California paid family leave application 2026

1. Click ‘Get Form’ to open the California Paid Family Leave application in the editor.
2. 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.
3. 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.
4. 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'.
5. 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.
6. 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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