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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. Forms. Claim for Disability Insurance (DI) Benefits (DE 2501) – English: You must submit an original form provided by the EDD, either electronically or through US mail.
- State Disability Insurance
To file for benefits, read messages from the EDD, submit...
- Forms and Publications
To complete forms, you may need to download and save them on...
- State Disability Insurance
To file for benefits, read messages from the EDD, submit online forms, or manage your profile, access your SDI Online account. Note: It may be necessary to send some documents via U.S. mail.
The PDFs on this website are replicas of the official EDD forms and publications. To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader. Visit Online Forms and Publications to search, view, and order State Disability Insurance forms.
To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader. Visit Accessibility if you need reasonable accommodation or an alternative format to access information on our website. Employers and Licensed Health Professionals: To avoid stocking outdated forms, order a six-month supply ...
State Disability Insurance Claimant: 1. Complete, sign, and date this form. 2. Take the completed signed form to your doctor. CLAIMANT’S NAME (FIRST, MIDDLE INITIAL, LAST) CLAIMANT’S SOCIAL SECURITY NUMBER I authorize any physician, practitioner, hospital, vocational rehabilitation counselor, or
14 lut 2024 · The EDD gives you the option of applying online or ordering forms and sending them back in through the mail. To apply online, visit the EDD SDI website and enter your identity information to create a new account. [14]
You can get a paper form at an SDI office, your employer, your doctor/medical practitioner's office, or by ordering a form online from EDD's Online Forms and Publications (the form will be mailed to you).
