If your family member has been diagnosed with COVID-19 or has symptoms related to COVID-19, you can either submit a medical certification for that person from a treating physician/practitioner that includes a diagnosis and ICD-10 code, or if no diagnosis has been obtained, a statement of symptoms; the start date of the condition; its probable duration; and the treating physician’s or practitioner’s license number or facility information. This requirement can also be met by a written order from a state or local health officer that is specific to your family member’s situation.
If your family member’s physician or practitioner is certifying to their need for care, telehealth and virtual appointments are acceptable for a physical examination, but medical certifications are still required.
If your family member suspects they have COVID-19, they do not have symptoms, but you can’t work because they are quarantined and require your care, this requirement can be met by a written order from a state or local health officer that is specific to your family member’s situation.
If you are unable to provide documents from a physician or health officer, you may be eligible for an Unemployment Insurance (UI) claim instead.
Learn more about benefits available if you’re not eligible for Paid Family Leave.
For fastest processing of your claim, submit your claim online and have the supporting medical documentation submitted online immediately after.
You may also request that the EDD send you a Claim for Paid Family Leave (PFL) Benefits (DE 2501F) (PDF) form, which can be ordered online and sent to you. Submit the completed form to the EDD using the envelope provided. If your medical documentation is provided in any other form other than the EDD’s designated claim form, it should be submitted separately by mail to:
Employment Development Department
PO Box 45011
Fresno, CA 93718-5011