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Paloma Clark

EDD SDI denied my pregnancy disability claim at 29 weeks - can I appeal or reapply at 36 weeks?

I'm in a complicated situation with my pregnancy disability claim and need advice asap! I'm working as a freelance production assistant in the film industry (currently 33 weeks pregnant) and submitted my SDI claim at 29 weeks. My OB wrote a note saying I couldn't perform my regular duties anymore (16-hour days, carrying equipment, climbing ladders on set) and recommended disability if modified work wasn't available. Just got a denial letter from EDD saying: "Disability Insurance has been disallowed from 6/12/25-12/31/99 because the medical certificate does not establish that you were unable to perform your regular or customary work due to a disability." What makes this tricky: I work on different productions with different payroll companies, but they all pay into SDI. I haven't accepted any jobs since filing because I physically can't do the work safely. I cancelled my unemployment claim when I applied for disability. Is appealing worth the hassle at this point? If I wait until 36 weeks, can I just file a brand new claim (I heard that's when OBs typically approve standard pregnancy disability)? Or should I try getting back on unemployment until then? I'm starting to panic about income before the baby comes...

Heather Tyson

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Your doctor needs to be more clear on the form. Had same issue with my pregnancy claim. They need to specifically state WHY you can't work your job with your condition, not just list restrictions. Appeal it and ask doctor to rewrite the certification with stronger language.

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Paloma Clark

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Thanks! Did you have to get a whole new certification form filled out or did your doctor just need to add more details to the existing one? I'm worried about the timeline since I'm already 33 weeks.

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Raul Neal

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Based on my experience with EDD SDI pregnancy claims, you have two solid options: 1. Appeal with better medical documentation - Your doctor needs to explicitly state that your pregnancy symptoms (be specific - back pain, dizziness, etc.) make you unable to perform your specific job duties. The key is connecting your pregnancy symptoms directly to your job functions. 2. Wait and file at 36 weeks - This is often easier as EDD typically approves pregnancy disability claims automatically at 36 weeks without much pushback. As for unemployment - technically you can't collect UI while unable to work, so that's tricky. If you feel capable of some types of work but not your specific occupation, there's a gray area there. The fastest solution might be getting your doctor to complete a more detailed certification immediately and requesting an expedited appeal given how far along you are.

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Jenna Sloan

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My sister got denied at 30 weeks too but appealed and won!! The trick is the doctor has to be SUPER specific about why your job is dangerous for your pregnancy. Her doctor even included pictures of her workplace to show why it was unsafe lol

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nope ur wasting ur time with appeal process. just wait till 36wks, thats when they automatically approve for pregnancy. then u get 4wks before due date and 6-8wks after. thats what my cousin did when she got denied early.

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Paloma Clark

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Did your cousin have any income between getting denied and the 36 week mark? That's the part I'm most worried about - how to bridge that gap financially...

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Sasha Reese

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I work for an OB office and help patients with their disability forms all the time. The denial you received is common for pregnancy claims before 36 weeks. The problem is that your doctor's note didn't connect specific pregnancy symptoms to your specific job duties in a way that convinced EDD you couldn't work. Here's what I recommend: 1. Contact your doctor immediately and request an updated medical certification that explicitly states: - Your specific pregnancy symptoms (pelvic pain, fatigue, dizziness, etc.) - Why these symptoms make your specific job duties unsafe/impossible - Include measurements like "cannot stand more than X hours" or "cannot lift more than X pounds" 2. File an appeal AND submit a new claim with the updated certification (dual approach) 3. In your appeal letter, include photos or job descriptions of your work to show how physically demanding it is The 36-week rule is a fallback, but with proper documentation, you absolutely can get approved earlier when your job is physically demanding like yours.

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THIS!!!! When I filed for my pregnancy disability the EDD agent told me the magic words the doctor MUST write are "patient CANNOT perform regular or customary work due to pregnancy-related condition of [specific condition]." If they just write restrictions without saying you CANNOT work, EDD denies it!!!

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Noland Curtis

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Just wanted to say I'm going through the EXACT same situation but I'm a warehouse worker! Got denied at 30 weeks even though I literally can't do my job (lifting 50lb boxes all day). Called EDD 46 TIMES and couldn't get through to ask about appealing. I finally used this service called Claimyr (claimyr.com) that got me connected to an actual EDD disability agent in 20 minutes! They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd The agent explained that the doctor needs to use very specific language about why I CANNOT work (not just restrictions). She said filing a new claim with better documentation would be faster than appealing. Good luck!

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Paloma Clark

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Oh thank you! I've been calling for days and just getting disconnected. I'll check out that service because I really need to talk to someone directly about my options.

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Diez Ellis

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THE EDD SYSTEM IS COMPLETELY BROKEN FOR PREGNANT WOMEN!!! I got denied THREE TIMES before 36 weeks even though I had SEVERE sciatica and couldn't even walk!! They don't care about women's health AT ALL!! They just have these arbitrary rules about pregnancy and don't look at individual cases!!! The appeals process takes FOREVER and by the time they review it you'll be at 36 weeks anyway. The whole system is GARBAGE!!! 😡😡😡

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Heather Tyson

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Ugh so true. My friend who works a desk job got approved at 28 weeks for carpal tunnel but I got denied at 32 weeks when I literally climb telephone poles for a living. Make it make sense!!

