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Omar Farouk

If I get injured outside of work can I get unemployment in California?

So I threw out my back pretty badly last weekend moving furniture at my apartment and now I literally cannot sit at a desk or stand for more than 20 minutes without being in serious pain. My doctor says I need at least 6-8 weeks of recovery. The problem is my job is 100% office work and my employer won't let me work remotely. HR basically told me there's nothing they can do for me and that I should 'figure it out.' I've been at this company for almost 4 years so I definitely have enough work history. My question is - if I get injured outside of work can I get unemployment or is there something else I should be applying for? I don't want to file for the wrong thing and mess up my chances of getting any benefits at all. Really stressed about this right now because rent is due in 3 weeks.

This is actually a really common question and a lot of people get confused about which benefit applies here. The short answer is that a non-work injury typically does NOT qualify you for California unemployment insurance (UI). Unemployment benefits in California are specifically designed for people who are able and available to work but can't find a job. If your injury is preventing you from working, you technically don't meet the 'able and available' requirement for UI. What you actually want to look into is California State Disability Insurance (SDI). If you've been paying into SDI through your paycheck (which most California employees do - it shows up as CASDI on your pay stub), you can file a disability claim that covers injuries and illnesses that happen off the job. SDI typically pays around 60-70% of your weekly wages up to a maximum amount and can cover you for up to 52 weeks depending on your condition.

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Oh wow I had no idea SDI was even a thing. I always just assumed it was like a retirement thing. So I should NOT file for unemployment at all then?

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Correct - filing for UI when you're medically unable to work would likely result in a disqualification because you'd have to certify that you're able and available for work each week, which wouldn't be true. SDI through the California EDD is the right path. You can file at edd.ca.gov/disability.

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seconding this, SDI saved me when I had surgery two years ago. totally different from UI but same California EDD website basically

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Yeah what the person above said is right but I want to add one thing - make sure your doctor fills out their portion of the SDI claim form (DE 2501) promptly because California EDD requires physician certification and delays in getting that signed can slow down your whole claim. I made the mistake of waiting a week to follow up with my doctor's office and it pushed my first payment back almost a month.

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Do I submit the form online or mail it in? And does my doctor submit their part separately?

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You can file your portion online through SDI Online at edd.ca.gov. Your doctor has to submit their medical certification separately - they can do it online too if they're registered, otherwise they mail it in. The two parts get linked by your claim number.

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this is good info. the doctor part is always the bottleneck in my experience

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Jumping in here because I went through something almost identical about 8 months ago - knee injury from hiking that kept me out of work for 10 weeks. I made the mistake of filing for UI first because I didn't know about SDI and my claim got flagged almost immediately. Had to call California EDD to sort it out and honestly getting through on the phone was a nightmare. After about 2 weeks of failed attempts I found this service called Claimyr at claimyr.com that basically holds your place in the phone queue and calls you when an agent is available. There's a video showing how it works at https://youtu.be/JmuwXR7HA10 - I was skeptical but it actually worked and I got through to an EDD agent the same day to get my UI claim withdrawn and switch to SDI. Would have taken me way longer to sort that mess out without it.

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That's exactly the kind of situation I'm worried about getting into. Did switching from UI to SDI cause any lasting problems with your record or anything?

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No lasting issues at all. The agent I spoke to was actually really helpful once I got through. She said it's a common mix-up and they handle it regularly. Just make sure you don't certify for any UI weeks before you get it sorted because that's where complications can happen.

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claimyr is legit I used it last year. worth it when you absolutely need to talk to someone at California EDD and can't spend 3 hours redialing

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wait so if you accidentally file UI when you should have filed SDI you can actually fix it by calling? I thought once you filed that was it

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To answer the original question directly with a little more detail - under California law there are really three potential benefits for someone in your situation: 1. SDI (State Disability Insurance) - this is almost certainly what you want. Covers non-work injuries/illnesses, funded through your CASDI paycheck deduction 2. UI (Unemployment Insurance) - NOT applicable here because you're not able and available to work 3. Workers' Comp - only if the injury happened AT work or due to work duties, which yours didn't One thing I'd also mention: when you're recovered and ready to return to work, if your employer has replaced your position or refuses to take you back, THEN you might qualify for UI. But that's a separate situation from right now.

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This is incredibly helpful thank you. So worst case scenario if they don't hold my job - I could potentially qualify for UI once I'm physically recovered and ready to work again?

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Exactly right. California has pretty strong protections for employees out on disability leave depending on company size (CFRA applies to employers with 5+ employees). But if the employment does end once you're recovered, you'd file a UI claim at that point showing you're now able and available to work.

