Disability - How to Apply for Disability Insurance Elective Coverage

To see if you qualify to elect DIEC, read the Information Sheet: Elective Coverage for Employers and Self-Employed Individuals (DE 231EC) prior to filling out the application.

If you have questions regarding your eligibility and would like to speak with a DIEC Customer Service Representative, call 1-916-654-6288, or the toll-free Taxpayer Assistance Center at 1-888-745-3886, or TTY users dial the California Relay Service at 711.

Offices are open between the hours of 8 a.m. and 5 p.m., Monday through Friday excluding holidays.

If you would like an application, you can download or order it through the Online Forms and Publications page or call 1-916-554-7104.

If you are covered by DIEC and need information about options to file a Disability Insurance or Paid Family Leave claim, visit Options to File for DI Benefits or Options to File for PFL Benefits.