Get the up-to-date de 2525xx 2025 now

Get Form
de 2525xx Preview on Page 1

Here's how it works

01. Edit your de 2525xx online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send de 2525xx supplemental certification form pdf via email, link, or fax. You can also download it, export it or print it out.

How to edit De 2525xx in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Working on documents with our comprehensive and intuitive PDF editor is easy. Make the steps below to fill out De 2525xx online easily and quickly:

  1. Log in to your account. Sign up with your email and password or register a free account to try the product prior to upgrading the subscription.
  2. Upload a document. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit De 2525xx. Quickly add and highlight text, insert pictures, checkmarks, and icons, drop new fillable areas, and rearrange or remove pages from your paperwork.
  4. Get the De 2525xx accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with other people through a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to quickly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Your physician/practitioner can find and file this form online using SDI Online or you can provide them with a paper form. If you lost or did not receive the DE 2525XX, you can request the form using your SDI Online account or by calling 1-800-480-3287 or 1-866-658-8846 (en espaol).
The California State Disability Insurance (SDI) program provides short-term Disability Insurance (DI) and Paid Family Leave (PFL) wage replacement benefits to eligible workers who need time off work.
Disability Insurance and Paid Family Leave Benefits You may be eligible for DI if you are unable to work due to non-work-related illness or injury, pregnancy, or childbirth. You may be eligible for PFL to: Care for a seriously ill family member.
The CASDI tax funds the states disability insurance program, which provides temporary wage replacement benefits to eligible employees who experience a qualifying injury or illness that prevents them from working. Its paid for entirely by employees via mandatory payroll deductions.
State Disability Insurance Employee Contribution Rate1.1% Maximum Weekly Benefit Amount (WBA) $1,620 Maximum Benefit Amount (WBA X 52 weeks) $84,240 Assessment Rate: This figure is the product obtained by multiplying the worker contribution rate by 14% or 1.1% X 14% = 0.00154 per CUIC 3252 (b) 0.001542 more rows
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

If You Need to Extend Your DI Period You will receive a Physician/Practitioners Supplementary Certificate (DE 2525XX) with your final payment. Have your physician/practitioner complete and submit this form to find out if you are eligible for an extension. Your physician/practitioner can find your claim in SDI Online.
What if my disability lasts longer than 52 weeks? If your disability is expected to or does continue past one year, you may be eligible for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), depending on the type of disability and how severe it is.

how do i get de 2525xx form