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Sasha Reese

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Quick update on the unemployment question - technically you cannot collect unemployment while medically unable to work, as UI requires you to certify you're able and available for work. If you go back on UI, you'd be certifying you CAN work, which contradicts your disability claim assertion that you CANNOT work. This could potentially create problems with both benefits systems. However, if you genuinely feel you could perform some types of work (like remote administrative work) but not your specific occupation, you could potentially qualify for UI while seeking suitable alternative employment. Just be completely honest in your certifications.

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Paloma Clark

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That makes sense. I honestly don't think I could do my specific job right now, but I probably could do something less physical. The problem is I don't have experience in other fields, and I'm visibly 33 weeks pregnant so finding a new job now seems impossible.

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Raul Neal

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I just pulled up the exact regulations on this. For pregnancy disability before 36 weeks, EDD requires: 1. Documentation of a pregnancy-related medical condition that prevents you from performing your regular or customary work 2. The condition must be specifically described (not just "pregnancy") - examples include severe nausea, preeclampsia, gestational diabetes with complications, severe back pain, etc. 3. Your doctor must explicitly state you CANNOT perform your regular duties (not just that you have restrictions) At exactly 36 weeks (four weeks before your estimated delivery date), you automatically qualify regardless of complications. I recommend getting an updated certification form completed (DE 2501) with this specific language and filing a new claim rather than just appealing. The new claim processing is often faster than appeals.

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Heather Tyson

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This is 100% correct. My SIL is an EDD disability examiner and says they look for very specific language on the medical certification. They literally have a checklist of phrases they need to see to approve pregnancy claims before 36 weeks.

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GalaxyGazer

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I went through something very similar last year! I'm a stagehand and got denied at 28 weeks even though I literally couldn't safely work with rigging and heavy equipment anymore. Here's what worked for me: Don't wait for the appeal - it takes forever. Instead, go back to your OB IMMEDIATELY and ask them to fill out a brand new DE 2501 form with these exact words: "Patient CANNOT perform regular or customary work due to pregnancy-related complications including [list specific symptoms like pelvic girdle pain, severe fatigue, balance issues, etc.]" The key is your doctor needs to explicitly connect your pregnancy symptoms to why your specific job duties are unsafe/impossible. In my case, my OB wrote that my pregnancy-related dizziness and balance issues made it unsafe for me to work at heights or operate equipment. Then file a completely new claim with the updated medical certification - don't just submit it as part of an appeal. The new claim processing is way faster. Also document everything about your job duties - take photos if possible showing the physical demands. EDD needs to understand that "production assistant" in film isn't just sitting at a desk. You've got this! The system is frustrating but with the right medical language you can absolutely get approved before 36 weeks.

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Carmen Vega

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Thank you so much for sharing your experience! This gives me hope that I can get approved before 36 weeks. I'm definitely going to contact my OB tomorrow and ask for a new DE 2501 form with that specific language. The photos idea is brilliant - I actually have some from recent shoots that show exactly what kind of physical work I do (carrying heavy camera equipment, working on scaffolding, etc.). Did you have to wait long after submitting the new claim with better documentation? I'm hoping to get this sorted quickly since I'm already 33 weeks and starting to stress about the financial gap.

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Lucy Lam

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I'm dealing with a very similar situation right now! I'm 31 weeks and work as a construction site supervisor - got denied last week for the same reason about my medical cert not establishing I couldn't do my regular work. After reading all these responses, I'm convinced the key is getting your doctor to use VERY specific language. I just scheduled an appointment with my OB for tomorrow to get a new DE 2501 form filled out with the exact wording everyone mentioned: "Patient CANNOT perform regular or customary work due to pregnancy-related condition of [specific symptoms]." For your film industry work, I'd emphasize the safety risks - pregnancy affects balance, increases fatigue, and makes you more prone to injury. Your doctor should connect those symptoms directly to why climbing ladders and carrying equipment is unsafe. One thing I learned from calling EDD (finally got through after 2 weeks of trying) is that filing a brand new claim with better documentation is almost always faster than appealing. The appeals process can take 6-8 weeks, but a new claim with proper medical cert usually gets processed in 2-3 weeks. Hang in there - we've got this! The system is frustrating but it sounds like with the right approach you can definitely get approved before having to wait until 36 weeks.

