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California paid family leave application 2026
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- Click ‘Get Form’ to open the California Paid Family Leave application in the editor.
- Begin with 'PART A – STATEMENT OF CLAIMANT'. Fill in your Social Security number, date of birth, and contact information clearly. Ensure you sign box A24 to validate your claim.
- If bonding with a child, complete 'PART B – BONDING CERTIFICATION' and attach a copy of the required document, such as the child's birth certificate.
- For care claims, have the care recipient sign the 'CARE RECIPIENT’S AUTHORIZATION FOR DISCLOSURE OF PERSONAL-HEALTH INFORMATION' and complete 'PART C – STATEMENT OF CARE RECIPIENT'.
- Ensure that a licensed physician completes 'PART D – PHYSICIAN/PRACTITIONER’S CERTIFICATION' if you are claiming for care. This part must be signed by the physician.
- Review all sections for accuracy and completeness before submitting. Place all completed forms in the provided envelope and mail them to EDD.
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california paternity leave
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