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New EDD SDI claim needed for same arm re-injury after returning to work?

I'm in a really stressful situation with my husband's disability claim and could use some advice! My husband was on SDI for about 3 months due to a work-related accident that injured his right arm. His doctor cleared him to return to work last week, and he officially went back on Monday. The problem is that just THREE DAYS after returning, he slipped and re-injured the SAME arm but in a different way (at home, not at work). We just got back from the orthopedist and they're saying he needs surgery and will be off work for another 3-4 months! I have no idea how to handle this with EDD and have a couple urgent questions: 1. Since his first disability claim was for a work injury and this new injury happened at home (different cause but same body part), does he need to file a completely new SDI claim? Or is there some kind of extension process? 2. Will EDD be suspicious or deny his claim since he's filing for the same arm so soon after his previous claim ended? It looks weird but it's honestly just terrible luck. We're panicking about finances since we just got back to normal with his return to work, and now we're facing another 3+ months with no income. Has anyone dealt with something similar? What's the right way to handle this?

Based on your additional information about the workers' comp situation, here's what I recommend: 1. File the new SDI claim immediately - don't wait. Your husband is eligible from the date the doctor certifies he's disabled again. 2. Make sure the doctor clearly documents this as a NEW injury event with a NEW diagnosis, even if it's the same body part. 3. On the application, there's no need to explain the complex situation with the previous workers' comp dispute - that will just confuse matters. 4. Be prepared that EDD may take longer than the standard 14 days to process this claim due to the unusual circumstances. 5. If your claim gets stuck in processing (which happens often with complicated cases), you'll need to be persistent about following up. The key is having the doctor be very explicit that this is a new disabling condition with a specific date of injury after returning to work. The medical documentation will make or break this claim.

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Thank you so much for this detailed advice. We have an appointment with his orthopedist tomorrow to get all the paperwork started, and I'll make sure to emphasize how important it is to clearly document this as a completely new injury. Fingers crossed it all goes smoothly!

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I'm so sorry you're dealing with this stressful situation! I went through something similar about 6 months ago with my wife. She had been on SDI for a knee injury, returned to work for about 2 weeks, then had a completely unrelated car accident that injured her back. Here's what I learned from our experience: definitely file a new claim as others have mentioned, but also be prepared for potential delays. EDD's system automatically flags cases where someone files multiple claims in a short timeframe, which can add 2-3 weeks to processing time. One thing that really helped us was having the doctor include a brief statement in the medical certification explicitly saying something like "This is a new injury unrelated to patient's previous disability claim." Our doctor initially just filled out the standard form, but when we asked him to add that clarification, it seemed to help the claim move through faster. Also, make sure you apply online if possible - it's generally faster than mailing paper forms. You can do it through EDD's SDI Online portal. Best of luck with everything!

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How to extend my EDD SDI claim that ends October 2025? No paperwork received yet

My disability benefits are scheduled to end on October 5, 2025, and I'm nowhere near ready to return to work. My doctor said she's willing to extend my claim, but I have no idea what the process is for this. Do I need to submit new paperwork? Will EDD automatically send me something in the mail? I haven't received any notifications about extension options yet. My anxiety is through the roof about losing benefits when I still can't work. Has anyone gone through the extension process recently? I'm especially confused because my medical provider seems to think it's a simple process but couldn't give me specific instructions for EDD. Do I need to call them directly? Those phone lines are impossible!

So glad you got it sorted out! Definitely check your SDI Online account after they submit it - that's the easiest way to confirm everything went through properly. The system should show the updated end date once they process the extension.

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Will do! It's such a relief to have a clear plan now. I'll update here if I run into any issues with the extension.

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Just wanted to add one more tip that helped me - when your doctor submits the extension, make sure they include a clear medical justification for why you still can't return to work. EDD sometimes requests additional documentation if the extension reason isn't detailed enough. My doctor learned this the hard way on my first extension attempt and had to resubmit with more specific medical details. Also, keep copies of everything for your records! You never know when you might need to reference the paperwork later.

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EDD SDI payment delays since September - no updates showing as 'final payment'

I've been on disability since July due to back surgery complications and my last SDI payment was dated 9/27. It's been almost 3 weeks now with nothing showing up in my account. My benefit statement doesn't say anywhere that it was my final payment, and my doctor certified me through November 15th. I've been calling EDD non-stop for the past 3 days (must've called 50+ times) but either get disconnected or hear that they're experiencing 'high call volume.' Has anyone else experienced unexpected delays in their SDI payments recently? My rent is due in a week and I'm seriously starting to panic. Should I be submitting some form I don't know about?

