NOTICE TO EMPLOYEES NONINDUSTRIAL DISABILITY INS URANCE • WHEN YOU ARE UNABLE TO WORK BECAUSE OF SICKNESS OR INJURY, YOU MAY BE ELIGIBLE TO RECEIVE NON INDUSTRIAL DISABILITY INSURANCE • NONINDUSTRIAL DISABILITY INSURANCE CLAIM FORMS, DE 8501, MAY BE OBTAINED FROM YOUR LOCAL OFFICE ATTENDANCE CLERK, DEPARTMENT PERSONNEL OFFICE OR EDD DISABILITY INSURANCE FIELD OFFICE • THE "FIRST CLA IM" MUST BE MAl LED NOT LATER THAN THE 20TH DAY AFTER THE FIRST DAY FOR W HICH BENEFITS ARE PAY ABLE IF YOU ARE TO RECEIVE CREDIT FROM THE TIME YOU FIRST BECOME DISABLED· • ALL VOLUNTARY DEDUCTIONS ARE WITHHELD UNLESS CANCELLED BY THE EMPLOYEE • STATE AND FEDERAL TAXES ARE WITHHELD FROM THE BENEFITS • FOR FURTHER INFORMATION CONTACT: NDI EMPLOYMENT DEVELOPMENT DEPARTMENT NONINDUSTRIAL DISABILITY INSURANCE P .0. BOX 13140 SACRAMENTO, CALIFORNIA 95813 EDD LINKING PEOPLE WITH JOBS PHONE: (916) 445 -0546 IT IS YOUR RESPONSIBILITY TO - FILE PROMPTLY. YOU MAY LOSE BENEFITS TO WHICH YOU W OULD OTHERWISE BE ENTITLED IF YOU DELAY FILING OF YOUR CLAIM. DE 8506 (8-78)
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