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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.
Unemployment Insurance Important Information: The Employment Development Department (EDD) Fraud Prevention and Detection Activities. An insert periodically mailed with the Continued Claim Form (DE 4581) to remind claimants to report work and wages when collecting Unemployment Insurance benefits.
The law defines disability as the inability to engage in any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.
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.
Your weekly SDI benefits will usually be 55% of those average weekly wages, with a minimum benefit of $50 per week and a maximum of $1,540. Note: The exact benefit calculation is based on a sliding scale from 55%. People with very low income usually get the higher percentage, while most people get the lower percentage.

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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 Rev. 81 (3-20)) Page 1. Claim for Disability Insurance (DI) Benefits. The State Disability Insurance (SDI) program provides worker-funded benefits to eligible workers who have a full or partial loss of wages due to disabilities that are not work related.
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.
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.
Be unable to do your regular or customary work for at least eight days. Have lost wages because of your disability. Be employed or actively looking for work at the time your disability begins. Have earned at least $300 from which State Disability Insurance (SDI) deductions were withheld during your base period.

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