SDI Claim Form

This form is for San Luis Obispo County residents who do not have a medical provider and have been directed by Public Health to Isolate.  Once you have submitted Form DE2501 to the EDD, you will receive your claimant's statement.  Complete and submit this form to request an official SDI statement from the Public Health Department.

Depending on your situation, you may be eligible for unemployment benefits rather than SDI. You may be eligible for unemployment if:

  • Your hours are reduced due to the quarantine or caring for a family member.
  • You were separated from your employer during the quarantine or because you were caring for a family member.
  • You are under a quarantine required by your healthcare provider or a state or local health officer.

If you meet any of the unemployment criteria, received a Quarantine Letter, a Household contact, or Close Contact letter please file an unemployment claim with the CA EDD UI assistance program.

If you require medical provider authorization with your SDI claim, please first file a disability insurance claim via the State's EDD website and submit your DE2501 below: https://edd.ca.gov/Disability/How_to_File_a_DI_Claim_in_SDI_Online.htm

SDI Claim Form
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