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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
California Relay Service (711) – Provide the PFL number...
- Disability Insurance
To order this form to submit by mail: Visit Online Forms and...
- Forms and Publications
Online Forms and Publications. The documents on this webpage...
- Family Care Leave
California State University employees appointed half-time or...
- 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
To file a PFL Care claim online, you must complete and submit sections one through five of the SDI Online application, then download and print the Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC) from the link on your confirmation page.
For faster processing, file your claim using SDI Online (edd.ca.gov/disability/sdi_online.htm). If you file online, do NOT mail this form to the Employment Development Department (EDD). Do not complete this form if you are insured by a Voluntary Plan. Ask your employer for the proper forms.
Online Forms and Publications. 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.
authorize my physician or practitioner, as identified on Part D of this claim, to disclose my current personal-health information to my care provider, as identified on Part A of this claim, and to the California Employment Development Department (EDD).
paper form. To request a claim form, visit www.edd.ca.gov/disability. If you are currently receiving DI pregnancy-related benefits, it is not necessary to request a PFL claim form. Claim filing information will be sent through your SDI Online account or a claim form will be sent via mail when your pregnancy-related disability claim ends.
1 lip 2020 · File a claim for Paid Family Leave benefits online or by mail with the EDD. Applying online is the fastest way to get your benefits. Go to edd.ca.gov to apply. Have earned at least $300 in wages that are subject to SDI deductions (look for “CA SDI” on your paystubs) during the 12-month base period of your claim.