Step 1: Get Your Information In Order

Your application tells us who you are, where you worked, how much you earned, and helps us determine what benefits you may be eligible to receive. Start by gathering this information:

• Personal Information: Your name, birth date, address, Social Security number, photo identification (such as driver's license, ID card, or passport), and another identity document (such as W2, utility bill, or birth certificate). To avoid delays, your information should match what’s on file with the Department of Motor Vehicles (DMV) or Social Security Administration. View the full list of acceptable documents for identity verification

• Additional Wages: Any wages you expect to be paid by your employer while you are on disability including part-time work, sick leave, paid time off (PTO), vacation pay, annual leave, and wages earned after you stopped working.

• Most Recent Employer Information: Your employers name, phone number, mailing address as stated on your W-2 or paystub, and the last date you worked your normal hours.

• Physician/Practitioner: You must be a patient of a physician/practitioner in the first eight days of your disability and must remain under care and treatment to continue receiving benefits. Your physician or practitioner must certify your disability through myEDD or by completing Part B – Physician/Practitioner’s Certificate on the DE 2501 paper form. This confirms that your condition prevents you from doing your normal job duties.

• Citizenship: Citizenship and immigration status do not affect eligibility. If you are an undocumented worker without your own SSN, request and submit a paper application. See Benefits and Resources for Undocumented Workers. 

• In-Patient Treatment: If you received in-patient treatment at a state licensed and approved alcohol recovery or drug-free rehab facility, include the facility’s name, address, and phone number.

• Workers’ Compensation: If you have a workers’ compensation claim, you will need to provide the workers’ compensation claim details on your  disability application.

 

Now you’re ready to apply!