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De 2525xx supplemental certification form PDF Español If you are eligible, you may receive Disability Insurance (DI) benefits until your expected recovery date provided by your physician/practitioner.
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How to fill out de 2525xx supplemental certification
How to fill out de 2525xx supplemental certification
01
Obtain the DE 2525XX form from the California Employment Development Department (EDD) website or local EDD office.
02
Fill out the personal information section at the top of the form, including your name, address, social security number, and date of birth.
03
Provide information about your disability, including the date it began and a description of how it limits your ability to work.
04
Have your healthcare provider fill out the section related to your medical condition, including diagnosis, treatment plan, and expected duration of disability.
05
Review the completed form for accuracy and sign where indicated.
06
Submit the form to the EDD office either in person, by mail, or fax.
Who needs de 2525xx supplemental certification?
01
Individuals who are receiving disability benefits through the State Disability Insurance (SDI) program in California may need to fill out the DE 2525XX supplemental certification to continue receiving benefits.
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What is de 2525xx supplemental certification?
The de 2525xx supplemental certification is a form used to certify continued eligibility for disability benefits.
Who is required to file de 2525xx supplemental certification?
Individuals receiving disability benefits are required to file de 2525xx supplemental certification.
How to fill out de 2525xx supplemental certification?
To fill out de 2525xx supplemental certification, individuals must provide updated medical information and certify their continued disability status.
What is the purpose of de 2525xx supplemental certification?
The purpose of de 2525xx supplemental certification is to ensure that individuals receiving disability benefits are still eligible based on their medical condition.
What information must be reported on de 2525xx supplemental certification?
Information such as updated medical diagnosis, treatment received, and functional limitations must be reported on de 2525xx supplemental certification.
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