Request For Paid Family Leave (Form PFL-1) InstructionsPaid Family Leave Claim Process - CaliforniaP 2026

1. Click ‘Get Form’ to open the Request For Paid Family Leave (Form PFL-1) in the editor.
2. Begin with Part C – Statement of Care Recipient. Ensure the care recipient completes and signs this section. If they are unable to sign, contact PFL for further instructions.
3. Fill in the care recipient's details such as their Social Security Number, date of birth, phone number, and legal name. Make sure all information is accurate.
4. In Part D – Physician/Practitioner’s Certification, ensure that a licensed physician completes this section. They must provide necessary medical details and certify the patient's condition.
5. Once all sections are completed, review the form for accuracy. You can easily modify any fields directly within our editor before finalizing your submission.
6. Submit your completed form electronically through SDI Online or print it out for mailing to the specified address.

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