You must be unable to do your regular or customary work for at least 8 consecutive days

There is a 7-day waiting period before benefits begin (no benefits paid for the first week)

SDI benefits last up to 52 weeks and are approximately 60-70% of your wages

Employment / FMLAmoderate

California State Disability Insurance Claim

DE 2501 · California Employment Development Department

Claim for Disability Insurance (SDI) Benefits. California's State Disability Insurance program for an employee's own medical condition that prevents them from working.

Form Details

Total fields: 40
Auto-fillable: 24 (60%)
Time without BeneFill: 30 minutes
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Filled by: patient
Frequency: per incident
State-specific: Yes — form may vary by state

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Where to Submit This Form

🌐

SDI Online (recommended)

https://edd.ca.gov/en/disability/how-to-file-a-di-claim/

File your State Disability Insurance claim online through SDI Online.

📬

Mail to EDD

Employment Development Department PO Box 989777 West Sacramento, CA 95798-9777

Filing Deadline

Within 49 days of the date your disability begins. Late claims may lose benefits.

Required Attachments

📎 Physician/Practitioner's Certificate (Part B completed by your doctor) — DE 2501
📎 Employer information (last employer, dates of employment)

Processing Time

Approximately 14 days if filed online. Mailed claims take longer. First payment within 2 weeks of approval.

What Happens Next

EDD will process your claim and send a Notice of Computation showing your weekly benefit amount. Benefits are approximately 60-70% of your weekly wages.

Tips for This Form

✓ You must be unable to do your regular or customary work for at least 8 consecutive days
✓ There is a 7-day waiting period before benefits begin (no benefits paid for the first week)
✓ SDI benefits last up to 52 weeks and are approximately 60-70% of your wages
✓ If transitioning to Paid Family Leave, file a separate PFL claim: https://edd.ca.gov/en/disability/

More Employment / FMLA Forms

FMLA Certification - Employee's Serious Health Condition

WH-380-E · U.S. Department of Labor

Certification of Health Care Provider for Employee's Serious Health Condition. Medical certification for FMLA leave for the employee's own condition.

FMLA Certification - Family Member's Serious Health Condition

WH-380-F · U.S. Department of Labor

Certification of Health Care Provider for Family Member's Serious Health Condition. Medical certification when employee needs leave to care for a family member.

FMLA Notice of Eligibility and Rights & Responsibilities

WH-381 · U.S. Department of Labor

Notice of Eligibility and Rights & Responsibilities. Employer must provide within 5 business days of FMLA leave request, stating whether employee is eligible.

FMLA Designation Notice

WH-382 · U.S. Department of Labor

Designation Notice. Employer designates leave as FMLA-qualifying or denies it. Must be provided within 5 business days of receiving sufficient certification.

FMLA Certification - Qualifying Exigency (Military)

WH-384 · U.S. Department of Labor

Certification of Qualifying Exigency for Military Family Leave. For leave due to a covered family member's active duty or call to active duty.

FMLA Certification - Serious Injury/Illness of Servicemember

WH-385 · U.S. Department of Labor

Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (current servicemember).

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the California Employment Development Department or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.