Paid Family Leave Forms

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

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