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EDD disqualified my SDI claim because of documents I just mailed - what can I do now?

I'm so frustrated with EDD right now! I filed my SDI claim for my chronic back condition and saw it was in "pending 7 day waiting period" status. After 9 days, it still showed pending so I called EDD on May 14th and 15th. The first rep told me I needed to mail additional medical documentation that wasn't included with my doctor's certification. I called back to see if I could just upload these docs to my SDI Online account instead of mailing them, and was told no, I HAD to mail them. So I sent everything via priority mail on the 15th, but NEITHER rep mentioned there was any urgent deadline! I checked my claim status today (May 16th) and it suddenly shows DISQUALIFIED for "insufficient medical documentation" - the exact docs I just mailed yesterday! Now EDD is saying I need to go through a formal appeal process that could take months, and I'm completely out of savings after being off work for 3 weeks. Is there ANY faster way to resolve this than the appeal process? Can I call and explain that I literally just mailed the docs they asked for? Has anyone successfully gotten a disqualification reversed quickly? I can't wait months with no income while recovering from this back injury.

OMG this EXACT same thing happened to me in February!! I mailed my additional docs and they still disqualified me. The EDD system is BROKEN. When I appealed, they took 11 weeks to review it, and I had to borrow money from family just to pay rent. Their deadline policies are ridiculous - they don't clearly tell you when things are due until it's too late!!

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11 WEEKS?? I can't survive that long without income. Did you try calling them to explain the situation before going through the whole appeal process?

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try calling agian. sometimes u get a nice rep who can fix stuff like this. i had similar thing with my pregnancy disability claim but they fixed it when i called and explained.

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I've been trying to call back but keep getting the message that they're experiencing high call volume and to try again later. It's impossible to get through!

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You have three options here: 1. File a formal appeal using the DE 1000M form - this is the official route but as you noted, it can take months. 2. Keep calling the main SDI number at 1-800-480-3287 daily until you reach someone with authority to review your case. Be polite but persistent, and ask to speak with a supervisor or claim specialist who can review your disqualification. Explain that you mailed the documents before you were notified of disqualification. 3. Contact your state assembly member or senator's office. Their constituent services staff can often intervene in EDD cases and get much faster results than individuals can. This is actually very effective in California. One important note: When you mail documents to EDD, it can take 7-10 business days for them to process and scan them into their system. Your documents probably haven't even been opened yet, which is why the disqualification happened.

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Thank you for these detailed options! I didn't know about contacting my assembly member - that's a great idea. Do you think I should still file the appeal while trying these other approaches, just to get that process started in case nothing else works?

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I would recommend filing the appeal right away while also pursuing other options. This protects your rights in case other approaches don't work. The appeal form (DE 1000M) is available on the EDD website, and you should include copies of any proof that you mailed the documents when requested. For the fastest resolution, though, speaking directly with an EDD representative is your best bet. Many people have success using a service called Claimyr (claimyr.com) that helps you get through to EDD representatives much faster. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd I was skeptical at first, but it saved me hours of redial attempts when I had an issue with my PFL claim last month. The rep I reached was able to resolve my issue immediately instead of waiting for the appeal process.

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I used that Claimyr thing too and it actually worked. Got through to someone in like 25 minutes instead of trying for days. The lady who answered was able to put notes in my file that I had submitted everything they needed.

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Wait I'm confused because I thought SDI doesn't have a 7 day waiting period anymore since the pandemic? Or did they bring that back? When I filed for disability last year there wasn't any waiting period...

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The SDI waiting period was temporarily suspended during part of the pandemic, but it was reinstated. Since 2023, all SDI claims once again have the standard 7-day unpaid waiting period at the beginning of the claim. This is different from the Paid Family Leave program, which doesn't have a waiting period.

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Just wondering - what exactly were the additional docs they wanted? My doctor just completed my disability certification and I want to make sure I don't run into the same issue!

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They said they needed more detailed notes from my doctor about why my back condition prevents me from doing my specific job duties. Apparently the info on the standard certification form wasn't detailed enough. Make sure your doctor is SUPER specific about why you can't do your job!

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Have you checked your EDD SDI Online account messages? Sometimes they send notifications there about what's missing but don't call you. I'd also try faxing the documents if you can - it's faster than mail and there's a timestamp. I had to send additional medical evidence twice for my claim.

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I checked all my messages and there was nothing there about needing additional documentation! That's what's so frustrating - if they had just sent me a message or called, I would have taken care of it immediately. I'll ask if I can fax the documents too, good idea.

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UPDATE: I finally got through to EDD this morning after trying for hours yesterday! The rep said they can see that my documents arrived but they're still in the processing queue. She put notes on my account about the timeline and said a claim specialist would review everything within 5-7 business days. She recommended I still submit the appeal form as backup but said there's a good chance the disqualification will be reversed once they process my documents. I'm cautiously optimistic but still worried about how long this might take.

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That's actually good news! Getting notes added to your account is huge. Definitely still file that appeal though just to be safe. The system is so broken that you need backup plans for your backup plans 🙄

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I'm dealing with something similar but with my pregnancy disability claim! It's so stressful thinking about having no income right when you need it most. Did they tell you how long the review would take after they process your documents? I've been waiting two weeks already...

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For pregnancy disability claims, the review timeframe should be expedited. If it's been more than two weeks since you submitted your documentation, I'd recommend calling EDD directly. You can also request prioritization due to financial hardship if this delay is causing you significant financial stress.

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