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COUNTY OF PLACER OFFICE OF AUDITORCONTROLLER DIRECT DEPOSIT AUTHORIZATION AGREEMENT Instructions: 1. Complete the applicable information, then sign and date. 2. Attach a voided check or proper documentation
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Gather all necessary information and documents such as employee information, employer information, and relevant dates.
02
Complete the top portion of the form with employee information including name, address, social security number, and date of birth.
03
Have your employer complete the middle portion of the form with information on wages earned and hours worked.
04
Review the form for accuracy and sign at the bottom certifying the information provided is true and accurate.
05
Submit the completed form to the Employment Development Department (EDD) either online or by mail.

Who needs sdi-pfl integration form?

01
Employees who are applying for Paid Family Leave (PFL) benefits in California.
02
Employers who are required to provide information on wages earned and hours worked for their employees applying for PFL benefits.
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SDI-PFL integration form is a form used to integrate State Disability Insurance (SDI) and Paid Family Leave (PFL) benefits.
Employers are required to file SDI-PFL integration form.
You can fill out the SDI-PFL integration form by providing accurate information about the employee's disability and family leave benefits.
The purpose of the SDI-PFL integration form is to ensure that employees receive the correct amount of benefits when they are on disability or family leave.
Information such as employee details, disability duration, family leave duration, and benefit amounts must be reported on the SDI-PFL integration form.
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