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Tyrone Hill

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Thank you for sharing your situation! It's so helpful to hear from someone going through the exact same thing right now. Construction site supervisor sounds just as physically demanding as film production work - definitely jobs where pregnancy complications create real safety risks. I'm definitely going to follow your plan and get a new DE 2501 form filled out tomorrow with that specific "CANNOT perform" language. The timeline you mentioned (2-3 weeks for new claim vs 6-8 weeks for appeal) is exactly what I needed to know since I'm already 33 weeks and time is running short. Good luck with your OB appointment tomorrow! Let me know how it goes if you don't mind - I'd love to hear if your doctor is receptive to using the stronger language. Fingers crossed we both get this sorted out quickly! 🤞

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Jamal Wilson

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I'm a freelance cinematographer and went through this exact same denial situation at 30 weeks! The problem is that EDD doesn't understand how physically demanding film industry work really is - they see "production assistant" and think it's office work. Here's what finally worked for me: I had my OB fill out a completely new DE 2501 form (don't just amend the old one) with these key phrases: 1. "Patient CANNOT perform regular or customary work due to pregnancy-related conditions including severe lower back pain, pelvic instability, and balance issues" 2. Listed specific job restrictions: "Cannot lift more than 10 lbs, cannot stand for more than 2 hours, cannot work at heights due to balance impairment" 3. Connected symptoms to job safety: "These limitations make patient unable to safely perform duties requiring equipment transport, ladder work, and extended standing required in film production" I also included a detailed job description with photos showing me carrying camera gear, working on scaffolding, etc. to help EDD understand what "production assistant" actually entails. Filed the new claim (not an appeal) and got approved in exactly 18 days! Don't wait until 36 weeks - with proper documentation highlighting the safety risks, you can absolutely get approved now. The key is making EDD understand that your job isn't compatible with pregnancy limitations, not just that you have some restrictions.

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This is incredibly helpful - thank you for sharing your exact experience! I love that you included photos to show what the job actually involves. EDD probably has no clue that "production assistant" means hauling 50lb camera cases and working on scaffolding for 16-hour days. Your approach of getting a completely NEW DE 2501 form (not amending the old one) with those specific phrases is exactly what I'm going to do. The 18-day approval timeline gives me hope that I can get this resolved before my due date. Did your OB have any pushback about using that stronger "CANNOT perform" language, or were they understanding once you explained the EDD requirements?

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Carmen Ortiz

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I'm a freelance camera operator and just went through this exact same situation! Got denied at 28 weeks but successfully got approved on my second try. Here's what I learned: The magic is in the medical language. Your OB needs to write "Patient is UNABLE to perform regular work duties due to pregnancy-related complications" - not just restrictions. For film work specifically, have them mention: - Balance issues from pregnancy make ladder/scaffolding work unsafe - Fatigue and dizziness create safety risks with heavy equipment - Physical limitations (lifting, prolonged standing) are incompatible with 16-hour production days I also created a simple document showing my typical work day with photos - EDD has no clue what film PA work actually involves. Attach it to your new claim (don't appeal, file fresh). Got my approval in 3 weeks vs waiting until 36 weeks. The key is making EDD understand that your pregnancy symptoms make your specific job unsafe, not that you just have some general restrictions. Your timing is tight at 33 weeks but definitely doable! Push your doctor to be very specific about WHY your pregnancy prevents you from doing PA work safely.

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Miguel Castro

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This is exactly what I needed to hear! As someone completely new to navigating EDD disability claims, I had no idea the specific wording was so crucial. Your point about creating a document with photos showing what PA work actually involves is brilliant - you're absolutely right that EDD probably thinks it's just office work when they see "production assistant." I'm definitely going to follow your approach of filing a completely fresh claim rather than appealing, especially since you got approved in just 3 weeks. Did you have any trouble getting your OB to use that stronger "UNABLE to perform" language, or were they pretty understanding once you explained the EDD requirements? I'm hoping my doctor will be cooperative when I explain that the previous wording wasn't specific enough for EDD's standards.

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Amara Okafor

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I'm new to this community but dealing with a very similar situation! I'm 31 weeks pregnant and work as a grip/gaffer in the film industry - just got my SDI claim denied for the exact same reason about my medical cert not establishing I couldn't do my regular work. Reading through all these responses has been so helpful, especially hearing from other film industry folks who've been through this! It's clear the key issue is that EDD doesn't understand what our jobs actually involve - they probably think "production crew" means sitting around holding clipboards instead of the reality of hauling 80lb lighting equipment up stairs for 14-hour days. I'm definitely going to follow the advice here about getting my OB to fill out a completely NEW DE 2501 form with that specific "CANNOT perform regular or customary work" language, and I love the idea of including photos showing what the job actually entails. One question for those who successfully got approved before 36 weeks - did you submit any additional documentation beyond the medical cert and job photos? Like pay stubs showing the different production companies, or anything to prove the physical nature of the work? Thanks for sharing all your experiences - this gives me so much more confidence that I can get this resolved without having to wait until 36 weeks!

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Welcome to the community! As someone who just went through this exact process as a camera operator, I didn't need to submit pay stubs or additional work documentation beyond the medical cert and job photos. The photos showing the physical demands were really the key - I included shots of me carrying heavy equipment, working on scaffolding, and setting up lights in cramped spaces. EDD seemed to get it once they could visually see what the job actually involves. The medical certification with the right "CANNOT perform" language was really what sealed the deal. Your grip/gaffer work is probably even more physically demanding than PA work, so you should have a strong case once your doctor uses the proper wording. Good luck with getting your new DE 2501 form filled out!

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