Step 1: Get Your Information in Order

Your application tells us who you are, where you worked, how much you earned, and helps us determine what benefits you may be eligible to receive. Start by gathering this information:

  • Personal Information: Your name, birth date, address, Social Security number, photo identification (such as driver's license, ID card, or passport), and another identity document (such as W2, utility bill, or birth certificate). To avoid delays, your information should match what’s on file with the Department of Motor Vehicles (DMV) or Social Security Administration. View the full list of acceptable documents for identity verification.

  • Additional Wages: Any wages you expect to be paid by your employer while you are on family leave including part-time work, sick leave, paid time off (PTO), vacation pay, annual leave, and wages earned after you stopped working.

  • Most Recent Employer Information: Your employers name, phone number, mailing address as stated on your W-2 or paystub, and the last date you worked your normal hours.

  • Citizenship: Citizenship and immigration status do not affect eligibility. If you are an undocumented worker without your own SSN, request and submit a paper application. See Benefits and Resources for Undocumented Workers.

  • Bonding Claims: You’ll need to provide a proof-of-relationship document if you’re a new mother without a pregnancy-related disability claim, new father, or foster or adoptive parent. A proof-of-relationship document may include:
    • Child’s Birth Certificate
    • Child’s Hospital Birth Certificate
    • Declaration of Paternity (CS-909)
    • Foster Care Placement Record (SOC-815)
    • Official letter from the foster care agency
    • Adoptive Placement Agreement (AD-907)
    • Independent Adoption Placement Agreement (AD-924)
    • Other evidence of relationship

  • Care Claims: The care recipient must be under the care of a physician/practitioner. Their physician/practitioner must certify that their patient requires care and will fill out the Part D certification to support the care claim request.  The care recipient must also sign Part C of the application to authorize their care.

  • Military Assist Claims: You’ll need documentation from your military family member and documentation about the support you’re providing.

 

Supporting Military Documentation

Include at least one of the following:

  • Covered active-duty orders.
  • Letter of impending call or order to covered active duty.
  • Military leave documentation signed by the approving authority for rest and recuperation.

Documentation for the Qualifying Event

Can include:

  • Meeting announcement for informational briefings sponsored by the military.
  • Bill for services related to legal or financial affairs.
  • Detailed letter with meeting information (reason, location, and contact details).
 

Now you’re ready to apply!

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