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Forms. 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
You can get a paper Claim for Paid Family Leave (PFL)...
- Disability Insurance
The documents on this website are PDFs. To complete forms,...
- Forms and Publications
The documents on this webpage are PDFs. To complete forms,...
- Family Care Leave
Receive full wages in the form of sick leave, vacation,...
- 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
ملاحظة: في حال تلقيت مكالمة هاتفية من إدارة التوظيف وبناء...
- Claim by Mail
CALIFORNIA PAID FAMILY LEAVE. Helping Californians be present for the moments that matter. Do I Qualify for California Paid Family Leave? To qualify for Paid Family Leave benefits, you must: • Take time off from work to care for a seriously ill family member, to bond with a new child or to participate in a qualifying military event.
Paid Family Leave (PFL), a worker-funded program, provides benefits to eligible workers who have a full or partial loss of wages due to the need to care for a seriously ill family member, to bond with a new child, or to participate in a qualifying event as a result of your spouse, registered domestic partner, parent, or child’s military ...
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.
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.
Claim for Paid Family Leave (PFL) Care Benefits. The care recipient (the person for whom you are providing care) must do the following: Complete and sign “Part C – Statement of Care Recipient.”. If the care recipient is physically or mentally unable to sign, call PFL at 1-877-238-4373 for instructions.
The documents on this website 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. To search and order brochures and forms from the EDD, visit Online Forms and Publications.