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Disability extension form de 2525xx Discontinue, Continue, or Extend Your Disability Insurance (DI) Benefits. If you misplaced the DE 2500A, you may request the form via your SDI Online. 02/22/2017
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DE 2525XX is a form used in California for filing claims related to disability insurance benefits. The PDF download provides a downloadable version of the form that can be filled out and submitted.
Individuals who are applying for disability benefits in California are required to file the DE 2525XX form. This includes employees who are unable to work due to non-work-related disabilities.
To fill out the DE 2525XX form, you need to provide personal information, the date your disability began, details about your medical condition, and any related employment information. Follow the instructions outlined on the form carefully.
The purpose of the DE 2525XX form is to initiate a claim for disability benefits under California's State Disability Insurance (SDI) program, ensuring that eligible individuals receive financial support during their time away from work.
The DE 2525XX form requires information such as the claimant's personal details, the nature of the disability, medical provider information, and details about employment and wages prior to the disability.
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