Fillable Printable Sdi Online Tips For Claimants (De 8515)
Fillable Printable Sdi Online Tips For Claimants (De 8515)
Sdi Online Tips For Claimants (De 8515)
SDI Online Tips for Claimants
The following information will assist you in creating a State Disability Insurance (SDI) Online account, and fi ling
your Disability Insurance (DI) or Paid Family Leave (PFL) claim through SDI Online.
Getting Started
To create an SDI Online account, you will need:
• Legal name.
• Valid e-mail address.
• Date of birth.
• Social Security number.
• California Driver License or California Identifi cation Card number.
• Physical and mailing address.
• Valid phone number.
Using SDI Online
To fi le a DI or PFL claim through SDI Online, you will need:
• Your most current employer’s business name, telephone number,
and mailing address as stated on your W2 form and/or paycheck
stub.
• The last date you worked your regular or customary duties and
hours.
• The date you began working less than full duty or modifi ed duty.
• Wages you received or expect to receive from your employer,
sick leave, paid time off (PTO), vacation pay, annual leave, and
wages earned after you stopped working.
• Workers’ Compensation claim information, if applicable.
• The name, address, and telephone number, if any, of the
alcoholic recovery home or drug-treatment facility where you
are currently receiving in-patient treatment.
Additional information needed
to fi le a PFL Bonding claim
through SDI Online:
• The child’s date of birth,
name, gender, residence
address of the child, and
Social Security number
(if available).
• Your relationship to the child.
• The date of foster care or
adoption placement,
if applicable.
• Proof of relationship with one
of the following information:
- Child’s birth certifi cate.
- Child’s hospital birth
certifi cate.
- Declaration of Paternity,
CS-909.
- Foster Care Placement
Record, SOC-815, or
offi cial letter from foster
care agency.
- Adoptive Placement
Agreement, AD-907.
- Independent Adoption
Placement Agreement,
AD-924.
- Or other evidence of
relationship.
You are responsible for obtaining a Physician/Practitioner Certifi cation for your disability. Your claim will be
returned if the Physician/Practitioner Certifi cation is not received within 30 days. Provide the receipt number to
your physician/practitioner after you have fi led.
Please note that your employer will be notifi ed that you have submitted a DI or PFL claim. However, your detailed
claim information is confi dential and will not be shared with your employer.
DE 8515 Rev. 3 (10-13) (INTERNET) Page 1 of 1 CU
