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Employer Originated Disability Allowance Estimate Request 888 Callers (or 8882257377) TTY: (877) 2497442 FAX: (916) 7950701 This is not an application for retirement. This is to be used by the State
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Employer originated disability allowance is a benefit provided to employees who become disabled due to reasons related to their job or workplace.
Employers are required to file employer originated disability allowance on behalf of their employees who are disabled due to work-related reasons.
Employers can fill out employer originated disability allowance by providing detailed information about the employee's disability, the cause of the disability, and any relevant medical records.
The purpose of employer originated disability allowance is to provide financial support and assistance to employees who are unable to work due to disabilities caused by their job.
Employers must report information such as the employee's name, disability details, date of disability onset, and any supporting medical documentation on the employer originated disability allowance form.
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