Section 2777-1 - Affidavit for New Disability Insurance Claims(a) If the wage records relating to a claim of an industrially disabled person have been destroyed under proper approval, the industrially disabled person shall execute the affidavit provided for in Section 2777 of the code. The affidavit shall be on a form prescribed by the department and shall specify the names and the addresses of the employers of the industrially disabled person during the calendar quarters immediately preceding the commencement of his or her industrial disability which are substituted for any quarters excluded from the disability base period, and the approximate wages paid to the industrially disabled person by each of such employers in each of such calendar quarters.(b) If an industrially disabled person is unable to furnish in an affidavit the detail specified by this section, the department shall establish the amount of wages based on the information furnished by an affidavit in substantial compliance with this section. The department may verify such information with the industrially disabled person's prior employers.Cal. Code Regs. Tit. 22, § 2777-1
1. New section filed 2-8-74; effective thirtieth day thereafter (Register 74, No. 6).
2. Amendment of subsection (a) filed 4-1-82; effective thirtieth day thereafter (Register 82, No. 14). Note: Authority cited: Sections 305, 306 and 2602, Unemployment Insurance Code. Reference: Section 2777, Unemployment Insurance Code.
1. New section filed 2-8-74; effective thirtieth day thereafter (Register 74, No. 6).
2. Amendment of subsection (a) filed 4-1-82; effective thirtieth day thereafter (Register 82, No. 14).