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  1. 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.

    • 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...

  2. Californias 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.

  3. 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.

  4. 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.

  5. FMLA and CFRA help to protect your job while you are receiving Disability Insurance or Paid Family Leave benefits when you must: Take medical leave for yourself. Care for a family member who is seriously ill. Bond with a new child.

  6. 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.

  7. The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason. These forms are electronically fillable PDFs and can be saved electronically.

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