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STATE DISABILITY INSURANCE PROGRAM The State Disability Insurance SDI program a worker funded program contributes to the economic security of California by providing affordable benefits to eligible workers. Agreement between the State of California and a recognized employee organization may elect to be covered by SDI. For information about SDI visit the 1-866-352-7675 or TTY 1-800-325-0778. The EDD administers a separate Non-Industrial Disability.

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How to fill out the EDD NDI form online

Filling out the EDD NDI form online is a straightforward process designed to help you access the benefits you may be entitled to. This guide provides clear instructions on each section of the form, ensuring you can complete it with confidence.

Follow the steps to complete the EDD NDI form online effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Provide your personal information. Fill in your name, address, and contact details accurately to ensure proper communication regarding your claim.
  3. Enter your Social Security number. This unique identifier is crucial for processing your claim and ensuring it is linked to your records.
  4. Complete the employment information section. Include details such as your employer’s name, address, and your position, along with the dates of your employment.
  5. Fill in the medical information. Describe your condition that affects your ability to work and include any relevant medical documentation, if applicable.
  6. Review the certification section. Ensure that you sign where indicated to verify that all information provided is accurate and complete.
  7. Submit your completed form. You can save changes, download a copy for your records, or print it out before finalizing your submission.

Start completing your EDD NDI form online today to ensure you receive the benefits you may be eligible for.

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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.

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.

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. To submit by US mail, you must first order the form by calling 1-800-480-3287 or 1-866-658-8846 (en español).

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.

Nonindustrial Disability Insurance (NDI) is an employer-funded program administered by the EDD. It provides partial wage replacement to eligible state employees who have a loss of wages due to a non-work-related disability. A disability is an illness or injury that prevents you from performing your regular work.

You can submit Part D - Physician/Practitioner's Certification online by creating a Benefit Programs Online (BPO) account and registering for SDI Online. Once registered, select SDI Online to complete the certification for your patient's caregiver's claim from the home page.

State Disability Insurance offices the public counters for in-person services are closed until further notice. For the fastest service, file a claim online or access your Disability Insurance claim information with SDI Online. Visit Contact Disability and Paid Family Leave to learn more.

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