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  • Continuing Disability Claim Form Fax To...

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CONTINUING DISABILITY CLAIM FORM FAX TO 1.800.880.9325 OR YOU MAY MAIL TO: COLONIAL LIFE & ACCIDENT INSURANCE COMPANY Attn.: DISABILITY BENEFITS P. O. BOX 100195 COLUMBIA, SOUTH CAROLINA 29202-3195.

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You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form onlineto have it mailed to you. Getting the form from your licensed health professional or employer. Visiting an SDI Office. Calling 1-800-480-3287 and selecting DI Information option 3 to request a paper form by mail.

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. To submit the DE 2501 electronically, visit How to File a Disability Insurance Claim in SDI Online.

By mail: EDD, Disability Insurance, PO Box 989777, West Sacramento, CA 95798-9777. In person by visiting any of the DI offices listed under “DI Office Locations.” California state government employees covered by SDI should call 1-866-352-7675. 2.

By mail: EDD, Disability Insurance, PO Box 989777, West Sacramento, CA 95798-9777. In person by visiting any of the DI offices listed under “DI Office Locations.” California state government employees covered by SDI should call 1-866-352-7675. 2.

Mail it to the address on the application. We recommend Certified Mail, Return Receipt Requested. Fax to 518-474-3091.

English: 1-800-480-3287. Spanish: 1-866-658-8846. California Relay Service (711): Provide the DI number (1-800-480-3287) to the operator. TTY: 1-800-563-2441.

Supporting Documentation Needed ✓ Chart Note to include admission and discharge paperwork if there was a hospital stay ✓ Surgical Report if surgery took place ✓ Receipts for follow up visits or physical therapy with dates and charges if applicable ✓ Email form to groupclaimfiling@aflac.com or fax to 1.866. 849.2970.

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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