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TO FILE A DI OR PFL CLAIM ONLINE YOU WILL NEED: • Your username and password • For State government employees, bargaining unit number • Date your disability began • Last day worked for this employer prior to date disability began • Classification and description of your job functions • Sick, vacation, paid time off, annual or ‘other’ pay provided by your employer (if applicable) • Workers’ Compensation benefit information (if applicable) • Last or current employer name and mailing address as found on W2 or paycheck stub • Alcohol Recovery or Drug-Free facility information (if applicable) • Document the receipt number that displays once your claim is submitted • PFL claims require EDD Authorization 2501FC to be completed and sent to EDD within 10 days
