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At a glance prepare to collect the following.
Edd insurance form. To complete forms you may need to download and save them on the computer then open them with the no cost adobe reader. Tips for applying on ui online. Register or log in with benefit programs online and click file new claim. Form de 2501 claim for disability insurance di benefits is a form to request by mail worker funded benefits to eligible workers who have a full or partial loss of wages due to disabilities that are not work related.
The documents on this webpage are pdfs. File a new claim if you have already applied for ui but are eligible for pua because you are a business owner independent contractor self employed worker freelancer or gig worker affected by covid 19 and you have not already. The edd manages the unemployment insurance ui program for the state of california. If you believe you should be considered an employee but the edd s wage investigation concluded there weren t sufficient earnings reported to substantiate a regular ui claim then you will receive a form called a notice of status of wages this is different from a 0 benefit award notice.
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. Everyone ui and pua applicants uses the same form. To submit the de 2501 electronically visit how to file a disability insurance claim in sdi online. The edd manages claims for unemployment insurance ui and state disability insurance sdi programs for the state of california.
Some forms and publications are translated by the department in other languages. The document has moved here. To avoid stocking outdated forms order a six month supply or less. Review this checklist pdf to collect and have accurate and up to date information ready when you file an unemployment insurance claim.
Unemployment insurance important information. Get your information in order. Visit accessibility if you need reasonable accommodation or an alternative format to access information on our website. For those forms visit the online forms and publications section.
The employment development department edd fraud prevention and detection activities an insert periodically mailed with the continued claim form de 4581 to remind claimants to report work and wages when collecting unemployment insurance benefits. The ui program pays benefits to workers who have lost their job and meet the program s eligibility requirements. It cannot be downloaded or reproduced. A little preparation goes a long way.
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