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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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We protect your documents and personal data by following strict security and privacy standards.
The California State Disability Insurance (SDI) program provides short-term Disability Insurance (DI) and Paid Family Leave (PFL) wage replacement benefits to eligible workers who need time off work.
Calculating Benefit Payment Amounts. Your Weekly Benefit Amount (WBA) depends on your annual income. It is estimated as 60 to 70 percent of the wages you earned 5 to 18 months before your claim start date and up to the maximum WBA. Note: Your claim start date is the date your disability begins.
Requirements to File a Claim Can't do your regular work for at least eight days. Have lost wages because of your disability. Are working or looking for work at the time your disability begins. Earned at least $300 with State Disability Insurance (SDI) deducted from your paycheck.
By mail: EDD, Disability Insurance, PO Box 989777, West Sacramento, CA 95798-9777. • California state government employees covered by SDI should call 1-866-352- 7675. 2. If filing through SDI Online, complete all required fields.
Mental Disorders. Intellectual Disabilities. Affective Disorders. Schizophrenia and Other Psychotic Disorders. Physical Disorders. Immune System Disorders. Cancer Diagnosis. Neurological Disorders. Congenital Disorders. Cardiovascular Disabilities and Disorders. Respiratory Disorders. Musculoskeletal Disorders.
Once we receive your completed claim application, we will determine your eligibility. You can expect this process to take up to 14 days. Note: Processing time may vary depending upon the claim. If your claim is incomplete or requires additional information, confirming eligibility can be delayed.
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.
You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form online to 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.
You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form online to 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.