Paid Family Leave Insurance For California workers covered by State Disability Insurance, Paid Family Leave insurance provides up to six weeks of benefits for individuals who must take time off to care for a seriously ill child, spouse, parent, domestic partner, or to bond with a new minor child.

Download and Print Paid Family Leave Insurance Forms, Publications and Informational Materials

The Paid Family Leave law requires employers to provide the Paid Family Leave, DE 2511, brochure only to new employees who start after January 1, 2004, and persons who request leave to care for a seriously ill family member or bond with a new child after July 1, 2004.

Employers may download and print the Paid Family Leave, DE 2511 I, brochure (PDF) from the EDD Internet site if they wish to provide the brochure to their new employees without ordering specific supplies from EDD. This method meets the statutory requirement and can be a quick and easy way to meet your immediate needs. To order brochures and forms from EDD, please use the Internet Order form.

Forms

• Claim for Paid Family Leave (PFL) Benefits - To be used for Paid Family Leave claims that commence on or after July 1, 2004. An original form must be submitted by claimants. It cannot be downloaded or reproduced.
  • DE 2501F - (Rev. 12-03) - For orders under 25, please call 1-877-BE-THERE. For orders over 25, use the Internet Order Form.
  • DE 2501F - (Rev. 12-03) - Sample claim form. An example of a properly completed Claim for Paid Family Leave (PFL) Benefits form for individuals claiming benefits to provide care.