CALIFORNIA, STATE OF, EMPLOYMENT DEVELOPMENT DEPARTMENT (EDD)

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Attachment 8 USER REGISTRATION FORM (URF) (Please type the requested information) (Please type) Organization City of Santa Ana Date: July 25, 2023 Name: Contact Name: Deborah Sanchez Sub -recipient SAN Code: Email: dsanchez(a-)santa-ana.org Phone Number: 714-565-2621 Mailing Address: 801 W. Civic Center Dr., Suite 200 Santa Ana CA 92701 Circle or bold the programs for which this office has grants: WIOA Other USER REGISTRATION Use the box below: 1. Enter an Action Code in the first column to designate the action you want to make. Enter letter A to Add a new user. The new user's signature, phone number, and email are required. Enter letter C to Change the status of an existing user. The user's signature is required Enter letter D to Delete a user. No signature, phone number, or email is required. Enter letter E for Existing user. No signature, phone number, or email is required. 2. Enter a User Type Code in the second column to describe the permissions you are giving the user. Enter letter F if user can make cash requests and enter expenditure data. Enter letter G if user can make cash requests only. Enter letter H if user can enter expenditure data only. ACTION USER CODE TYPE A/C/D/ CODE E F / G / H NAME SIGNATURE PHONE EMAIL E F John Valadez 714-647- jvaladez@santa- 5436 ana.or E F Angie 714-647- abenavides@sant Benavides 5438 a-ana.or E H Waldo Barela 714-647- wbarela@santa- 5376 ana.or SIGNATURE The person signing below must be designated to represent the organization and has authority to make changes to the Subgrantee information provided in this form. The signature authorizes the Employment Development Department to make changes to its records as described above. Name: Deborah Sanchez, Date: 8-22-2024 Signature: kev, K \ j Email: dsanchez@santa-ana.or