After Your Claim is Filed: Claim Processing for Paid Family Leave (PFL)

After you file a claim for PFL, the Employment Development Department (EDD) will need to review and process your claim. Submission of your portion of the application and the physician/practitioner’s certification (required on care claims only) must be completed within 41 days from the date your family leave began or you may lose benefits. Your claim will not be processed until all the required parts of the application are received.

Bonding for New Mothers

For new mothers transitioning from a Disability Insurance (DI)-related pregnancy claim to bonding, you must submit a properly completed Claim for Paid Family Leave (PFL) Benefits – New Mother (DE 2501FP) paper form or using SDI Online.

  • Processing of Claim: Claims filed through SDI Online take less time to process. If you filed online, SDI Online scans the claim for completeness. If you filed by mail, the paper form will be scanned into the system. During this time, the EDD will review your claim to determine if you have properly completed your claim form and whether or not you are eligible to receive PFL benefits.

Bonding for Other Parents

For mothers without a DI-related pregnancy claim, new fathers, and foster or adoptive parents, a properly completed claim will include Part A on page 1 and Part B on page 3 of the Claim for Paid Family Leave (PFL) Benefits (DE 2501F) paper form, and proof of relationship, or submit your claim using SDI Online.

  • Processing of Claim: Claims filed through SDI Online take less time to process. If you filed online, SDI Online scans the claim for completeness. If you filed by mail, the paper forms will be scanned into the system. During this time, the EDD will review your claim to determine if you have properly completed your claim form and whether or not you are eligible to receive PFL benefits.
  • San Francisco workers: Your employer may be required to provide supplemental compensation to you if you are receiving PFL benefits for bonding with a new child through birth, adoption, or foster care placement. For more information, visit the City and County of San Francisco, Office of Labor Standards Enforcement Paid Parental Leave Ordinance (PPLO).

Care Claims

For care claims, a properly completed claim will include: Part A Statement of Claimant (page 1), Care Recipient’s Authorization for Disclosure of Personal Health Information (page 2), Part C - Statement of Care Recipient (page 3), and Part D - Physician/Practitioner’s Certification (page 4) of the Claim for Paid Family Leave (PFL) Benefits (DE 2501F) paper form, or submit your claim using SDI Online.

If the physician/practitioner does not wish to submit the form online, they may complete Part D – Physician/Practitioner’s Certification of the Claim for Paid Family Leave (PFL) Benefits (DE 2501FC) and mail it in.

It is your responsibility to have the care recipient’s physician/practitioner complete and sign the form and submit it to the EDD within 41 days from the date your family leave begins or you may lose benefits.  

  • Processing of Claim: Claims filed through SDI Online take less time to process. If you filed online, SDI Online matches your portion of the PFL claim, Part A – Claimant’s Statement, Care Recipient’s Authorization for Disclosure of Personal Health Information, Part C - Statement of Care Recipient, to Part D – Physician/Practitioner’s Certificate. If you filed by mail, the paper form will be scanned into the system and Part A, the Care Recipient’s Authorization for Disclosure of Personal Health Information, Part C, will be matched with Part D. During this time, the EDD will review your claim to determine if you have properly completed your claim form and whether or not you are eligible to receive PFL benefits.

All PFL Claims

  • Time to Process: When the EDD receives a properly completed claim (as explained in previous sections), your claim will generally be processed within 14 days and if you are eligible, benefit payments are issued. If we need to request additional information, more time may be needed to process your claim.

  • Notice of Computation (DE 429D). The EDD sends you a Notice of Computation (DE 429D) to inform you of your potential weekly and maximum benefit amount based on the wages you earned in your base period. Receiving this notice does NOT confirm that you have been found eligible to receive PFL benefits.

  • Benefit Payments and the EDD Debit Card
  • If you are eligible for benefits: You will be sent a payment notification (DE 2500E) and California EDD Debit Card for Unemployment and Disability Benefits notification containing the EDD Debit Card. Once you receive your debit card, all authorized benefit payments are deposited to the EDD Debit Card account. The EDD Debit Card is valid for three years from the date of issue. Customers should keep their card until the expiration date of the card has passed.

    For claims beginning on or after January 1, 2019, weekly benefits range from $50 to a maximum of $1,252. To qualify for the maximum weekly benefit amount ($1,252) you must earn at least $27,126.67 in a calendar quarter during the base period.

    Note: Beginning January 1, 2018, Assembly Bill 908 (Chapter 5, Statutes of 2016) increased the DI and PFL wage replacement rate to approximately 60 to 70 percent (depending on income) and removed the 7-day waiting period for PFL. This applies to claims with a start date of January 1, 2018 or after.

    If you are not eligible for benefits: A Notice of Paid Family Leave Determination (DE 2514) will be mailed to you. You must meet eligibility requirements in order to receive benefits. To learn more about eligibility requirements, visit Am I Eligible for PFL Benefits? If you are disqualified from receiving benefits, you will receive an Appeal Form (DE 1000A) with your disqualification notice. You have the right to appeal any decision, in writing, within 30 days of the mailing date of the disqualification notice. For more information, visit Appeals.