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

Employee Notice of Paid Family Leave Sibling Care for 2023

Download about Employee Notice of Paid Family Leave Sibling Care for 2023

Employer Resources, Employer Resources

2023 PFL Payroll Deduction Notice

Notice to Employees

Download about 2023 PFL Payroll Deduction Notice

Employer, Insurance Carrier

PFL Statement of Rights (2023)

PFL-271S

Download about PFL Statement of Rights (2023)

Employer Resources, Employer Resources

PFL Model Language for Employee Materials (2023)

For handbooks or written guidance

Download about PFL Model Language for Employee Materials (2023)

Employer Resources, Employer Resources

2022 PFL Payroll Deduction Notice

Notice to Employees

Download about 2022 PFL Payroll Deduction Notice

Employer Resources, Employer Resources

PFL Model Language for Employee Materials (2022)

For handbooks or written guidance

Download about PFL Model Language for Employee Materials (2022)

Employer, Insurance Carrier

PFL Statement of Rights (2022)

Form PFL-271S (2022)

Download about PFL Statement of Rights (2022)

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

Health Care Provider

PFL Poster Order Form

To request PFL Poster

Download about PFL Poster Order Form

Paid Family Leave Forms

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