Solicitud de Beneficios del Permiso Familiar Pagado (PFL) para Proveer Cuidado (DE 2501FC S Rev 5 (1 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your receipt number at the top of the form. This is essential for tracking your application.
  3. In Part C, ensure that the person receiving care completes and signs the 'Declaración de la Persona que Recibe Cuidado'. If they are unable to sign, contact PFL for further instructions.
  4. Next, have a licensed physician complete Part D, which includes medical certification. This can be done online or by filling out page 3 of the form.
  5. Make sure all required fields are filled accurately, including personal information such as Social Security numbers and dates of birth.
  6. Once completed, submit your application electronically through SDI Online for faster processing. Alternatively, you can mail it to the specified address.

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Payments are usually deposited within three days after being approved. Note: Holidays and weekends will delay your payment until the next business day. Deposit timeframes also vary by bank.
What you can do is call the PFL number and when you get approved itll tell you. Theyll ask for like your social and when they ask you whats your weekly benefit just say you dont know.
It takes about two weeks to process a new application for PFL benefits and issue payment to eligible workers. Visit Benefit Payment Options for more information on direct deposit, debit card, or mailed checks. We issue benefit payments to a Money Network prepaid debit card unless you select a different payment option.
Youll usually get paid on your next regular payday after your first day of Parental Leave Pay. It could take longer if your employer gets the funds after their payroll cut off.
To order the DE 2501F to submit by mail: Visit Online Forms and Publications. Select Keyword(s) or Form Number from the dropdown. Enter DE 2501F for an English form or DE 2501F/S for a Spanish form. Select Search. You can also call 1-877-238-4373 and select Option 3.