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Continued claim certification form online sdi

Continued claim certification form online 2025

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The document provides instructions for New York State employees and employers regarding the certification process for Shared Work benefits under the Unemployment Insurance Division. It includes a form for employees to report their work hours, availability, and earnings during a specified week, as well as a section for employers to confirm employee status and wage reductions due to the Shared Work Plan. The document emphasizes the importance of accurate reporting and outlines procedures for submitting the completed forms.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and Social Security Number (SSN) at the top of the form. If your name has changed, include your previous name as well.
In Part A, answer the questions regarding your work hours for the week claimed. Indicate if you worked more than 32 hours and provide details if applicable.
Complete each question in Part A carefully, ensuring you provide accurate information about any additional employment and your availability for work.
Sign and date the certification statement at the bottom of Part A, confirming that all information is true and complete.
If applicable, provide your new address below your signature before submitting the form to your employer for completion of Part B.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where can I get a DE 2525XX form?

To order the DE 2501F to submit by mail: Visit Online Forms and Publications. Select Keyword(s) or Form Number from the dropdown. Enter DE 2501F for an English form or DE 2501F/S for a Spanish form. Select Search. You can also call 1-877-238-4373 and select Option 3.

How do I get the continued claim certification in EDD?

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 docHub that your disability continues. Your benefits will stop if you do not complete and return the DE 2593.

What is supplementary certificate de-2525XX?

If you have not fully recovered and need to continue your benefits, you must submit a Physician/Practitioners Supplementary Certificate (DE 2525XX) with your final payment. Have your physician/practitioner complete and submit this claim form to find out if you are eligible for an extension.

How to get a free disability form?

Online; or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.

How to get forms from EDD?

To search and order brochures and forms from the EDD, visit Online Forms and Publications. All are available at no cost, whether you download or order for delivery by mail.