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Declaration of Guadalupe Diaz

Date
2025-04-21

Summary

A declaration of Guadalupe Diaz, a Labor and Employment Specialist III in the Colorado Department of Labor and Employment's Division of Unemployment Insurance, filed April 21, 2025 as Exhibit C, Document 32-3, in Case No. 1:24-cv-03390-RMR in the U.S. District Court for the District of Colorado. It describes the Division's program integrity process, under which flagged claims are held and the claimant has seven days to answer a fact-finding request. It then recounts the handling of one claimant's two unemployment claims, effective March 5, 2023 and February 2, 2025, including program integrity holds, an appeal to the Industrial Claims Appeals Office, and payment dates. It states the hold was cleared on March 17, 2025. The declaration is made under 28 U.S.C. § 1746.

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Full text

Case No. 1:24-cv-03390-RMR   Document 32-3   filed 04/21/25   USDC Colorado   pg
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                                                                                   C
                       EXHIBIT C
Case No. 1:24-cv-03390-RMR          Document 32-3        filed 04/21/25     USDC Colorado         pg
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                             DECLARATION OF GUADALUPE DIAZ

      I, Guadalupe Diaz, being over age 18 and of sound mind do state as follows:

   1. I am employed by the Colorado Department of Labor and Employment (“CDLE”) in the
      Division of Unemployment Insurance (“the Division”). I have worked for the Division
      for the past ten years. My current title is Labor and Employment Specialist III, Benefit
      Payment Control.

   2. In my role, I am team lead of the Invalid Claims Team within the Benefit Payment
      Control section. I help oversee program integrity and assist deputies in reviewing cases of
      potential fraud and referring matters for criminal prosecution. I train and coach staff in
      the Benefits section and Invalid Claims team. I review news, information, and trends
      from other states that may help identify potential new sources or types of fraud claims. I
      assure that escalations of program integrity issues are promptly assigned to a member of
      the Invalid Claims team for processing.

   3. During the COVID-19 pandemic, and particularly from 2020 to 2023, Colorado and other
      states experienced a significant uptick in the volume of fraudulent claims for
      unemployment insurance benefits and for extended pandemic benefits provided by the
      United States Department of Labor. The Division has received millions of fraudulent
      claims since the COVID-19 pandemic began in 2020.

   4. On or about March 15, 2020, the Division adopted program integrity measures to ensure
      that benefits were paid correctly and to avoid payment of fraudulent claims, per USDOL.
      The program integrity process reviews and compares available information from a variety
      of sources, including claimants and employers, to flag potential discrepancies that could
      indicate a fraudulent claim.

   5. Depending on the severity of the flagged issue(s), the claims system will establish a
      program integrity hold, which prevents the payment of benefits until further information
      can be requested, received, and reviewed by the Division.

   6. If the system flags a claim, a program integrity pending issue (holding payment) is placed
      on the claim immediately and automatically sends a fact-finding request to the claimant,
      and the claimant receives an alert regarding the fact-finding. The claimant is given seven
      days to respond to a list of questions and provide personally identifying information,
      including but not limited to social security number, driver’s license number, passport( as
      another alternative of identification if the claimant does not have an ID or driver’s
      license) proof of address or a utility bill, a “selfie” photograph of the claimant, a “selfie”
      holding their driver’s license or ID, and lastly a eligible copy of the bank account
      statement associated with the claim not older than 90 days or their US Bank Reliacard
      card statement.

   7. If the Division receives the requested information from a claimant within seven days, the
      information is reviewed (Fact-finding and documents) and verified by the deputy, and a
Case No. 1:24-cv-03390-RMR          Document 32-3        filed 04/21/25     USDC Colorado         pg
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      decision is made whether to release the hold, to seek further information, or to disqualify
      the claimant.

   8. If the Division does not receive the requested information within seven days of sending
      the factfinding, the system sends a “reporting requirement disqualification” to the
      claimant, which informs the claimant that they have been disqualified for failing to
      provide information and provides notice of the right to appeal that decision within 20
      days the decision was mailed.

   9. If the deputy determines a program integrity hold should be removed, the hold is
      removed, and the claimant is notified of the decision. The claim is then released for
      adjudication of the separation(s) pending on the claim.