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good breakdown. a lot of people dont know the difference between these three and end up filing the wrong thing and losing weeks of payments

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just want to say SAME situation happened to my cousin and she filed UI by mistake. took forever to get straightened out. file SDI first dont even mess with UI

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Did your cousin end up getting everything resolved okay?

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yeah eventually but it took like 6 extra weeks which was really stressful for her. she kept getting notices about her UI claim being denied and couldn't figure out why until someone explained the difference

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One thing nobody has mentioned yet - the SDI waiting period. There's a 7-day non-payable waiting period at the start of your SDI claim before benefits kick in. So your first actual payment will cover week 2 onward. Just something to factor in when you're figuring out your finances. Also the current SDI wage replacement is 60-70% of your weekly wages based on your base period earnings, with a maximum weekly benefit amount that gets updated periodically by California EDD.

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Ugh okay so there's a gap week at the beginning. Does my employer have to pay me for that week or is that just a loss?

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Your employer isn't required to cover it unless you have paid sick leave or PTO you can use. Many people use their accrued sick time to cover that first week. Check your company's leave policy.

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the waiting period is so annoying but at least it's only 1 week. some states make you wait longer i think

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I'm kinda confused reading this thread - so if someone CAN work from home with their injury but their employer just won't let them, does that change anything? Like are they still able and available in that case? Asking because OP mentioned their employer won't allow remote work but I'm wondering if California EDD would see that differently

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Interesting question. If the injury physically prevents work regardless of location, SDI is still the right benefit. But if someone could technically do their job remotely but employer refuses, that gets into more complicated UI territory - possibly a constructive discharge or employer-imposed separation situation. In OP's case though, the doctor says they physically cannot work for 6-8 weeks so SDI is clearly the right fit.

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Ohh okay that makes sense. So the determining factor is really whether the doctor says they're physically unable to work, not whether there's work available to do.

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How long does SDI approval usually take? I had a friend who waited like 2 months to get her first payment and by then she was completely broke

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Processing times vary but California EDD typically says to expect your first SDI payment within 2 weeks of submitting a complete claim - meaning both your portion and your doctor's medical certification are submitted. The delays usually come from incomplete claims or the doctor not submitting their part in time.

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that's actually not as long as I thought. my friend's situation must have been a documentation issue then

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Also worth noting you can check your SDI claim status through SDI Online. Saves you from having to call and wait on hold just to get a status update.

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Update for anyone following: I went to edd.ca.gov and started the SDI online registration. It looks pretty straightforward so far. One question - under 'reason for claim' it lists 'non-work-related illness, injury, or pregnancy' which definitely sounds like my situation. Is that the right one to select?

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Yes that's exactly the right selection for a non-work back injury. You're on the right track.

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Perfect, and make sure you have your doctor appointment scheduled or confirmed before you finish filing because they'll need to provide dates of treatment. If you haven't seen a doctor yet that can delay things.

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Already saw a doctor this week and have the paperwork, just need to get her to submit her portion. Really appreciate everyone's help on this thread.

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Okay real talk tho - what if someone files UI when they're injured because they didn't know about SDI, and they already certified for like 2 weeks. Is that fraud or can they fix it

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It depends on intent. Genuinely not knowing about SDI and filing UI is a mistake, not fraud. Fraud requires knowingly making false statements. That said, you'd want to correct it as quickly as possible by contacting California EDD to explain the situation. If you certified that you were 'able and available to work' while knowing you weren't, that's where it gets complicated. Honest mistakes can usually be resolved by calling EDD.

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okay good to know. asking for a friend lol

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your 'friend' should call EDD asap and explain the mix-up. the sooner the better before it goes to adjudication

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this thread is super helpful. didn't even know SDI existed until just now and i've lived in california my whole life

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Same honestly. The California EDD website doesn't make it super obvious that UI and SDI are completely different programs even though they're both run by EDD.

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right like i just assumed everything under EDD was unemployment. learned something today

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For anyone in this situation who ends up needing to call California EDD to sort out a UI vs SDI mix-up or ask questions about their disability claim - seriously look into Claimyr (claimyr.com). The EDD phone lines are brutal and I wasted days trying to get through before I found it. There's a demo video at https://youtu.be/JmuwXR7HA10 that shows exactly how it works. It connects you to an actual EDD agent without you having to sit on hold yourself.

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seconded. EDD phone system is genuinely one of the most frustrating experiences i've had dealing with any government agency

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Do you have to give them a lot of personal info to use it?

