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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.
- Claim by Mail
California Relay Service (711) – Provide the PFL number...
- Disability Insurance
The documents on this website are PDFs. To complete forms,...
- Forms and Publications
The documents on this webpage are PDFs. To complete forms,...
- Family Care Leave
California State University employees appointed half-time or...
- منابع EDD به فارسی
توجه: اگر از EDD با شما تماس بگیرند، نام تماسگیرنده ممکن...
- Punjabi
ਨੋਟ: ਜੇਕਰ ਤੁਸੀਂ edd ਤੋਂ ਇੱਕ ਫ਼ੋਨ ਕਾਲ ਪ੍ਰਾਪਤ ਕਰ ਰਹੇ ਹੋ, ਤਾਂ...
- Hindi
Chętnie wyświetlilibyśmy opis, ale witryna, którą oglądasz,...
- Armenian
English. Մենք ձգտում ենք տրամադրել կենսական տեղեկատվություն...
- Claim by Mail
The Family and Medical Leave (FMLA) law allows you (if your employer has at least 50 employees) to take up to 12 weeks of unpaid, job-protected leave in a 12-month period in order to: be a caregiver for your spouse, parent, or child with a serious health condition; bond with a newborn, adopted child, or foster child;
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.
Family Care and Medical Leave: Quick Reference Guide. California law guarantees job-protected leave to eligible employees with a serious health condition, who are caring for a family member with a serious health condition, or to bond with a new child (by birth, adoption, or foster placement).
EXPANDED FAMILY AND MEDICAL LEAVE IN CALIFORNIA. The California Family Rights Act (CFRA) provides most employees in California with the right to take up to 12 weeks of work to care for themselves or their family members with a serious health condition, or to bond with a new child.
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.
The department listed below is requesting the information specified on this form: Department/Division. The information collected will be used for purposes of determining your eligibility for FMLA/CFRA/PDL benefits. Individuals should not provide personal information that is not requested or required.
