Disability Insurance – Forms and Publications

The documents on this website are PDFs. To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader.

To search and order brochures and forms from the EDD, visit Online Forms and Publications. All are available at no cost, whether you download or order for delivery by mail.

Forms

• Claim for Disability Insurance (DI) Benefits (DE 2501) – English: You must submit an original form provided by the EDD, either electronically or through US mail. It cannot be downloaded or reproduced. To submit the DE 2501 electronically, visit How to File a Disability Insurance Claim in SDI Online. To submit by US mail, visit How to File a Disability Insurance Claim by Mail.

• Visit Online Forms and Publications.
• Select Keyword(s) or Form Number from the dropdown.
• Enter DE 2501 for an English form or DE 2501/S for a Spanish form.
• Select Search.

To view an example DI claim form for reference only, review the DE 2501 – Sample claim form or the DE 2501/S – Spanish sample claim form.

Publications

• Appeal Fact Sheet
  • DE 1001
  • DE 1857A - English
  • DE 1857A/A - Armenian
  • DE 1857A/CC - Chinese-Cantonese
  • DE 1857A/CM - Chinese-Mandarin
  • DE 1857A/P - Punjabi
  • DE 1857A/S - Spanish
  • DE 1857A/T - Tagalog
  • DE 1857A/V - Vietnamese
  • DE 1858 - English
  • DE 1858/S - Spanish
  • DE 2515D - English (Digital)
  • DE 2515/A - Armenian
  • DE 2515/CC - Chinese-Cantonese
  • DE 2515/CM - Chinese-Mandarin
  • DE 2515/P - Punjabi
  • DE 2515/S - Spanish
  • DE 2515/T - Tagalog
  • DE 2515/V - Vietnamese
  • DE 2515P
  • DE 2548
  • DE 2565 - English (Digital)
  • DE 2588
  • DE 2589
  • DE 8502 - English
  • SDI Online Tips for Claimants – DE 8515 - English
  • SDI Online Tips for Claimants – DE 8515/S - Spanish
  • SDI Online Tips for Licensed Health Professionals – DE 8516 - English
  • SDI Online Tips for Employers – DE 8518 - English
  • Tips for Completing Disability Insurance Claim Form – DE 2501T - English
  • DE 8521 - English
  • DE 8521/A - Armenian
  • DE 8521/CC - Chinese-Cantonese
  • DE 8521/CM - Chinese-Mandarin
  • DE 8521/K - Korean
  • DE 8521/P - Punjabi
  • DE 8521/T - Tagalog
  • DE 8521/V - Vietnamese
  • Disability Insurance Program – DE 8714C - English
  • Disability Insurance Program – DE 8714C/A - Armenian
  • Disability Insurance Program – DE 8714C/CC - Chinese-Cantonese
  • Disability Insurance Program – DE 8714C/CM - Chinese-Mandarin
  • Disability Insurance Program – DE 8714C/P - Punjabi
  • Disability Insurance Program – DE 8714C/S - Spanish
  • Disability Insurance Program – DE 8714C/T - Tagalog
  • Disability Insurance Program – DE 8714C/V - Vietnamese
  • Disability Insurance Elective Coverage Program – DE 8714CC - English
  • State Disability Insurance (SDI) Online – DE 8714DI - English
  • State Disability Insurance (SDI) Online – DE 8714DI/S - Spanish
  • DE 8717D - English
  • DE 8717D/S - Spanish
  • DE 8717DI