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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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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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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.
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.
Your physician/practitioner can find and file this form online using SDI Online or you can provide them with a paper form. If you lost or did not receive the DE 2525XX, you can request the form using your SDI Online account or by calling 1-800-480-3287 or 1-866-658-8846 (en espaol).
Where do I apply for State Disability Insurance (SDI)? You can apply for State Disability Insurance at the Employment Development Department of California. To file a claim, visit edd.ca.
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.
Five Ways to Get Help With Your Disability Paperwork Family Members and Caregivers. Social Workers. Social Security Claims Representatives. Legal Aid Offices. Attorneys and Advocates.
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.
Most claims are processed within 14 days of receipt of a completed claim. You can log in to your account to check the status of your DI claim at any time.
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.