![]() They must submit the certification no later than 30 days after your disability begins or you may lose benefits. Note: The facility must be licensed and certified by the state in which the facility is located.Īfter your claim has been received, your licensed health professional can find your claim in SDI Online using your form receipt number. If you receive in-patient treatment at an alcohol recovery home or drug-free rehabilitation facility, provide the name, address, and phone number of the home or facility.Any workers’ compensation claim information.Any wages you received or expect to receive from your employer (sick leave, paid time off (PTO), vacation pay, annual leave, and wages earned after you stopped working).You must also give the following information only if it applies to you: You received an error code you cannot resolve or have any other difficulty filing an application online.You have a name that does not fit the space in the online form.You do not have a valid California driver license or ID.Note: If any of the following apply, you should file a paper claim form instead of filing online: Last date you worked your normal or usual duties (or the date you began working less than full or modified duty). ![]()
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