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  • Continued Claim Certification Form Online

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New York State Department of Labor Unemployment Insurance Division Shared Work Continued Claim: Waiting Week Certification (Instructions on second page) Claimant name (print): SSN If your name has.

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Penalties Related content

Understanding the Continued Claim Certification...
Do not enter information on item 6a or 6b. Instead of mailing in your paper form, use UI...
Learn more
[PDF] California's Programs for the Unemployed...
The. EDD will mail you a paper Continued Claim Form, DE 4581, for you to certify by mail...
Learn more
[PDF] Completion Instructions for Notice of...
The employee's normal weekly earnings are reduced by lack of work; and ... You may print...
Learn more

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To get started, log in to Benefit Programs Online and select UI Online. Check the Notifications section of your homepage. If weeks are available, select Certify for Benefits and answer all questions. If no weeks are available, the system will tell you when to check again and will send you an email reminder.

The DE 2500A, commonly called a continued claim certification, is your request for continued disability benefits. By signing and dating the front of the form, you certify that during the dates shown on the continued claim certification you were still disabled.

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.

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.

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

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.

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.

Complete the entire form by answering all questions using black or blue ink. Provide your gross wages, total number of hours worked, and complete employer information for each week that you worked. Be sure to sign your name next to the “X” on the signature line and return the form by the due date indicated.

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