                             Mr. Abrams’ 2023 Claim for Benefits

   10. Joshua Abrams has filed two claims for unemployment benefits with the Division to date.
       The first claim was effective March 5, 2023. The second claim was effective February 2,
       2025.

   11. Mr. Abrams’ March 2023 claim was subject to two program integrity holds, which were
       implemented on June 23, 2023, and June 26, 2023, respectively.

   12. As to the first hold, the Division sent Abrams a fact-finding request on June 23, 2023.
       The Division received the requested information from Mr. Abrams that same day, and the
       hold was released on June 27, 2023.

   13. As to the second hold, the Division sent Mr. Abrams a fact-finding request on June 26,
       2023, but it did not receive the requested information from Mr. Abrams within seven
       days, so the hold was not released.

   14. Mr. Abrams began reporting employment income again in Q3 of 2023, ending that
       unemployment claim. Mr. Abrams continued to report income throughout the entirety of
       Q4 of 2024, until January 31, 2025.

   15. On March 30, 2023, Mr. Abrams tried to withdraw his 2023 claim for benefits, but his
       request was denied by a deputy of the Division. Mr. Abrams received a copy of the
       deputy’s decision, which included a notice of the right to appeal the deputy’s decision to a
       hearing officer within 20 days the decision was mailed.

   16. Mr. Abrams exercised his right to appeal the deputy’s decision to the hearing officer. The
       hearing officer affirmed the deputy’s decision. Mr. Abrams received a copy of the hearing
       officer’s decision, which included a notice of the right to appeal the decision to a panel of
       the Industrial Claims Appeals Office (“ICAO”) within 20 days the decision as mailed.

   17. Abrams exercised his right to appeal the hearing officer’s decision to the ICAO. A panel
       of the ICAO affirmed the hearing officer’s decision. Mr. Abrams received a copy of the
       ICAO panel’s decision, which included a notice of the right to appeal the panel’s decision
       to the Colorado Court of Appeals within 20 days the decision was mailed.
Case No. 1:24-cv-03390-RMR        Document 32-3        filed 04/21/25    USDC Colorado        pg
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   18. Mr. Abrams did not exercise his right to appeal the ICAO panel’s decision to the
       Colorado Court of Appeals.

   19. Mr. Abrams received payments on his 2023 unemployment claim from March 18,2023
       through June 17,2023. Once the program integrity was adjudicated as eligible, the
       claimant received his payment from June 17,2023 through June 24,2023 paid on March
       21st, 2025. On the new claim, payments were paid from February 8, 2025 through April
       12,2025. The claimant request benefits for the week ending April 19,2025 but has not
       received payment since it was just requested Today.
Case No. 1:24-cv-03390-RMR           Document 32-3        filed 04/21/25     USDC Colorado            pg
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                              Mr. Abrams’ 2025 Claim for Benefits

    20. The Division received a second claim for benefits from Mr. Abrams effective February 2,
        2025.

    21. At the time the Division received Mr. Abrams’ 2025 claim, it had still not received the
        information requested from the program integrity factfinding sent on June 26, 2023, and
        the hold was still in place.

    22. On March 15, 2025, the Division received the requested information from Mr. Abrams.
        The program integrity hold was cleared on March 17, 2025.

    23. The Division adjudicated Mr. Abrams’ separation on March 18, 2025.

    24. On March 20, 2025, Mr. Abrams began receiving benefits from his 2025 claim.

    25. As of the date of this writing, Mr. Abrams has been paid unemployment benefits via
        direct deposit from February 8, 2025, through the week ending April 12, 2025. Benefit
        week ending April 19, 2025 has not released payment since he just requested payment
        today, Monday the 21st.

    26. If a claim for benefits is denied, a copy of the decision is sent to the claimant. The
        decision provides notice of the right to appeal the decision to a hearing officer within 20
        days.

    27. As of this writing, Mr. Abrams has not appealed any decision about his 2025 claim for
        benefits to a hearing officer.

        I declare under penalty of perjury, pursuant to 28 U.S.C. § 1746, that the foregoing is true
 and correct to the best of my knowledge.


        Executed this 21st day of April 2025.

        ___________________________________

        Guadalupe Diaz


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