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Some forms and publications are translated by the department in other languages.
You may need to download the free Adobe 5201f to view and print linked documents. It cannot be downloaded or reproduced. 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.
When calling via the Ee Relay Serviceplease provide the Paid Family Leave number to the operator. Employers are not required to provide the PFL claim forms to their employees.
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. To submit by US mail you must 250f order a claim form.
All are available free of charge, whether you download or order for delivery by mail. Any discrepancies or differences created in the translation are dw binding and have no legal effect for compliance or enforcement purposes.
For those forms, visit the Online Forms and Publications section.
Paid Family Leave – Forms and Publications
The web pages currently in English on the EDD website are the official and accurate source for the program information and services the EDD provides. If any questions arise related to the information contained in the translated website, please refer to the English version. Forms and Publications Labor Market Information.
If you have not received this form within 10 days after your disability claim ends, please call PFL law requires employers to provide the Paid Family Leave – DE brochure only to 25501f employees and employees who request leave to care for a seriously ill family member or bond with a new child.
These brochures may be downloaded and provided as official notices to employees.
New Paid Family Leave (PFL) Benefits Form Required July 1 –
Deaf, speech impaired, and hard of hearing callers can contact PFL directly by Teletypewriter TTY this number does not accept voice calls. Ds you are a woman currently receiving Disability Insurance pregnancy-related benefits, it is not necessary to request a Claim for Paid Family Leave Benefits.
To order an original form, visit Online Forms and Publicationsor call Inquiries about individual claims using this form will not be answered.