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Solicitud de Beneficios del Permiso Familiar Pagado (PFL) para Proveer Cuidado (DE 2501FC S Rev 4 (1

Solicitud de Beneficios del Permiso Familiar Pagado (PFL) para Proveer Cuidado (DE 2501FC S Rev 4 (1 2025

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The document outlines the application process for Paid Family Leave (PFL) benefits in California, specifically for providing care to an individual. It includes instructions for both the caregiver and the person receiving care, detailing necessary forms, signatures, and medical certifications required to complete the application. The document emphasizes the importance of authorizations for disclosing personal health information and provides guidelines on how to submit the application either by mail or online.

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How do I claim paid family leave on EDD?

File a Care Claim Log into your myEDD account and select SDI Online. Select New Claim and Paid Family Leave Care. Complete and submit sections one through five of the SDI Online application. There will be a link on your confirmation page for the Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC).

Who is the care recipient for PFL?

The care recipient must be your child, parent, spouse, registered domestic partner, grandparent, grandchild, sibling, or parent-in-law. The care recipient must be under the continuing treatment or supervision of a licensed physician/practitioner or accredited religious practitioner while you are receiving benefits.

How to fill out form de 2501FC?

How to fill out CA DE 2501FC Obtain the CA DE 2501FC form from the California Employment Development Department website. Fill in your personal information at the top of the form, including your name, address, and Social Security number. Indicate the type of claim you are filing (e.g., disability or paid family leave).

How much do you get paid for paid family leave in California?

How much money can I receive through PFL? If eligible, you can receive about 7090% (depending on income) of wages earned 5 to 18 months before your claim start date for up to 8 weeks within any 12-month period. The length of time you worked at your current job does not affect eligibility.