This form is for claimants to report issues with a 1099 that you received from CDLE. If you did not receive unemployment benefits but received a 1099 form with your name on it, please complete this form.

If you did receive unemployment benefits, but the 1099 form you received shows an inaccurate amount, you should also use this form.

If you received a 1099 form at your address with a name that does not match anyone in your household, you should instead submit a fraud report.

To ensure a successful and thorough investigation, you should provide as much detail as possible when completing this form.

The amount in box 1, Unemployment Compensation, on the 1099 is the GROSS amount paid. The gross amount includes withholdings, such as any federal and state taxes and child support taken out. Please review the details on the Payment History of your MyUI+ account before submitting this form.