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  • De 2525xx

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ANNUAL RECONCILIATION STATEMENT (DE 7) REV. 5 (4-07) PRINTING SPECIFICATIONS COMPUTER OR LASER GENERATED ALTERNATE FORMS The Employment Development Department (EDD) provides DE 7 forms suitable for.

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The DE 2063 is a form used by employers to certify their employees for partial benefits. Employers can print and complete the Internet version for submission to EDD.

Disability Insurance and Paid Family Leave claim forms may be ordered through the Online Forms and Publications page or by calling 1-855-342-3645 (TTY users dial the California Relay Service at 711). Forms are available at no cost to you.

Form to claim benefits on behalf of a deceased or incapacitated claimant. Physician/Practitioner's Supplementary Certificate (DE 2525XX) If your disability will extend beyond the original period established on your claim, have your physician/practitioner complete and submit the DE 2525XX online using SDI Online.

Keep in mind that you cannot extend benefits indefinitely. The claim payments end after you have been out of work for 39 (SEEC) or 52 weeks (SDI) regardless of whether you can return to work or not.

Extend Benefits. With your final payment, you will receive a Physician/Practitioner's Supplementary Certificate (DE 2525XX) by mail. If you have not fully recovered and want to extend your disability period to continue benefits, you must submit a medical certification.

Visiting Online Forms and Publications and ordering a form online to have it mailed to you. Obtaining the form from your physician/practitioner or employer. Visiting an SDI Office. Calling 1-800-480-3287.

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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