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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.
By mail. You can get a paper form at an SDI office, your employer, your doctor/medical practitioner's office, or by ordering a form online from EDD's Online Forms and Publications (the form will be mailed to you). EDD explains how to file an SDI claim by mail.
You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form online to have it mailed to you. 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.
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.
0:56 2:29 How to file a Disability Insurance claim Using SDI Online. - YouTube YouTube Start of suggested clip End of suggested clip Then choose file a new claim under the main menu on your sdi. Online home page next selectMoreThen choose file a new claim under the main menu on your sdi. Online home page next select disability insurance and follow the steps in each section to fill out the form.
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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.
Claim for Disability Insurance (DI) Benefits (DE 2501 Rev. 81 (3-20)) Page 1. Claim for Disability Insurance (DI) Benefits. The State Disability Insurance (SDI) program provides worker-funded benefits to eligible workers who have a full or partial loss of wages due to disabilities that are not work related.
You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form online to have it mailed to you. 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.
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.
Mail: To file a claim with the EDD by mail, complete and submit a Claim for Disability Insurance (DI) Benefts, DE 2501 form. You can obtain a paper claim form from your employer, physician/practitioner, visiting a State Disability Insurance office, online at www.edd.ca.gov/Forms, or by calling 1-800-480-3287.

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