DE 2501F PDF

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If any questions arise related to the information contained in the translated website, please refer to the English version. Any discrepancies or differences created in the translation are not binding and have no legal effect for compliance or enforcement purposes.

To request general program information or data about State Disability Insurance, complete the State Disability Insurance Request for Information Form DE E and return it to the Employment Development Department using the appropriate email address listed on the form.

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PFL law requires employers to provide the Paid Family Leave – DE brochure only to new employees and employees who request leave dd care for a seriously ill family member or bond with a new child.

Paid Family Leave – Forms and Publications

Deaf, speech impaired, and hard of hearing callers can contact PFL directly by Teletypewriter TTY this number does not accept voice calls. When calling via the California Relay Serviceplease provide the Paid Family Leave number to the operator. Employers are 2501d required to provide the PFL claim forms to their employees.

If you have not received this form within 10 days after your disability claim ends, please call Inquiries about individual claims using this form will not be answered. All are available free of charge, whether you download or order for delivery by mail.

To order an original form, visit Online Forms and Publicationsor call The EDD is unable to guarantee the accuracy of this translation and is therefore not liable for any inaccurate information or changes in the formatting of the pages resulting from the translation application tool. You may need to download the free Adobe Reader to view and print linked documents. For those forms, visit the Online Forms and Publications section.

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New Paid Family Leave (PFL) Benefits Form Required July 1

It cannot be downloaded or reproduced. If you are a woman currently receiving Disability Insurance pregnancy-related benefits, it is not necessary to request a Claim for Paid Family Leave Benefits.

These brochures may be downloaded and provided as official notices to employees. Forms and Publications Labor Market Information. Some forms and publications are translated by the department in other languages. The web pages currently in English on the EDD website are the official and accurate source for the program information and 2501c the EDD provides. To submit by US mail you must first order a claim form.

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