De 2593 form-2025

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If you are on automatic payments, you will receive a Disability Claim Continued Eligibility Questionnaire (DE 2593) after 10 weeks of payment. You must return this form to us to certify that your disability continues. Your benefits will stop if you do not complete and return the DE 2593.
``If you stop certifying for continued benefits, and its been more than 30 days since you last certified for benefits, your Unemployment Insurance (UI) claim becomes inactive. You must reopen your claim to request benefit payments.
If your claim is not on automatic payment, you will receive a Claim for Continued Disability Benefits (DE 2500A), also called a continued claim certification, every two weeks.
Reasons for Refusal Another reason that a physician may refuse to certify a patients disability could be that they do not want to get involved in a dispute between a patient and their insurance company or be called as a witness to testify about the patients medical condition.
Certify to Continue Benefits If you reported that you worked or will work during your PFL period, you will receive the Continued Claim Certification for Paid Family Leave Benefits (DE 2580GF). You must complete this form to certify for the days you have worked during your PFL period.

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If you are not on automatic payment, we will send you a Claim for Continued Disability Benefits (DE 2500A) every two weeks to certify that your disability continues. If you do not return the DE 2500A, your benefits will stop. The quickest way to submit the DE 2593 or DE 2500A is through SDI Online.
To order this form to submit by mail: Visit Online Forms and Publications. Select Keyword(s) or Form Number from the dropdown. Enter DE 2501 for an English form or DE 2501/S for a Spanish form. Select Search.

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