Jcpb form 2025

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Request for Continued Benefits Physician/Practitioners Supplementary Certificate(DE 2525XX) Access this form by logging in to your myEDD account and selecting SDI Online. You can also complete this certification using the paper form that your patient will receive by mail with their final payment.
Ask the doctor to provide as much evidence as possible. X-rays, test results, medication history, or even dates of surgery can help prove that you have a long-standing condition. The doctor should also explain how your condition affects your ability to work. You can tell your doctor what type of evidence you need.
Your physician/practitioner can find and file this form online using SDI Online or you can provide them with a paper form. If you lost or did not receive the DE 2525XX, you can request the form using your SDI Online account or by calling 1-800-480-3287 or 1-866-658-8846 (en espaol).
IE JCP B is a specific form used for reporting certain data related to import/export activities within the jurisdiction of the International Trade.