One more thing to check - log into your SDI Online account and look at your claim summary page. See if your claim status has changed from "Active" to something else. Sometimes it will say "Additional Information Required" or "Pending Review" which gives you a clue about what's happening. In my case, the status had changed but they never notified me about it.

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Just checked again and my claim still shows as "Active" with no indication of any issues. I noticed something though - under the certification history, my doctor's most recent form shows as "Received" but not "Processed" like all the previous ones. Maybe that's related to the delay?

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Yes! That's exactly what happened with mine. The certification status being stuck on "Received" but not "Processed" usually means it's in a review queue. At least now you know where the holdup is. Still frustrating that they don't communicate this clearly!

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I'm dealing with something similar right now! My SDI payments stopped suddenly in early October after 2 months of regular payments. Like you, my doctor certified me well beyond when the payments stopped, and my claim status still shows "Active" online. I've been trying the early morning calling strategy mentioned by @Ava Thompson - got through once after 45 minutes of calling at 8:02 AM, but the rep just said there was a "processing delay" with no timeline. It's so stressful when you're already dealing with health issues and then have to worry about basic expenses. I'm going to try calling my doctor's office today to see if EDD requested any additional paperwork from them. Fingers crossed we both get this resolved soon!

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EDD payment sent but not in account - what to do?

Hey everyone, I'm in a bit of a pickle here. I got a notice saying my unemployment payment was sent, but it's not showing up in my account. It's been a couple of days now and I'm starting to worry. Has anyone else dealt with this? What should I do? I tried calling but can't get through to a real person. Any advice would be really appreciated!

idk if this helps, but I had a similar issue and it turned out there was a flag on my account for potential fraud. Had to verify my identity again. Might be worth asking about that when you finally get through to someone.

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Oh man, I hope that's not the case for me. How long did it take to resolve the fraud flag?

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It took about 3 weeks total. But once I got someone on the phone, they cleared it up pretty quick. Hang in there!

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This is so frustrating! I'm going through the exact same thing right now - got the notification that payment was issued 5 days ago but nothing in my account. I've been calling nonstop but just get that automated message saying call volume is too high. Has anyone had success getting through early in the morning? I'm thinking of trying to call right when they open at 8am. Really hoping this gets sorted out soon because rent is due! ๐Ÿ˜ฐ

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EDD SDI denied my claim after address verification was delivered one day late - help!

I'm in a nightmare situation with my disability claim! I received an address verification letter from EDD on January 5, 2025 (dated December 29, 2024) requesting a copy of my driver's license by January 7. I sent everything via USPS Priority Mail on January 6, but tracking shows it wasn't delivered until January 8. Today I received a denial letter dated January 7 saying my claim was denied because I "failed to provide requested information." I'm freaking out because they literally sent the denial letter BEFORE my verification documents were delivered! Has anyone dealt with this timing issue before? I'm planning to visit the SDI office in Sacramento tomorrow before filing an appeal because I don't want to make any mistakes that could jeopardize my benefits. My doctor says I'll be off work for at least 3 more months and I desperately need this income. Any advice on what to say at the office or how to handle the appeal?

One more piece of advice - when you file your appeal (even if you're also trying the informal reconsideration route), make sure to request continued benefits pending the appeal decision. There's a specific checkbox for this on the appeal form. This is called "aid paid pending" and means you might be able to receive benefits while waiting for the appeal decision. Not everyone qualifies, but it's worth requesting.

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Oh wow, I had no idea this was even an option! That would be incredibly helpful. I'll definitely check that box if I need to file the appeal. Thank you!

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I'm so sorry you're dealing with this - the EDD system can be incredibly frustrating! I went through something similar last year where they denied my claim due to a "missed deadline" that was literally impossible to meet given their mail processing times. One thing that really helped me was bringing a printed copy of the USPS tracking information showing the date you sent it versus when it was delivered. Make sure to highlight those dates so it's crystal clear to whoever reviews your case. Also, when you're at the office tomorrow, ask them to check if there are any notes in your file about your case being flagged for the timing issue. Sometimes these cases get automatically flagged in their system and can be resolved more easily than you'd expect. Good luck tomorrow - you've got this! The fact that you responded promptly and have documentation proving it should work in your favor.

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