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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.
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- Family Care Leave
Receive full wages in the form of sick leave, vacation,...
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California’s Paid Family Leave program was created for those moments that matter. Benefits are available to care for a seriously ill family member, to bond with a new child, or to participate in a qualifying military event. Facts About California Paid Family Leave.
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.
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 ...
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.
California’s Paid Family Leave (PFL) was created for these times. California leads the nation as the first state to make it easier for employees to balance the demands of the workplace and family care needs at home. PFL benefits are based on the claimant’s (care provider’s) past quar-terly earnings. For more information regarding maximum
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. All are available at no cost, whether you download or order for delivery by mail.