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You may be eligible if you are unable to work and are losing wages because of your own pregnancy childbirth or non work related illness or injury.
Disability insurance forms ca. Obtain a paper claim form. To avoid stocking outdated forms order a six month supply or less. Disability insurance claim process. Sdi online reduces claim processing time provides online confirmation of submitted forms decreases costs in paper and postage includes security safeguards to detect and manage fraud and abuse and.
Sdi online is your fast convenient and secure way to submit your disability insurance di and paid family leave pfl claims and forms online. State disability insurance disability insurance and paid family leave benefits. To file a disability insurance di claim by mail complete and submit a claim for disability insurance di benefits de 2501. You can obtain a paper claim for disability insurance di benefits de 2501 form by.
Disability insurance claims frequently asked questions find information that clarifies the disability insurance di claims application process in a question and answer format. Visiting online forms and publications and ordering a form online to have it mailed to you. You may be eligible for di if you are unable to work due to non work related illness or injury pregnancy or. To complete forms you may need to download and save them on the computer then open them with the no cost adobe reader.
Follow the steps below to properly submit a di claim by mail. State disability insurance forms and publications. Application for disability insurance elective coverage de 1378di to request general program information or data about state disability insurance complete the state disability insurance request for information form de 2541e and return it to the edd using the appropriate email address listed on the form. The documents on this webpage are pdfs.
Visit accessibility if you need reasonable accommodation or an alternative format to access information on our website. Visit online forms and publications to search view and order state disability insurance forms. Access the disability insurance di application forms. Disability insurance di provides short term benefits to eligible workers who have a full or partial loss of wages due to a non work related illness injury or pregnancy.
It is the policy of the department of general services effective january 1 2006 to implement and administer state disability insurance sdi for its employees as agreed to by the california department of human resources calhr and the seiu local 1000. The state disability insurance sdi program provides short term disability insurance di wage replacement benefits to eligible workers.
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