FAQ – Elective Coverage Application

I’m interested in applying for EC. Where can I get an application?
The Application for Disability Insurance Elective Coverage (DE 1378DI), as well as the Information Sheet: Elective Coverage for Employers and Self-Employed Individuals (DE 231EC) can be downloaded from our Web site, faxed via Fax on Demand at (877) 547-4503 (Document Nos. 1370 and 3090, respectively), or ordered on the Internet Order Form or from the Taxpayer Assistance Center at (888) 745-3886.