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To complete forms you may need to download and save them on the computer then open them with the no cost adobe reader.
Insurance form ssdi. First name middle initial last name 2. Check x whether you are female. An appointment is not required but if you call ahead and schedule one it may reduce the time you spend waiting to apply. If you get social security disability income ssdi you probably have medicare or are in a 24 month waiting period before it starts.
You do not need to drive to your local social security office or wait for an appointment with a social security representative. Enter your social security number 3. Workers earn ssdi by accumulating enough work credits throughout their working life. Ssi is not social security.
Sdi forms and publications disability insurance forms and publications. The california state disability insurance sdi program provides short term disability insurance di and paid family leave pfl wage replacement benefits to eligible workers who need time off work. State disability insurance disability insurance and paid family leave benefits. Social security disability insurance ssdi pays benefits to people who cannot work because of certain disabilities or medical conditions.
Visit online forms and publications to search view and order state disability insurance forms. The social security disability insurance ssdi program pays benefits to you and certain family members if you are insured meaning that you worked long enough and recently enough and paid social security taxes on your earnings. Many forms must be completed only by a social security representative. Social security disability insurance ssdi is for people who have become disabled after earning enough social security work credits within a certain time.
Supplemental security income ssi is for people with disabilities or who are 65 or older with little to no income and resources. By calling our national toll free service at 1 800 772 1213 tty 1 800 325 0778 or visiting your local social security office. Do not write in this space 1. Please call us at 1 800 772 1213 tty 1 800 325 0778 monday through friday between 8 a m.
Form ssa 16 information you need to apply for disability benefits. You may be eligible for di if you are unable to work due to non work related illness or injury pregnancy or. Social security offers an online disability application you can complete at your convenience. Ssdi is funded by fica social security payroll taxes.
You have health coverage options in either case. I apply for a period of disability and or all insurance benefits for which i am eligible under title ii and part a of title xviii of the social security act as presently amended. What is social security disability insurance ssdi.
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