Form De 1378 - Application For Unemployment And Disability Insurance Elective Coverage For Employees Excluded Under The California Unemployment Insurance Code (Cuic) Page 2

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Persons receiving rehabilitation or compensative work in a program of either:
(A) Rehabilitation for persons whose earning capacity is impaired by age, physical or mental deficiency or injury.
(B) Providing compensative work for persons who because of their impaired physical or mental capacity cannot be
absorbed in the competitive labor market.
Services performed by an individual receiving work relief or work training in a program financed by any federal agency,
agency of a state of political subdivision thereof, or Indian tribe.
Services by a ward or an inmate of a custodial or penal institution.
Services by individuals under 18 years of age delivering or distributing newspapers or shopping news to ultimate
consumers.
Services by an individual selling newspapers and magazines at a fixed price to ultimate consumers if the compensation is
based on retention of the excess of sales price over cost from supplier.
Persons participating in a national service program carried out using assistance provided under Section 12571 of Title 42 of
the
United States
Code.
Services for any unemployment system established by a law of the United States (Section 635 of the CUIC).
Domestic services in a local college club or local chapter of a college fraternity or sorority if the remuneration paid is less than
$1,000 cash remuneration in a calendar quarter (Section 639 of the CUIC).
Casual labor not in the course of the employing unit's trade or business (Section 640 of the CUIC).
Services for an organization exempt from income tax if remuneration for such service is less than $50 in any calendar
quarter (Section 641 of the CUIC).
Services performed in the employ of a school, college, or university if such service is performed (Section 642 of the CUIC).
(A) By a student enrolled and regularly attending classes at such school, college, or university.
(B) By a spouse of such student in a program to provide financial assistance to such student. (To be excluded, the spouse
must have been advised that employment would not be covered for unemployment compensation purposes at
commencement of services.)
Services performed as a student nurse, who is enrolled and regularly attending classes in a nurses’ training school, in the employ
of a hospital or nurses’ training school (Section 645 of the CUIC).
Services performed as an intern, who has completed a four years’ course in medical school, in the employ of a hospital
(Section 645 of the CUIC).
Services by a student under the age of 22 in a program combining academic instruction and work experience (Section 646 of the
CUIC).
Services performed for a hospital by a patient of such hospital (Section 647 of the CUIC).
Services on other than an American vessel or aircraft and the service therewith is performed outside the United States
(Section 648 of the CUIC).
Services performed as a real estate, mineral, oil and gas, or cemetery broker or as a real estate, cemetery or direct sales
salesperson, or a yacht broker or salesman, by an individual meeting the following conditions (Section 650 of the CUIC):
(A) The salesperson is licensed under specific provisions of the
or the
Business and Professions Code
Harbors and Navigation
or is engaged in the business of primarily in-person demonstration and sales of consumer products (including
Code
services or other intangibles) in the home or sales to any buyer for resale in the home or otherwise than from a retail or
wholesale establishment.
(B) Substantially all of the remuneration for the services is directly related to sales rather than to the number of hours worked.
(C) The services are performed under a written contract expressly providing that the individual will not be treated as an
employee for state tax purposes.
7. Is your business seasonal?
Yes
No. If "Yes," during what months do you operate?
8. Do you expect to remain in business for the next eight calendar quarters?
Yes
No
DE 1378 Rev. 34 (8-16) (INTERNET)
Page 2 of 5
CU

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