The number holder is the primary source for verification. If the number holder does
not have verification and unable to obtain proof and provides a signed consent to
SSA to contact the EDD, complete a SSA-1709, attach the signed consent, and mail to:
State of California Employment Development Department
Information Security Office
PO Box 826880, MIC 33
Sacramento, CA 94280-0001
If the NH does not have evidence, advise the NH to obtain verifications by contacting
EDD's toll free hotline at (800) 480-3287 for a printout of the SDI payment record.
The NH can also use the Benefits Program Online portal or submit a request via Copy of Claim
Printout found on the (ask EDD) webpage via the CA EDD website referenced in subsection J.
Note that the EDD only keeps records for 10 years.
We accept the following forms as verification of SDI payments:
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Local EDD SDI abstract (DIS0306, PAYMENT HISTORY INQUIRY, or a DIS0312).
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Form DE2525A (Notice of Exhaustion of Disability Benefits)
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Form DE 2500CKX (Notice of Exhaustion of Disability Benefits or Notice of Final Payment)
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Claims and Payment History Abstract (ABS009.01) provided to SSA under an agreement
with EDD.
NOTE: EDD will usually enclose a standard explanatory form DE 2599 with local abstract
printouts such as the DIS0306. The DE 2599 explains the entries on the abstract.
See DI 52135.030I.2., Exhibit 2 for assistance in interpreting CA SDI documents.
2. Unacceptable verification forms
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DE 507 (Wage and Claim Abstract)
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Disability Insurance Abstract
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