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Nah it's pretty simple to set up, nothing unusual. The point is just to get you connected to an EDD agent so you can handle whatever your specific situation is.

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One more thing worth adding for completeness - if your injury eventually becomes a long-term disability situation, California also has a Disability Insurance Elective Coverage (DIEC) program for self-employed individuals who opt in, and if you exhaust SDI you might look into whether you qualify for Social Security Disability through the federal government. But for most standard employees with a temporary injury like OP's, basic SDI should cover the whole recovery period.

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Hopefully it won't come to that but good to know there are options if recovery takes longer than expected.

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Exactly. Wishing you a speedy recovery. Back injuries can be unpredictable but 6-8 weeks is a pretty typical timeline for what you're describing.

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Random q - does the employer find out when you file SDI? Like does California EDD notify them?

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Your employer isn't directly notified by EDD when you file an SDI claim - SDI is between you and EDD. However, you'd obviously need to inform your employer that you're going to be out on medical leave separately. Most employers require their own leave paperwork regardless of what benefits you're filing for.

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That makes sense. So it's two separate processes - telling your job you need leave, and filing SDI with EDD independently.

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Correct. And if your company has 5+ employees, you may also want to look into CFRA (California Family Rights Act) to protect your job while you're out - that's handled through your HR department, not EDD.

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Has anyone dealt with an SDI claim being denied? Wondering what the appeal process looks like if California EDD decides your injury doesn't qualify

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SDI denials can happen if the medical certification is insufficient or if EDD determines the condition doesn't meet their definition of disability. You have the right to appeal within 30 days of the denial notice. The appeal goes to an Administrative Law Judge hearing - similar to UI appeals. Having thorough medical documentation is key.

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Good to know. Do most SDI denials get overturned on appeal or is it pretty hit or miss?

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I don't have exact statistics but appeals where there's solid medical documentation supporting the disability claim generally have decent outcomes. The initial denial is sometimes just due to incomplete paperwork rather than a genuine eligibility issue.

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WAIT. so this whole time I could have been filing SDI when I had my appendix thing last year and instead I just... didn't work for 3 weeks and lost all that income?? someone should really advertise this program better

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I KNOW. I feel like nobody talks about SDI. It's one of the most useful benefits California has and half the workforce doesn't know it exists.

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going to tell everyone I know about this. genuinely frustrating that it's not more widely known

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The SDI deduction is literally on every California employee's pay stub as CASDI and yet most people have no idea what they're paying into. The state does a terrible job of explaining it.

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OP hope your back gets better soon. back injuries are no joke. my dad was out for almost 4 months with a herniated disc and it was really rough on the whole family financially

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Thank you, really appreciate it. Reading that your dad went through something similar and came out okay is actually reassuring.

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He did eventually get back to work full time. Just took patience. Hope the SDI comes through for you quickly.

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one thing i haven't seen mentioned - make sure you don't do anything that could look like you're physically capable of working while you're on SDI. like posting on social media about playing sports or doing strenuous activities. I've heard of EDD investigating claims and using that kind of thing as evidence

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This is actually a valid point. While EDD doesn't routinely monitor social media, if a claim gets flagged for investigation, they can look at public information. This is more of a concern for longer-term disability claims but worth being mindful of.

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yeah exactly. not saying OP would do anything sketchy just something to be aware of that a lot of people don't think about

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Honestly my back is so messed up right now the last thing I'm doing is anything physical. But noted, I hadn't even thought about that angle.

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So after SDI ends and you're recovered, is the process for filing UI pretty seamless if your employer has let you go by that point? Or do you basically start from scratch with a new claim

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You would file a new UI claim at that point - it's a separate process from SDI. The good news is your SDI period doesn't affect your UI base period earnings calculation, so you wouldn't be penalized for having been on disability. Just make sure when you file UI that you indicate your last day of work and the reason for separation accurately.

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Got it. So SDI and UI don't interfere with each other's eligibility calculations. That's actually really good to know.

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Final tip for this thread - if your SDI claim runs into any issues like verification requests or unexpected holds, don't wait weeks trying to figure it out on your own. Call California EDD directly. And if you can't get through on the regular lines (which honestly is most people's experience), Claimyr at claimyr.com has been the most reliable way I've found to actually reach an EDD agent. Check the demo at https://youtu.be/JmuwXR7HA10 before you spend days redialing and getting busy signals.

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Saving this whole thread. Thank you everyone seriously. Filed my SDI claim today and my doctor said she'd submit her certification by end of week. Fingers crossed.

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Good luck! SDI is generally a pretty smooth process once everything is submitted correctly. You've got this.

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update us when it gets approved!

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