What is the Claim for Disability Insurance Benefits by EDD?
The Employment Development Department of California (EDD) offers state funded Disability Insurance (SDI) programs which provide affordable benefits to workers in the state of California suffering loss of their wages due to disabilities. Disabilities are any illness or injury, either physical or mental, that prevent you from doing work. For this particular program, the disability cannot be work related.
The information given to EDD on this form can be used for the following purposes…
To determine your eligibility for SDI benefits.
For ethical statistical information of government agencies and the public.
To locate persons who are have failed to provide child or spousal support.
To be used by welfare agencies to determine other benefits.
To carry out responsibilities under the California Unemployment Insurance Code.
In one sentence, what is the purpose of submitting this form?
The primary purpose of the form DE 2501 is for disabled California citizens to claim State Disability Insurance benefits.
What information do you need in order to complete this form?
Form DE 2501 has 21 sections. Each of these sections is fairly straightforward and easy to fill out. To fill them out you will need…
All social security numbers associated with the disabled person
The date the disability began
The last date worked
Information on whether or not any full or partial days were worked after the disability began
The date, if any, that the disabled person recovered and began to work again
The disabled person’s gender, full legal name, and date of birth
Any other legal names worked under
Full mailing and residential addresses, and phone number
Reason the disabled person stopped working
The phone number, name, and full address of the last employer
Type of pay received if the employer continued to pay the disabled person after they stopped working
Permission to disclose benefit information to employers
Any additional information regarding a second employer
Any law enforcement custody information that occurred during the time of the disability
Who is the publisher/creator of the form?
The form is created and published by California’s Employment Development Department.
Who is the intended recipient of this form?
This form is intended to be received by the Employment Development Department, but you should keep a file for your personal records as well.