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  1. 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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      در زیر فهرستی از فرم‌ها، بروشورها و سایر منابع مهم edd را که...

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  2. 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.

  3. Paid Family Leave (PFL), a worker-funded program, provides benefits to eligible orkers who have a full or partial loss of wages due to the need to care for a seriously ill family member or to bond with a new child.

  4. 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. Employers and Licensed Health Professionals: To avoid stocking outdated forms, order a six-month supply ...

  5. make this authorization to support my care provider’s claim for Paid Family Leave benefits. I understand that I may not revoke my authorization to avoid prosecution or to prevent EDDs recovery of monies to which it is legally entitled.

  6. Open the file saved on your computer. Edit the file. Warning. These are the most frequently requested U.S. Department of Labor forms. You can complete some forms online, while you can download and print all others. Forms by Title. (Form Number - 5500; Agency - Employee Benefits Security Administration)

  7. GUIDE FOR COMPLETING A CLAIM FORM FOR PAID FAMILY LEAVE (PFL) BENEFITS (DE 2475) State Disability Insurance (SDI) offers secure and convenient online options for filing PFL claims. For faster processing, submit a claim form and documentation on SDI Online at www.edd.ca.gov/disability.