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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
You can get a paper Claim for Paid Family Leave (PFL)...
- Disability Insurance
Enter DE 2501 for an English form or DE 2501/S for a Spanish...
- Forms and Publications
Employers and Licensed Health Professionals: To avoid...
- Family Care Leave
A military assist claim is complete when we receive parts A,...
- 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
You can file your claim using SDI Online (recommended) or by submitting a Claim for Paid Family Leave (PFL) Benefits (DE 2501F) by mail. For more information, review: How to File a PFL Claim in SDI Online; How to file a PFL Claim by Mail; Your Claim Start Date
If you think you’re eligible for Paid Family Leave (PFL) benefits, file a claim to apply. The fastest and easiest way to file a PFL claim is through SDI Online. Follow these steps to apply online. Show All.
Employers and Licensed Health Professionals: To avoid stocking outdated forms, order a six-month supply or less. Please allow two to four weeks for orders to arrive. Claimants: Orders of two or fewer forms can take up to 10 days. Orders of more than two forms can take two to four weeks.
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 EDD’s recovery of monies to which it is legally entitled.
California State provides Paid Family Leave (PFL) wage replacement benefits to eligible workers who need time off work. You may be eligible for PFL if you are unable to work due to pregnancy or childbirth.
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.
