Get Ca De 2504rej 2021-2026

The CA DE 2504REJ form is essential for users taking additional time off work to bond with their child designated in an original Paid Family Leave claim. This guide provides clear instructions on completing the form online to ensure a smooth and efficient submission process.

Follow the steps to accurately complete the CA DE 2504REJ form online.

1. Press the ‘Get Form’ button to access the CA DE 2504REJ form and open it in your preferred editor.
2. Provide your full name in the designated field.
3. Enter your Social Security number in the corresponding section.
4. Indicate the original claim start date to establish the timeline for your request.
5. Fill in your current mailing address, ensuring accuracy for communications regarding your claim.
6. Complete the city, state, and ZIP code fields of your mailing address.
7. In the section requesting the name of the child you are bonding with, type their name clearly.
8. Enter your child’s date of birth in the appropriate space.
9. Specify the date you wish for your bonding benefits to begin.
10. Provide the date of your last day worked and the expected end date for your bonding leave.
11. Type the date you expect to return to work.
12. Answer whether you will work part-time during your Paid Family Leave benefits period by selecting ‘Yes’ or ‘No’.
13. Indicate if you will receive wages from your employers during your PFL benefits period.
14. Confirm whether you have claimed or intend to claim workers’ compensation benefits for the duration covered by your PFL claim.
15. Indicate if you have more than one employer.
16. Declare if you will be or have been in custody due to a conviction during your PFL benefits period.
17. Specify the type of pay you will receive while bonding, such as vacation or sick leave.
18. Fill out the name and address of your most recent employer, including city, state, and ZIP code.
19. Enter the phone number of your most recent employer.
20. Review the authorization and certification statement carefully, then sign and date where indicated.
21. Once you have filled out all required fields, save your changes, download a copy for your records, and submit the form online. Remember, if you choose online submission, do not mail a paper copy.

Complete your CA DE 2504REJ form online today to ensure your bonding claim is processed without delay.