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

Forms PFL-1 and PFL-2

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

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

Paid Family Leave Request - Assist Families in Connection with a Military Deployment

Forms PFL-1 & PFL-5

Form PFL-Waiver - Employee Paid Family Leave Opt-Out and Waiver of Benefits

Form PFL-DC-119 - Formal Request for Reinstatement Regarding Paid Family Leave

Form PFL-DC-120 - Paid Family Leave Discrimination/Retaliation Complaint

Form PFL-135 - Employer’s Application for Voluntary Coverage (No Employee Contribution)

Form PFL-136  - Employer's Application for Voluntary Coverage for Class of Employees For Whom Paid Family Leave Benefits Are Not Required by Law (Employee Contribution Required)

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

Form PFL-DC-130 - Employer's Response to Paid Family Leave Discrimination/Retaliation Complaint