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October 15, 2019
Organize Today
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Updated: Oct. 15 (16:03)

Local 391's Fall 2019 Newsletter Now Online
Teamsters Local 391
2019 EPMPOA Installation & Service Awards Banquet and Dance
El Paso Municipal Police Officers' Association
Mack Trucks on Strike
Teamsters Local 776
AT&T Mobility Grace Street 2020 Benefit Enrollment
International Brotherhood of Electrical Workers, Local Union 21
Blog: Southwest is Using A Federal Safety Hotline Against Its Own Technicians
Teamsters Local 179
State Disability Forms
Updated On: Jun 29, 2012

The California State Disability Forms have been uploaded for your convenience. You may download the forms by either clicking on the links in the table below or by clicking on the link at the bottom of the page.

How to Apply

Disability Insurance (DI) provides services primarily by telephone, by mail, and in person. You do not need to apply in person to receive benefits. The online version of the DE 2501 may be filled-in and printed. To order claim forms, use the Request A Claim Form for State Disability Insurance Benefits or call 1-800-480-3287 or 1-866-658-8846 (En Español).

Instructions on How to Complete and File a Disability Insurance Claim:
General Instructions Additional Instructions
1. Carefully decide the date you want your claim to begin as this will determine your weekly benefit amount. Disability Insurance Claim Form
2. Complete ALL items on the “Claim Statement of Employee“ and sign it. Make certain that all information is complete and accurate since errors or omissions may cause your claim to be returned and may delay payment. Disability Insurance Claim Form

Instructions on Completing the Online Claim for SDI Benefits, DE 2501

Instructions on Printing and Completing the Disability Claim Form for SDI Benefits, DE 2501 – Manually
3. Doctor’s Certification: Ask your doctor to complete and sign the “Doctor’s Certificate” (page 3)

The following licensed health care providers are authorized to sign the Doctor’s Certificate portion of the DE 2501, for patients under their care and for conditions within their scope of practice:
  • Physician and Surgeon holding a M.D. or D.O. degree
  • Chiropractor
  • Dentist
  • Optometrist
  • Podiatrist
  • Psychologist
  • Nurse midwife or licensed midwife (For normal pregnancy and childbirth only)
  • Nurse Practitioner (For all conditions within scope of practice. In order to certify disabilities other than normal pregnancy and childbirth, the nurse practitioner must perform a physical examination and collaborate with a physician and/or surgeon.)
Other individuals who can certify to a disability include:
  • Accredited religious practitioner
  • Registrar of a county hospital in California
  • Medical officer of a United States government medical facility
  • State or local health officer
Note: If a nurse practitioner is certifying a Claim for Disability Benefits for a disability other than a normal pregnancy or childbirth, he/she must complete, print and sign the “Nurse Practitioner Certification for Disability Insurance Benefits, DE 2509A” and attach it to the Claim for Disability Benefits, DE 2501.
Disability Insurance Claim Form

Nurse Practitioner Certification For Disability Insurance Benefits, DE 2509A
4. Cannot Complete Form: If you cannot complete the claim form because of your disability, or if you are an authorized agent filing for benefits on behalf of a physically incapacitated, mentally incapacitated, or deceased claimant, you will need to request the appropriate form(s) for your situation. Call 1-800-480-3287 for further instructions.
5. Religious Practitioner: If you are under the care of an accredited religious practitioner, you must include with your claim form a “Practitioner's Certificate, “DE 2502. Ask your practitioner to complete and sign it. (Rubber stamped signature facsimiles are not accepted.) Call 1-800-480-3287 to get a Practitioner's Certificate, “DE 2502”
6. Temporary Workers’ Compensation: If you are receiving temporary Workers' Compensation benefits and are filing for reduced DI benefits for the same days, the Doctor's Certificate is not required. None
7. Mail your claim to the DI office nearest to your residence no earlier than 9 days--but no later than 49 days--after the first day you became disabled. Mail your completed, signed “Claim Statement of Employee” together with the completed, signed “Doctor's Certificate“ and any other supporting documents.

