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Get Request For Paid Family Leave (form Pfl-1) Instructionspaid Family Leave Claim Process

Lowing: Complete and sign Part C Statement of Care Recipient. If the care recipient is physically or mentally unable to sign, call PFL at 1-877-238-4373 for instructions. The care recipient s physician/practitioner must complete Part D Physician/ Practitioner s Certification either electronically in SDI Online, or by completing and signing page 3 of Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC). If the care recipient is under the care of an accredited religi.

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