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How do I submit de 2525XX?

Have your physician/practitioner complete and submit this form to find out if you are eligible for an extension. Your physician/practitioner can find your claim in SDI Online. The DE 2525XX must be returned to us online or by mail within 20 days from the mailing date.

How do I contact California State disability?

Call 1-800-480-3287 and select your language option and then option 2 for the SDI Online Services Help Desk. California State Government employees only: 1-866-352-7675. TTY users: Dial the California Relay Service at 711.

What does SDI Diec stand for?

We offer an optional Disability Insurance Elective Coverage (DIEC) program for people who don't pay into State Disability Insurance (SDI) but want to be covered by Disability Insurance (DI) and Paid Family Leave (PFL).

What is a de 2501 form?

A DE 2501 Form is used by the Employment Development Department in the State of California. It is also known as a Claim for Disability Insurance Benefits - Claim Statement of Employee.

What does SDI stand for in insurance?

Disability Insurance and Paid Family Leave Benefits The California State Disability Insurance (SDI) program provides short-term Disability Insurance (DI) and Paid Family Leave (PFL) wage replacement benefits to eligible workers who need time off work.

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Can I download de 2501?

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.

How do I submit my EDD medical provider form?

File by Mail Use black ink only. Type or write clearly within the boxes provided. Do not fax the form. Mail the completed form to the EDD in the pre-addressed envelope provided. Include licensed health professional's original signature. Include licensed health professional's license number.

Can I download form de 2501?

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.

What form does my doctor have to fill out for disability in California?

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.

How do I get a de 2501 form?

You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form online to have it mailed to you. 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.

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