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You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form onlineto have it mailed to you. Getting the form from your licensed health professional or employer. Visiting an SDI Office. Calling 1-800-480-3287 and selecting DI Information option 3 to request a paper form by mail.
By mail: EDD, Disability Insurance, PO Box 989777, West Sacramento, CA 95798-9777. In person by visiting any of the DI offices listed under DI Office Locations. California state government employees covered by SDI should call 1-866-352-7675. 2.
An individual can apply: online at the SSAs website ssa.gov, telephone by calling the SSAs customer service: 1-800-772-1213, or in-person at their local Social Security field office.
For Disability Insurance claims, fill out and sign Part B Physician/Practitioners Certificate on the Claim for Disability Insurance (DI) Benefits (DE 2501) form. Mail it in within 49 days from the date your patients disability begins.
To file your claim online, follow these steps: Log in to your BPO account. Select SDI Online. Select New Claim. Select Disability Insurance and follow the steps in each section. Submit the completed Part A Claimants Statement. Save your receipt number.
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If you are on automatic payment, you will receive a Disability Claim Continued Eligibility Questionnaire (DE 2593) after 10 weeks of payment. You must return this form to us to docHub that your disability continues. Your benefits will stop if you do not complete and return the DE 2593.
Claim for Disability Insurance (DI) Benefits (DE 2501) English: You must submit an original form provided by the EDD, either electronically or through US mail. It cannot be downloaded or reproduced.
Claim for Disability Insurance (DI) Benefits (DE 2501) English: You must submit an original form provided by the EDD, either electronically or through US mail. It cannot be downloaded or reproduced.
Calculating Benefit Payment Amounts. Your Weekly Benefit Amount (WBA) depends on your annual income. It is estimated as 60 to 70 percent of the wages you earned 5 to 18 months before your claim start date and up to the maximum WBA. Note: Your claim start date is the date your disability begins.
You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form onlineto have it mailed to you. Getting the form from your licensed health professional or employer. Visiting an SDI Office. Calling 1-800-480-3287 and selecting DI Information option 3 to request a paper form by mail.

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