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Employers can print and complete the Internet version for submission to EDD.
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.
State that you want to discuss disability when you make the appointment. When you call, you can say, "I am filing for disability benefits, and I would like to talk to Dr. ... Don't try to squeeze the discussion in during a medical visit.
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.
Employers can print and complete the Internet version for submission to EDD.
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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.
Apply Online. File for unemployment or Pandemic Unemployment Assistance quickly and easily online. Register and create an account with Benefit Programs Online. Then, file a claim and manage your unemployment with UI Online.
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.
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.
Mail: To file a claim with the EDD by mail, complete and submit a Claim for Disability Insurance (DI) Benefts, DE 2501 form. You can obtain a paper claim form from your employer, physician/practitioner, visiting a State Disability Insurance office, online at www.edd.ca.gov/Forms, or by calling 1-800-480-3287.

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