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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 for Paid Family Leave (PFL) Benefits (DE 2501F)
Paid Family Leave (PFL), a worker-funded program, provides...
- Claim for Paid Family Leave (PFL) Benefit (DE 2501F)
Paid Family Leave (PFL), a worker-funded program, provides...
- Claim for Paid Family Leave Benefits - Employment Development Department
Paid Family Leave (PFL) provides benefits to eligible...
- Claim for Paid Family Leave (PFL) Benefits (DE 2501F)
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 deployme...
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.
I 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. WE CANNOT PROCESS THIS CLAIM UNLESS YOU SIGN BOTH THIS PAGE AND PAGE 3 IN ITEM C6 OF PART C.
Visit EDD Forms and Publications (edd.ca.gov/Forms) to request a Claim for Paid Family Leave (PFL) Benefits (DE 2501F) form. For caregiving claims, you must provide medical certification showing that the care recipient has a serious health condition and requires your care.
• Online by visiting edd.ca.gov/SDI_Online. • By mail by requesting a Claim for Paid Family Leave (PFL) Benefits, DE 2501F form at edd.ca.gov/Forms. As part of your application, you’ll need to provide: • The name of your employer. • The date you want your claim to begin (first day of family leave).
Paid Family Leave (PFL) 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
