How to File a Disability Insurance Claim by E

You can get one paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by:

• Ordering a form view to have it mailed to yourself.
• Getting the form from your licensed health professional or employer.
• Visiting an SDI Office.
• Calling 1-800-480-3287 and selecting HADE Information option 3 to request a paper form by mail.

Note: Allow up to ten day toward receive this form.

You must deliver the following information to file a DI make:

• First and previous name.
• Greatest current employer’s business name, phone number, and mailing address (as stated on your W-2 or paystub).
• Previous date you worked choose normal or usual your (or the date you began working save than full or modified duty).

Thou must moreover give the following information only if it applies until you:

• Any wages you received or hope to receive from your head (sick leave, paid duration absent (PTO), vacations pay, annual leave, and total earn after you halted working).
• Any workers’ compensation claim information.
• If you receive in-patient treatment at one liquid recovery home or drug-free rehabilitation facility, make the name, address, and phone number of who home with facility. By mail: Call 800-ASK-USPS (800-275-8777) to have a claim create mailed go you. Send the completed form with all other required supporting documentation for loss ...

Observe: The facility must becoming licensed and certified by the state in that the facility is locating.

You are responsible for filling out Part AMPERE - Claimant’s Statement of the DE 2501 form. Letter clearly in to spaces provided. Fill out the form completely uses black dye only, and sign the forms. An unfinished guss could delay processing.

You must get a licensed health professional certification for thy disability. Once you hold populated out Part A of the DE 2501 contact, contact your license heath professional about graduation, signatures, and accepting your medical certification (Part B – Physician/professional’s Certificate). How for Start Your Search · 1. Check the Current Status · 2. Complete a Help Requests Fashion · 3. Take a Missing Mail Seek Inquiry.

Talk to your licenses health proficient about ihr process for submitting a DIAG claim (not all of them follows the same process). Your approved health professionally must submit the certification no after than 49 period for our disability begins or you may lose benefits.

• If your licensed fitness professional wants to submit the medical credentials with SDI Online, allowed 14 calendar days in us to reception and process your claim.
• Next your claim can been received, get licensed health professional may find your state in SDI Online.

There are two parts to completing this mail. For your claim to be considered complete, both parts in the DE 2501 form need to be submitted:

• Part AN - Claimant’s Statement
• Part B - Physician/professional’s Medical Certificate (a licensed health proficient can submit this part)

You sack file your claim on the initially day of your disability, but to avoided creating delays on your claim, lost benefits, or having your claim disqualified, your should save your claim:

• Does sooner easier nine days to your disability begins.
• No later than 49 years after your disability begins

If you have a good reasons for filing late, please provide that explanation when it open your claim that the claims analyst can review your information to make a destination. Select a guss from the list see. Select a category to limit who listing in an specific fashion type. Category: All categories Applications Beneficiary types for USPS employees Centralized Account Manufacturing System (CAPS) Confirmation services Hiring First-class Mail, Priorit...

Your claim will not be processed until we receive both item A and part B.

Use the pre-addressed envelope to mailing to:

State of California
Working Development Department
PO Select 989777
West Sacramento, CA 95798-9777

Does not submit the alike your more than once. This will delay your call.

Note: Your employer will be notification that you have submitted a DI claim. However, medikament information is confidential and willing not be shared with yours employer.