Light duty restrictions after surgery - continue current SDI claim or file new one?
Just had a follow-up with my doctor 3 weeks after my back surgery. He cleared me for 'light duty' work starting tomorrow, but my job involves heavy lifting in a warehouse so my employer can't accommodate these restrictions. I'm confused about what to do with my SDI claim now. Do I just continue certifying on my existing claim? I remember reading something about needing a supplemental certification from my doctor if my status changes. Will I need to submit new medical documentation? Or do I need to file an entirely new claim since my status changed from 'totally disabled' to 'light duty'? Don't want to mess this up and lose benefits when I still can't return to my actual job.
16 comments
Ezra Beard
You don't need to file a new claim! Your current SDI claim remains valid because your employer can't accommodate the work restrictions. When you certify, you'll need to indicate your work status has changed to 'modified duty not available' and then your doctor will need to submit a supplemental certification (DE 2525XX form) confirming the work restrictions. This happens a lot after surgeries when people transition from total disability to partial.
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Tobias Lancaster
•Thanks for clarifying! How exactly does my doctor submit that supplemental form? Does EDD send it automatically when I certify, or do I need to download it and bring it to him?
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Statiia Aarssizan
this happened to me last year with my knee surgery!! such a pain dealing with all this paperwork. my doc had to fill out ANOTHER form saying i could do desk work but my construction job didnt have any light duty. had to get the form from the EDD website i think. still got my payments tho so youll be fine
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Tobias Lancaster
•Oh that's reassuring! Did you have any delay in your payments while waiting for that supplemental form to process?
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Reginald Blackwell
To clarify what others are saying, you need a Supplemental Certificate (DE 2525XX) from your doctor. When you certify for benefits and indicate your status changed to "able to work with restrictions" but your employer can't accommodate, EDD will request this form. You can also be proactive by telling your doctor's office they need to complete this form - it's available on the EDD website, or sometimes the doctor's office already has these forms. This is called "Partial Recovery" in EDD terms, and benefits continue as long as: 1. Your restrictions prevent you from performing your regular work 2. Your employer cannot accommodate those restrictions 3. Your doctor certifies these conditions The key is having medical documentation that clearly states your work limitations.
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Aria Khan
•EXACTLY!!! And make SURE your doctor specifically writes that you CAN'T perform your USUAL job duties in the restrictions section!!! My doctor just wrote "light duty" without explaining that I couldn't do my normal job and I had to get him to redo the whole form when my payments stopped!!! The EDD is SO PICKY about the exact wording!!!
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Everett Tutum
I went through something similar with my shoulder surgery. Just keep certifying like normal but check "yes" when it asks if you're able to return to work with restrictions. There's a follow-up question about whether your employer can accommodate those restrictions - you'll mark "no" there. EDD will then automatically request the supplemental form from your doctor.
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Sunny Wang
I recently had to call EDD about a similar situation with my knee surgery recovery. I spent TWO DAYS trying to get through on their phone lines before giving up. Then someone recommended Claimyr (claimyr.com) which got me connected to an EDD rep in about 20 minutes - totally worth it when you need answers fast. There's a video demo here if you want to see how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd Anyway, the EDD rep confirmed what others said - you stay on the same claim, but your doctor needs to submit that supplemental form stating you have work restrictions and your employer can't accommodate them.
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Tobias Lancaster
•Thanks for the tip! I might need that service if my payments get delayed. Did the EDD rep give you any timeline for how long it typically takes to process the supplemental certification once it's submitted?
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Sunny Wang
•The rep told me it usually takes 7-10 days to process the supplemental form, but it can take longer if they're backed up. Definitely worth calling to check status if you don't see an update after two weeks.
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Statiia Aarssizan
wait isnt SDI different from workers comp? are u sure ur on the right claim?? cuz back injuries are usually workers comp
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Tobias Lancaster
•It wasn't a work injury - I have degenerative disc disease that finally required surgery. So definitely SDI, not workers comp.
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Statiia Aarssizan
•oh ok my bad. just wanted to make sure u were in the right system!
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Ezra Beard
Quick update on the form process - when you certify, answer truthfully about your work status change. The system will automatically generate a request for the supplemental form that will be sent to both you and your doctor. Your doctor's office can submit it electronically through SDI Online if they're registered, or they can fill out the paper form. Just make sure they complete it within 20 days of the request date to avoid payment delays.
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Tobias Lancaster
•That's really helpful, thanks! I'll certify this weekend and then give my doctor's office a heads-up to watch for the form. I appreciate everyone's advice!
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Hugh Intensity
I'm in a similar situation with my pregnancy disability - started with complete bed rest but now doctor says I can do limited activities but not my nursing job. My payments continue without issues as long as my doctor completes the supplemental forms every time there's a change in restrictions. Just make sure your doctor is specific about WHY you can't do your regular job with the current restrictions. Documentation is everything with EDD!
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