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Forms. 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. To submit the DE 2501 electronically, visit How to File a Disability Insurance Claim in SDI Online.
- Claim by Mail
You can get a paper Claim for Disability Insurance (DI)...
- Forms and Publications
The documents on this webpage are PDFs. To complete forms,...
- Paid Family Leave
The documents on this website are PDFs. To complete forms,...
- Claim by Mail
The PDFs on this website are replicas of the official EDD forms and publications. To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader. Visit Online Forms and Publications to search, view, and order State Disability Insurance forms.
The documents on this webpage are PDFs. To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader . Visit Accessibility if you need reasonable accommodation or an alternative format to access information on our website.
In order that the proper Fringe Benefit rates can be verified for checking payrolls or applied to force account work on the above contract, the hourly rates for Fringe Benefits, subsistence and/or travel on the allowance payment made for employees on the various classes of work are tabulated below.
You will need to create an account in order to use BenefitsCal. Watch videos about how to create an account and how to upload documents on BenefitsCal. open_in_new Open the BenefitsCal website. GetCalFresh.org is a service delivered by Code for America on behalf of the people of California.
Claim for Disability Benefits. The State Disability Insurance (SDI) program provides benefits to eligible workers who have a full or partial loss of wages due to disabilities that are not work related. A disability is any illness or injury, either physical or mental, that prevents you from doing your regular work.
Open PDF file, 522.49 KB, DCAMM Certification Contractor Evaluation Form (English, PDF 522.49 KB)