Skip to main content
Main menu
Home
Biography
Newsroom
Press Releases
Videos
District
Resources
Contact Us
Contact Us
Contact Us
Select A Contact Method Below
District Meeting
Capitol Meeting
Email Senator McGuire / Support or Oppose a Bill
EDD Assistance
District Meeting
Request Form
District Meeting
Name of Individual or Organization
Contact Name (if different from above)
Contact Email
Contact Phone
Please enter preferred dates and time (provide up to 3 dates if needed)
Date
Time
Dates and Times are Flexible
Preferred Location of Meeting
Crescent City
Eureka
Santa Rosa
San Rafael
Ukiah
Virtual Meeting
Other
Other Location
Address of Requested Location
City/Town
State/Province
ZIP/Postal Code
Location Details
Provide details about the location such as venue, parking, and/or any other important details
Topic or Purpose of Meeting and Issues to be Discussed
Please be concise; additional details can be provided at a later date.
Capitol Meeting
Request Form
Capitol Meeting
Name of Individual or Organization
Contact Name (if different from above)
Contact Email
Contact Phone
Date
Time
Dates and Times are Flexible
Topic or Purpose of Meeting and Issues to be Discussed
Please be concise; additional details can be provided at a later date.
Email Senator McGuire
Need to
Email Senator McGuire?
Name
Email
Phone
Address
City
Zip code
Select an Issue
- Select -
Support Bill
Oppose Bill
Help with a state agency
State Budget items
General Comments
Bill Number
Please provide a comment regarding your selected issue
EDD Assistance
Request Assistance with
EDD
Name
Email
Phone
Address
City
Zip code
Do you have an EDD Customer Account Number (CAN)?
- Select -
Yes
No
Last day of work
Date case first filed
Last Payment Date
Describe the Issue
What EDD program did you apply for?
- Select -
Unemployment Insurance (UI)
Pandemic Unemployment Assistance (PUA)
State Disability Insurance (SDI)
Paid Family Leave (PFL)
Workshare
Type of Benefit (indicate which benefit you applied for)
- Select -
Unemployment
PUA (Pandemic Unemployment Assistance)
PEUC (Pandemic Emergency Unemployment Compensation)
FED-ED Extension (Federal-State Extended Duration)
Not Sure
Reason given by EDD for interruption of benefit payments
- Select -
ID Verification
Suspected/Potential Fraud
Disqualified
Website issue
Need to reopen case
No benefits left
Other or No Reason Given by EDD
Issues with EDD
- Select -
Unable to Certify for Benefits
File a new claim issue
Extension Pending
Payments Pending
Leave this field blank