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Claim for Paid Family Leave (PFL) Benefits (DE 2501F) - English: You must submit an original form provided by the EDD. This form cannot be downloaded or reproduced. To submit the DE 2501F electronically, visit How to File a Paid Family Leave Claim in SDI Online .
- Claim by Mail
New mothers transitioning from a DI-related pregnancy claim...
- Disability Insurance
To order this form to submit by mail: Visit Online Forms and...
- Forms and Publications
The documents on this webpage are PDFs. To complete forms,...
- Family Care Leave
A bonding claim is complete when parts A, B, C, and proof of...
- منابع EDD به فارسی
در زیر فهرستی از فرمها، بروشورها و سایر منابع مهم edd را که...
- Punjabi
ਨੋਟ: ਜੇਕਰ ਤੁਸੀਂ edd ਤੋਂ ਇੱਕ ਫ਼ੋਨ ਕਾਲ ਪ੍ਰਾਪਤ ਕਰ ਰਹੇ ਹੋ, ਤਾਂ...
- Armenian
English. Մենք ձգտում ենք տրամադրել կենսական տեղեկատվություն...
- Arabic
نحن ملتزمون بتوفير معلومات أساسية لمن يبحث عن معلومات وخدمات...
- Claim by Mail
Complete the Claim for Paid Family Leave (PFL) Benefits (DE 2501F) using SDI Online (edd.ca.gov/SDI_ Online) or by mail. You can order claim forms by visiting EDD Forms and Publications (forms.edd.ca.gov/Forms) Note: Citizenship and immigration status do not affect eligibility.
On your confirmation screen you will find a link to a PDF copy of the Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC) form. Print this PDF and have it filled out entirely and signed by all parties.
You will be paid if your employer pays employees on temporary disability, if you use accrued paid time off (such as vacation time), or if you apply to the California Employment Development Department (EDD) for State Disability Insurance (SDI) and qualify.
Whether it’s a working parent bonding with a newborn or an employee caring for a seriously ill child, parent, parent-in-law, grandparent, grandchild, sibling, spouse, or registered domestic partner. California’s Paid Family Leave (PFL) was created for these times.
The documents on this webpage are PDFs. To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader. Visit Accessibility if you need reasonable accommodation or an alternative format to access information on our website.
begin your bonding claim or you may submit it using SDI Online. • If you do not receive this form, call DI at 1-800-480-3287 or PFL at 1-877-238-4373.