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An insert periodically mailed with the Continued Claim Form (DE 4581) to remind claimants to report work and wages when collecting Unemployment Insurance benefits. Also, advises claimants that EDD uses the California Department of Child Support Services (DCSS) data to ensure work and wages are properly reported.
By mail: EDD, Disability Insurance, PO Box 989777, West Sacramento, CA 95798-9777. In person by visiting any of the DI offices listed under \u201cDI Office Locations.\u201d California state government employees covered by SDI should call 1-866-352-7675. 2.
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.
If you misplaced the DE 2525XX, request the form using your SDI Online account or by calling 1-800-480-3287.
The California Disability form was issued by the Employment Development Department on April 1, 2019. A printable DE 2501 Claim Form is available for download below.
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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.
If You're Not Receiving Automatic Payments If you are not on automatic payment, you will receive a Claim for Continued Disability Benefits (DE 2500A) every two weeks to certify that your disability continues. Your benefits will stop if you do not complete and return the DE 2500A.
If you misplaced the DE 2525XX, request the form using your SDI Online account or by calling 1-800-480-3287.
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.
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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