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Tributions on a quarterly basis. - This voluntary election remains in effective for two years. - This voluntary election is effective: Month Day Year By signing below, you agree to the terms above in Iowa Code section 96.8-3a*. Date Authorized Signature Print Name Here Title Phone *Section 96.8-3a. An employing unit, not otherwise subject to this chapter, which files with the Department its written election to become an employer subject hereto for not less than two calendar years, shall w.

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This form may be completed online, printed, and mailed or faxed to EDD. Complete this form only if EDD has issued a Wages Notice for you in the past. You may report information that needs to be corrected on a current notice, or provide information regarding a more recent layoff.

Submit Your Documents Recommended: Log in to your UI Online account and go to the Upload Income Documents for PUA section on the homepage to provide the required documents. If you prefer to mail your documents, write your 10-digit EDD Customer Account Number (EDDCAN) clearly at the top of each page.

Mail your claim form in the pre-addressed envelope. If you do not have the pre addressed envelope provided with the claim, send your claim and correspondence to: EDD-Paid Family Leave, PO Box 989315, West Sacramento, CA 95798-9315.

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. It cannot be downloaded or reproduced.

Physical Address: Employment Development Department, P.o. Box 826880 - Uipcd, Mic 40, Sacramento, CA, 94280.

Calling 1-800-480-3287 and selecting DI Information option 3 to request a paper form by mail.

Use SDI Online to securely file for benefits or request a paper claim form. By Internet: .edd.ca.gov/disability. By phone: 1-800-480-3287. By mail: EDD, Disability Insurance, PO Box 989777, West Sacramento, CA 95798-9777.

Downloading and Printing The forms are in Portable Document Format (PDF). You may need to download the no-cost Adobe Reader to view and print linked documents.

This form may be completed online, printed, and mailed or faxed to EDD.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232