Paid Family Leave - Forms and Publications
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 search and order brochures and forms from the EDD, visit Online Forms and Publications. All are available free of charge, whether you download or order for delivery by mail.
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 for Paid Family Leave (PFL) Benefits (DE 2501F)
An original form provided by the EDD must be submitted by claimants. It cannot be downloaded or reproduced.
To submit the DE 2501F electronically, visit the Benefit Programs Online (BPO) login page and select Register to get started creating an account now. After you have registered for and logged in to BPO, select SDI Online which will direct you to the SDI Online Registration Options. Once your registration is complete, log in to BPO and select SDI Online to be directed to your Home page to file your claim.
To submit by US mail you must first order a claim form. To order an original form, visit Online Forms and Publications, or call 1-877-238-4373.
Deaf, speech impaired, and hard of hearing callers can contact PFL directly by Teletypewriter (TTY) 1-800-445-1312 (this number does not accept voice calls.) When calling via the California Relay Service (711), please provide the Paid Family Leave number (1-877-238-4373) to the operator.
- DE 2501F – Sample claim form
An example of a Claim for Paid Family Leave (PFL) Benefits form for individuals claiming benefits to provide care or bonding.
- DE 2501F/S – Spanish instructions for English form - Spanish
Instructions in Spanish to complete the English version of the Claim for Paid Family Leave (PFL) Benefits form for individuals claiming benefits to provide care or bonding.
- Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC)
To submit the DE 2501FC electronically, go to SDI Online.
If you are a woman currently receiving Disability Insurance 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.
To request general program information or data about State Disability Insurance, complete the State Disability Insurance Request for Information Form (DE 2541E) and return it to the Employment Development Department using the appropriate email address listed on the form.
Note: Inquiries about individual claims using this form will not be answered.
- 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.
- Important Information for Paid Family Leave (PFL) Claimants
- Guide for Completing a Claim Form for Paid Family Leave (PFL) Benefits
- Physician/Practitioner’s Guide to Paid Family Leave
- 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
- Paid Family Leave Kit Content
- Paid Family Leave Flyer
- Fact Sheet
- Paid Family Leave – DE 8714CF - English
- State Disability Insurance (SDI) Online – DE8714DI - English
- State Disability Insurance (SDI) Online – DE8714DI/S - Spanish
- State Disability Insurance Bookmark
- DE 8717DI - English