Paid Family Leave Forms

Forms

Assistance with Forms

If you have difficulty in obtaining the Paid Family Leave forms or need help in completing these forms, please contact the PFL Helpline at (844)-337-6303.

All Paid Family Leave Forms

25 results found

Employer Resources, Employer Resources

PFL Employee Notice of Paid Family Leave Payroll Deduction (2022)...

Employee Notice of Paid Family Leave Payroll Deduction for 2022 [PDF]

Download about PFL Employee Notice of Paid Family Leave Payroll Deduction (2022) [PDF]

Employer Resources, Employer Resources

PFL Model Language for Employee Materials (2022) [PDF]

Model Language for Employee Materials (2022) [PDF]

Download about PFL Model Language for Employee Materials (2022) [PDF]

Employer, Insurance Carrier

PFL-271S Form (2022)

Form PFL-271S (2022) - Statement of Rights for Paid Family Leave

Learn more about PFL-271S Form (2022)

Employer Resources, Employer Resources

PFL Employee Notice of Paid Family Leave Payroll Deduction (2021)...

Employee Notice of Paid Family Leave Payroll Deduction for 2021 [PDF]

Download about PFL Employee Notice of Paid Family Leave Payroll Deduction (2021) [PDF]

Employer Resources, Employer Resources

PFL Model Language for Employee Materials (2021) [PDF]

Model Language for Employee Materials (2021) [PDF]

Download about PFL Model Language for Employee Materials (2021) [PDF]

Employer, Insurance Carrier

PFL-271S Form (2021)

Form PFL-271S (2021) - Statement of Rights for Paid Family Leave

Learn more about PFL-271S Form (2021)

COVID-19, Employee

Request for COVID-19 Quarantine PFL - Child

Forms PFL-1 and CCOVID19

Download about Request for COVID-19 Quarantine PFL - Child

COVID-19, Employee

Request for COVID-19 Quarantine DB/PFL - Self

Forms PFL-1 and SCOVID19

Download about Request for COVID-19 Quarantine DB/PFL - Self

Employee

PFL-Bonding Leave Form

Paid Family Leave Request - Bond with a Newborn, a Newly Adopted or Foster Child

Forms PFL-1 and PFL-2

Learn more about PFL-Bonding Leave Form

Employee

PFL- Family Care Leave Form

Paid Family Leave Request - Care for a Family Member with Serious Health Condition

Forms PFL-1, PFL-3, PFL-4

Learn more about PFL- Family Care Leave Form

Paid Family Leave Forms

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