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  • Ca De 2501fc/s 2018

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A persona que recibe cuidado (la persona a la cual usted le provee cuidado) debe hacer lo siguiente: Completar y firmar la Parte C Declaraci n de la Persona que Recibe Cuidado . Leer y Firmar la Autorizaci n para Divulgar la Informaci n Personal de Salud de la Persona que Recibe Cuidado en la p gina 2. Si la persona que recibe cuidado se encuentra f sica o mentalmente imposibilitada para firmar, llame al PFL al 1-877-238-4373 para recibir instrucciones. Ambas p ginas deben s.

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Related content

Claim for Paid Family Leave (PFL) Care Benefits...
No information is available for this page.
Learn more
How to Apply for Intermittent Paid Family Leave to...
To order the paper claim form (DE 2501F) or view a sample claim form, visit Paid Family...
Learn more
DE2501F - Claim for Paid Family Leave (PFL)...
Sep 27, 2004 — By my signature on this claim statement, I (1) claim Paid Family Leave...
Learn more

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Submit Form DE 2501F Claim for Paid Family Leave (PFL) Benefits, informing. the EDD that you plan to use your benefits intermittently. You can apply for PFL online or by mail. To view a tutorial on how to apply for PFL online, visit SDI Online Tutorial: File a Paid Family Leave Claim.

PFL pays approximately 60% of current earnings up to a maximum of $1,620 per week in 2024. The other 40% will be paid with accrued sick hours for non-baby bonding claims.

To be eligible for family leave pay in California, employees must have earned $300 or more in wages during a 12-month base period preceding the claim. These wages must have been subject to withholdings for the state's disability insurance program.

Federal and California family and medical leave laws provide eligible employees withup to 12 weeksof time offper year for: Bonding with a newborn, adopted child, or child placed for foster care. Caring for a family member with a serious health condition. The employee's own serious health condition.

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.

You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form online to have it mailed to you. Getting the form from your physician/practitioner or employer. Visiting an SDI Office. Calling 1-800-480-3287 to request a paper form by mail.

These forms are typically available in printable format on the EDD website and must be completed and submitted by the individuals receiving benefits.

CA PFL provides up to eight weeks and CA SDI provides 52 weeks of partial pay. The benefits are 60% to 70% of the weekly wage, depending on an employee's income through the end of 2024. For requests beginning in2024, the maximum weekly benefit remains at $1,620. The minimum weekly benefit is $50.

Do I get paid? Employers are not required to pay you while you are on FMLA or CFRA leave.

The California Family Rights Act (CFRA) provides most employees in California with the right to take up to 12 weeks off work to care for themselves or their family members with a serious health condition, or to bond with a new child.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232