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Employment Development Department
Employment Development Department

Paid Family Leave (PFL) - Forms and Publications

En español

PFL law requires employers to provide the Paid Family Leave, DE 2511, brochure only to new employees and employees who request leave to care for a seriously ill family member or bond with a new child. Employers are not required to provide the PFL claim forms to their employees. To order brochures and forms from the EDD, visit the Online Forms and Publications page.

The forms and publications on this website are replicas of the official EDD forms and publications and are in Adobe’s Portable Document Format (PDF). You may need to download the free Adobe Reader to view and print linked documents.

Claim Form

Claim for Paid Family Leave (PFL) Benefits (An original form must be submitted by claimants. It cannot be downloaded or reproduced.)

If you are a woman currently receiving DI pregnancy-related benefits, it is not necessary to request a Claim for Paid Family Leave Benefits. You will automatically be sent a Claim for Paid Family Leave (PFL) Benefits - New Mother, DE 2501FP, when your pregnancy-related disability claim ends.

If you have not received this form within 10 days after your disability claim ends please call 1-877-238-4373.

Publications

Appeal Fact Sheet

Notice to Employees
This poster is required to be posted in the workplace of employees who are covered by Unemployment Insurance and SDI.

Notice to Employees
This poster is required to be posted in the workplace of employees who are covered only by Disability Insurance. If your employees are also covered by Unemployment Insurance, please post the DE 1857A.

Paid Family Leave
Employers are required to provide the Paid Family Leave brochure only to new employees and persons who request leave to care for a seriously ill family member or bond with a new child. These brochures may be downloaded and provided as official notices to employees.

The Physician’s/Practitioner’s Guide to Paid Family Leave

Guide for Completing a Claim Form for Paid Family Leave (PFL) Benefits

Disability Insurance (DI) and Paid Family Leave (PFL) Weekly Benefit Amounts

Disability Insurance (DI) and Paid Family Leave (PFL) Weekly Benefit Amounts in Dollar Increments

Tip Sheets

Fact Sheet