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1. edd.ca.gov › en › disabilityPaid Family Leave – Forms and Publications

   edd.ca.gov › en › disability

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   Claim for Nonindustrial Disability Insurance - Family Care Leave (NDI-FCL) (DE 8501F): Family leave claim form for excluded state employees. If you are under the care of an accredited religious practitioner , you can download and print this form.

   • Claim by Mail

     New mothers transitioning from a DI-related pregnancy claim...

   • Disability Insurance

     Enter DE 2501 for an English form or DE 2501/S for a Spanish...

   • Forms and Publications

     Online Forms and Publications The documents on this webpage...

   • 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...

2. edd.ca.gov › siteassets › filesClaim for Paid Family Leave (PFL) Benefits (DE 2501F)

   edd.ca.gov › siteassets › files

   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 ...

3. edd.ca.gov › en › disabilityPaid Family Leave Claim Process - Employment Development...

   edd.ca.gov › en › disability

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   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. d2l2jhoszs7d12.cloudfront.net › state › CAClaim for Paid Family Leave (PFL) Benefits (DE 2501F)

   d2l2jhoszs7d12.cloudfront.net › state › CA

   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.

5. forms.edd.ca.gov › formsOnline Forms and Publications - California

   forms.edd.ca.gov › forms

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   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 .

6. www.dol.gov › agencies › whdFMLA: Forms - U.S. Department of Labor

   www.dol.gov › agencies › whd

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   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.

7. d2l2jhoszs7d12.cloudfront.net › state › CAGUIDE FOR COMPLETING A CLAIM FORM FOR PAID FAMILY LEAVE (PFL)...

   d2l2jhoszs7d12.cloudfront.net › state › CA

   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.