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Office of Temporary & Disability Assistance 3410000FORM BOSS Use Only: Reporting Code: Category Code:State Consultant Services Contractors Annual Employment Report Period: April 1, 2021, to March

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How to fill out eddcagovdisabilitystate disability insurance

01

Visit the EDD website at edd.ca.gov/disabilitystate

02

Select the option to apply for disability insurance

03

Enter your personal information as requested, including name, address, Social Security number, and employment details

04

Provide any necessary medical documentation or proof of disability

05

Submit your application online or by mail

Who needs eddcagovdisabilitystate disability insurance?

01

Individuals who are unable to work due to a temporary disability

02

Those who have been paying into the California State Disability Insurance (SDI) program through payroll deductions

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What is eddcagovdisabilitystate disability insurance?

eddcagovdisabilitystate disability insurance provides partial wage replacement for eligible workers who are unable to work due to a non-work-related illness, injury, or pregnancy.

Who is required to file eddcagovdisabilitystate disability insurance?

Employers in California are required to provide disability insurance coverage for their employees.

How to fill out eddcagovdisabilitystate disability insurance?

Employers can fill out eddcagovdisabilitystate disability insurance forms online or by mail, providing information about their employees and the coverage they offer.

What is the purpose of eddcagovdisabilitystate disability insurance?

The purpose of eddcagovdisabilitystate disability insurance is to provide temporary financial support to employees who are unable to work due to a qualifying disability.

What information must be reported on eddcagovdisabilitystate disability insurance?

Employers must report employee information, coverage details, and pay a quarterly contribution based on employee wages.

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