DE 2501F PDF

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The web pages currently in English on the EDD website are the official and accurate source for the program information and services the EDD provides. These brochures may d downloaded and provided as official notices to employees.

To order an original form, visit Online Forms and Publicationsor call The EDD is unable to guarantee the accuracy of this translation and is therefore not liable for any inaccurate information or changes in the formatting of the pages resulting from the translation application tool.


It cannot be downloaded or dw. You may need to download the free Adobe Reader to view and print linked documents.

New Paid Family Leave (PFL) Benefits Form Required July 1 –

When calling via the California Relay Serviceplease provide the Paid Family Leave number to the operator. If you are a woman currently receiving Disability Insurance pregnancy-related benefits, it is not necessary to request ds Claim for Paid Family Leave Benefits.

Employers are not required to provide the PFL claim forms to their employees. Some forms and publications are translated by the department in other languages.

Paid Family Leave – Forms and Publications

To request general program information or data about State Disability Insurance, complete the State Disability Insurance Request for Information Form DE E and return it to the Employment 5201f Department using the appropriate email address listed on the form. Forms and Publications Labor Market Information.

If any questions arise related to the information contained in the translated website, please refer to the English version.

Any discrepancies or differences created in the translation are not binding and have no legal effect for compliance or enforcement purposes. Deaf, speech impaired, and hard of hearing callers can contact PFL directly by Teletypewriter TTY this number does not accept voice calls.


If you have not received this form within 10 days after your disability claim ends, please call For those forms, visit the Online Forms and Publications section. To submit by US mail you must first order a claim form.

All are available free of charge, whether you download or order for delivery by mail. Inquiries about individual claims using this form will not be answered. PFL law requires employers to provide the Paid Family Leave – DE brochure only to new employees and employees who request leave to care for a seriously ill 2501t member or bond with a new child.