Have your religious practitioner complete and sign the Practitioner’s Certification for Paid Family Leave (PFL) Benefits (DE 2502F) before sending it to the EDD. If you are under the care of an accredited religious practitioner, you can download and print this form.
Claim for Nonindustrial Disability Insurance - Family Care Leave (NDI-FCL) (DE 8501F): Family leave claim form for excluded state employees.To submit the DE 2501FC electronically, go to SDI Online. Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC): If you submit your PFL claim electronically, you must submit the DE 2501FC to complete your claim, which includes the care recipient’s authorization and the physician/practitioners certification.To view an example PFL claim form, review the DE 2501F – Sample claim form. You can also call 1-87 and select Option 3.Enter DE 2501F for an English form or DE 2501F/S for a Spanish form.Select Keyword(s) or Form Number from the dropdown.
#Paid family leave how to
To submit the DE 2501F by US mail, visit How to File a Paid Family Leave Claim by Mail. To submit the DE 2501F electronically, visit How to File a Paid Family Leave Claim in SDI Online. This form cannot be downloaded or reproduced.
All are available at no cost and can be downloaded or delivered by mail. To search and order EDD brochures and forms, visit Online Forms and Publications. Note: Paid Family Leave (PFL) law requires employers to provide the Paid Family Leave (DE 2511) brochure to new employees, employees who request leave to care for a seriously ill family member or bond with a new child, or employees who participate in a qualifying event due to an eligible family member’s military deployment. To complete forms, you may need to download and save them on your computer, then open them with the no-cost Adobe Reader.
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