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 The California State Disability Insurance Program replacement benefits for up to 52 weeks per claim • Submit an online Fraud Reporting Form at www.edd.ca.gov
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 Continued on next page. links to claim processing and form are: www.edd.ca.gov/Disability/Disability_Insurance.htm. 7 If AC receives claim form, 
 Continued on next page. links to claim processing and form are: www.edd.ca.gov/Disability/Disability_Insurance.htm. 7 If AC receives claim form, 
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