NORTH LOS ANGELES DI OFFICE
P0 BOX 10402
vAN NUYS, CA 91410-0402
Telephone No. 8OO-48O-3287
Your Social Security Nun5er:
575- 13-27 19
l,l,,,,l,l,ll,,,,l,l,ll',"'lll,,'ll,l,,,l"l"ll,,,ll'1,,1'
DANIEL K KAU$IE
933 BEGO}IIA
AVE
cosrA ttEsA, cA 92626-179\
Employment
Development
D e part me nt
StatEof
California
--t{oTffi
This notice does not establish
your right to benefits.
State Disability
Insurance
or Paid Family Leave
benefits
are paid to you only when you meet all the
conditions
ot eligibility.
O1429
ALL CHECKS,
IF DUE. ARE MAILED SEPARATELY.
-\EDD
MITICE 0F COIiIPUTATI0N
o
Your maxilum Benefit amount
Vour daily
Benefit amount
Your claim effective date
The nailing date of this Notice
You should:
. Verify that your Social Security
. Read the enciosed Explanation oi
24,492.OO
471.OO <-------
67.28
10/13/08
PRoGRAII R
10/so/08
is
is
is
is
is
$
$
$
tturben (SSN) is correct.
Notice of Conputation, DE 429DL
cu-PAo64
.FINAL
PAGE O 1
Employment
Development
Department
California
Date: Jl-lne
l.b
2009
Explanation of Benefit Payment Record
Daniel K Kauwe
933 Begonla Avenue
CosLa Mesa, CA 92626"1'794
In response
to your request
for payment
information,
see the attached
copy of the computer
record of your
Disabitity
Insurince
(Di) or Paid Family Leave (PFL) claim payments.
To help you better understand
this
computer
record,
the following
explanation
is provided.
The top portion
of the record
includes
the following
information:
NAME: Self-explanatory
CED: Beginning date of the claim
SSN: Social Security Number
DBA: Dailv Benefit Amount
Adjustment payment
Eligibility
undetermined
Disqualification
Erroneous period paid
Benefit reduction
Lost check replaced
Overpayment
Payment
Qualification
R: Disqualiflcationreversed
T: Payment
in autopay
V: Payment
to voluntary
Plan
W: Waiting period
WBA: Weekly Benefit Amount
MBA: Maximum Benefit Amount
BAL: Balance remaining
in this account
PD DAYS: Number of days paid
DAYS DISQ: Number of days disqualified
AMT pD: Amount of benefits paid
DURC: Estimat