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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.
Beginning January 1, 2020, Employee's Withholding Allowance Certificate (Form W-4) from the Internal Revenue Service (IRS) will be used for federal income tax withholding only. You must file the state form Employee's Withholding Allowance Certificate (DE 4) to determine the appropriate California PIT withholding.
Getting the form from your physician/practitioner or employer. Visiting an SDI Office. Calling 1-800-480-3287 to request a paper form by mail.
Log in to UI Online and return to your application. UI Online will take you to the ID.me login page. Log in to allow ID.me to share your identity information with the EDD. Select Allow and finish completing your unemployment application.
Forms for CompletionEmployers can print and complete the Internet version for submission to EDD.
Employers can print and complete the Internet version for submission to EDD. The Traditional Chinese version is a sample and is to be used as a guide when completing the English version.
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.
mail. Send an email to WOTCsupport@edd.ca.gov. Important Security Reminder: For your protection, if you are sending us an email through third party email software (e.g., Yahoo, Gmail, Outlook), please do not include confidential information such as account numbers, passwords, or Social Security numbers.
Step 1: Get Your Claim FormOrdering a form online to have it mailed to you.Getting the form from your physician/practitioner or employer.Visiting an SDI Office.Calling 1-800-480-3287 to request a paper form by mail.