Physicians-Practitioners How to Order a Claim Form Online
Disability Insurance (DI) and Paid Family Leave (PFL) claim forms may be ordered through the Online Forms and Publications page or by calling 1-855-342-3645 (TTY users dial the California Relay Service at 711). Forms are available at no cost to you.
To submit forms online, you must complete a one-time registration to establish an online account. To register, visit the Benefit Programs Online (BPO) login page and select Register to get started creating an account now. You will need to provide a personal email address that is current and is used only by you.
BPO registration is available 24 hours a day, 7 days a week.
After you have registered for and logged in to BPO, select SDI Online which will direct you to the SDI Online Registration Options. Once your registration is complete, log in to BPO and select SDI Online to access your Home page and complete your claim certification.
The Employment Development Department has also developed an online tutorial to help guide you through SDI Online.
- Physician/Practitioner and Physician/Practitioner Representative Tutorial (Printable Version)
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