Overpayment Waiver." Most important though: whatever you do, keep filing your weekly claims while this gets sorted out if you're still on unemployment. An appeal doesn't stop your current claim requirements.

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Ethan Davis

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Thank you for this update! I'll look into that form. And yes, I'm still filing my weekly claims - thankfully I saw that advice elsewhere or I would have stopped during the appeal process.

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