![]() Have the care recipient complete and sign Part C - Statement of Care Recipient (page 3). To submit a DE 2501F care claim by mail, complete Part A – Statement of Claimant (page 1). mail even if you select electronic communication. Note: It may be necessary to send some documents by U.S. Review Step 3: Attach Additional Documents for more information. The care recipient’s licensed health professional must complete and sign Part D – Physician/Practitioner’s Certificate (page 3), then upload Parts C and D. The care recipient must complete and sign Part C – Statement of Care Recipient (page 1). To file a PFL Care claim online, you must complete and submit sections one through five of the SDI Online application, then download and print the Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC) from the link on your confirmation page. Mail the completed, signed claim form and proof of relationship to the EDD in the envelope provided. To submit a DE 2501F bonding claim by mail, complete Part A – Statement of Claimant (page 1) and Part B – Bonding Certificate (page 3) and include the Proof of Relationship documents (review Step 3: Attach Additional Documents for accepted documents). To file a PFL Bonding claim online, you must complete and submit sections one through five of the SDI Online application and upload the Proof of Relationship documentation. If you filed using a paper claim form, the DE 2501FP will be mailed to you in a separate envelope.Ĭomplete all portions of the DE 2501FP and submit no later than 41 days from the date you wish to begin your bonding claim.If you filed your DI pregnancy claim using SDI Online, a link to the DE 2501FP will be sent to your SDI Online inbox.When you have recovered from delivering your baby and after your final DI payment is issued, we will send you a Claim for Paid Family Leave (PFL) Benefits – New Mother (DE 2501FP). Mothers Transitioning from a Disability Insurance (DI) – Pregnancy-Related Claim to PFL Note: For military assist family leave, your claim can start on or after the date your military family member was notified of the covered active duty. File no later than 41 days after your family leave begins to avoid losing benefits.File no earlier than the first day your family leave begins.Submit your claim following these requirements: If you have any questions about your claim start date, contact PFL at 1-87 before filing your claim. A valid claim means there are wages available in your base period. You may not change the beginning date of your claim or adjust a base period after establishing a valid claim. The first day you are unable to work due to your family leave is the date your claim can begin. You can file your claim using SDI Online (recommended) or by submitting a Claim for Paid Family Leave (PFL) Benefits (DE 2501F) by mail. You have two options to file for PFL benefits. ![]() For more information, review the Paid Parental Leave Ordinance. 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.
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