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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.
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.
E-mail. Send an e-mail to WOTCsupport@edd.ca.gov.
Submit Your Documents Recommended: Log in to your UI Online account and go to the Upload Income Documents for PUA section on the homepage to provide the required documents. If you prefer to mail your documents, write your 10-digit EDD Customer Account Number (EDDCAN) clearly at the top of each page.
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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) \u2013 English: You must submit an original form provided by the EDD, either electronically or through US mail. It cannot be downloaded or reproduced.
The fastest and easiest way to file a claim is online through the EDD's website, http://www.edd.ca.gov/. You can also file your SDI claim by mail. You will have to request that a copy of the application be mailed to you via the EDD website or by calling the EDD at 1-800-480-3287 [Eng.] or 1-866-658-8846 [Spanish].
The first and most important documents required for applying are medical records. These include all evidence of your disability from the moment you started seeing symptoms. Hospital records, doctor's visits, check-ups, and prescription lists are all vital in showing the SSA the severity of your disability.
Physician/Practitioner's Supplementary Certificate (DE 2525XX) \u2013 You can access this form by logging in to your Benefit Programs Online (BPO) account and selecting SDI Online. You can also get a paper copy from your patient.

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