For DI benefits, an employer can respond to questions 4 and 5 on the Notice to Employer of Disability Insurance Claim Filed form, DE 2503 (Sample DE 2503, Questions 4 & 5). For PFL benefits, an employer can respond to question 6 on the Notice Of Paid Family Leave Claim Filed form, DE 2503F (Sample DE 2503F, Question 6) to report all wages including integrated/coordinated wages.