From the Hotline: PFL Benefits Claim Form Access

Question: Can you help us download the DE2501F from the California Employment Development Department (EDD)?

Answer: The California DE2501F claim form is for California employees who need to file a claim for Paid Family Leave benefits to take time off work to take care for a family member who is seriously ill, or to bond with a new child. Because the form is now designed with Optical Character Recognition (OCR), it is no longer available for downloading or reproduction. Therefore, we do not have access to this form in our library of tools.

To order a Claim for Paid Family Leave (PFL) Benefits Form DE 2501F (Rev 12/03), you may call 1-877-238-4373 or click here http://www.edd.ca.gov/Forms/#footer. To view an example of a properly completed Form DE 2501F for individuals claiming benefits to provide care or bond, see the sample claim form.

It is our experience that California EDD responds to such requests quickly.