DI Office Locations

Closest Location to Bakersfield, CA:

Employment Development Department
P.O. Box 32
Fresno, CA 93707-0032

NOTE: The United States Postal Service (USPS) will not deliver mail to a private mail box (i.e., a mail box rented to you by a non-USPS commercial enterprise) unless it is preceded by the initials “PMB.”


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  Current Campaigns  
  • This Web page provides the latest updates for the national contract, riders and supplements that cover about 3,500 Teamsters at DHL Express.

  • We Are eXPOsing XPO’s Global Greed

    XPO Logistics is a top ten global logistics and transportation company with annual revenue of $15 billion and 89,000 employees, another 10,000 workers classified as independent contractors, and thousands more working for firms that subcontract with XPO. We are the REAL workers at XPO Logistics worldwide exposing the truth about the company’s global greed, illegal wage theft, unsafe conditions, and abhorrent and vicious anti-worker, anti-union tactics. 

    This greed includes mistreating former Con-way Freight workers in the United States who are being kept in the dark about terminal closures and layoffs, and the company’s illegal refusal to bargain contracts and denying their workers’ federally protected right to organize. It also includes port, rail and last-mile drivers around the country and in Southern California fighting wage theft in excess of $200 million because they are misclassified as independent contractors and denied the right to form their union. This greed has caused numerous lawsuits and strikes.  Greed also means an unsafe workplace and mistreating its warehouse employees.

    XPO’s greed extends to Europe beginning with breaking its promise to not layoff any workers for at least 18 months. French workers and the unions have been fighting back against XPO’s disrespect, lies and attempts to slash jobs. Similar struggles are taking place in Great Britain, Spain, Belgium, the Netherlands, and across Europe.

    Join the worldwide struggle now! Get involved with this campaign by joining the Facebook group “XPO Exposed.”

    Together, we can eXPOse the company’s global greed and win fairness, respect and dignity for tens of thousands of XPO employees around the world!

  • This page provides the latest contract information to the 7,500 Teamsters—drivers, dockworkers and office staff—employed by ABF Freight System, Inc.

  • Workers’ pensions are being endangered by both Congress and those charged with overseeing them. The Teamsters and our members are standing united to say “No!” to cuts and “Yes!” to greater retirement security!

  • The ‘Let’s Get America Working!’ campaign seeks to restore a dynamic and prosperous middle class to drive economic growth by helping to advance policy decisions that create and maintain good middle-income jobs, guarantee retirement security, expand access to the American Dream, and ensure that the benefits of the ongoing economic recovery are felt by the many, not just the few.

  • This webpage provides information on the Teamsters Union’s legislative advocacy at both the federal and state level as well as our field activity to support those policy positions and to get strong labor candidates elected to office.  Among other resources, you will find our federal legislative scorecard, formal statements of policy position and communications to Capitol Hill,  a weekly update on federal legislative happenings, an overview of bills we are tracking at the state level, and quick links to take action on priority issues.

  • This web page provides information on the ongoing effort to renegotiate the North American Free Trade Agreement (NAFTA). Since 1994, NAFTA has devastated working families, putting corporate profits ahead of people.  What’s worse is that NAFTA has become the blueprint for all other trade agreements, from the way that it was negotiated in secret, to the bad provisions that have made their way into every agreement that has been signed since then.  Now, NAFTA is being renegotiated and we demand that it be reframed to work for workers instead of corporate interests.

  • The Teamsters have stood in solidarity with worker struggles in other countries since our founding. With economic globalization, our ability to organize increasingly depends on our ability to build alliances with workers on a global scale.
    More than ever, Teamsters are organizing and bargaining with multi-national companies. A key objective of our Global Strategies Campaign is to build strong alliances with unions around the globe who organize and bargain with common employers. Our focus is on workers in the emerging global supply chains – the infrastructure of globalization.
    Globalization creates new opportunities for international worker solidarity. We seek common cause with workers around the world to build social justice for all workers and the communities in which they live.

  • The contributions of black members to the success of the Teamsters Union are numerous, varied and as old as the union itself. This month, the Teamsters Union spotlights some of those contributions.

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