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Claim for Disability Insurance (DI) Benefits (DE 2501) \u2013 English: You must submit an original form provided by the EDD, either electronically or through US mail. It cannot be downloaded or reproduced.
E-mail. Send an e-mail to WOTCsupport@edd.ca.gov. Important Security Reminder: For your protection, if you are sending us an email through third party e-mail software (e.g., Yahoo, Gmail, Outlook), please do not include confidential information such as account numbers, passwords, or Social Security numbers.
You may submit medical certifications using SDI Online or by completing and mailing the paper claim form: Claim for Disability Insurance (DI) Benefits (DE 2501) or Claim for Paid Family Leave (PFL) Benefits (DE 2501F). For more information, visit Certify and Manage Claims \u2013 Basics for Physicians/Practitioners.
For Disability Insurance claims, fill out and sign Part B \u2013 Physician/Practitioner's Certificate on the Claim for Disability Insurance (DI) Benefits (DE 2501) form. Mail it in within 49 days from the date your patient's disability begins.
Getting the form from your physician/practitioner or employer. Visiting an SDI Office. Calling 1-800-480-3287 to request a paper form by mail.
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Once we receive your completed claim application, we will determine your eligibility. You can expect this process to take up to 14 days. Note: Processing time may vary depending upon the claim. If your claim is incomplete or requires additional information, confirming eligibility can be delayed.
The following licensed health professionals can certify claims: Licensed medical or osteopathic physician/practitioners. Authorized medical officer of a U.S. Government facility. Chiropractor. Podiatrist. Optometrist. Dentist. Psychologist. Nurse practitioner or physician assistant.
If you have an SDI Online account, you can submit the DE 2587 and the DE 2593 online. When the form is available to complete, you will receive an email to log in to SDI Online. Select Notice of Automatic Payment and Continued Eligibility Questionnaire in your inbox. You must complete and submit the DE 2587 and DE 2593.
If your disability lasts past that date, you and your medical provider must ask to extend your benefit period. SDI benefits replace up to 52 weeks of lost income, but if you get a partial benefit you might get payments for longer.
The California Employment Development Department has launched a mobile application designed to enhance the linking up of job seekers and employers.

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