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

9 results found available within Employee Clear All

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, Employer, Insurance Carrier

Language Access Complaint Form

Form LAC-1

Download about Language Access Complaint Form

Employee, Discrimination

Request for Reinstatement

Form PFL-DC-119

Download about Request for Reinstatement

Employee, Employer

PFL Waiver Form

Employee Opt-Out and Waiver of Benefits

Download about PFL Waiver Form

Employee, Discrimination

PFL Discrimination/Retaliation Complaint

Form PFL-DC-120

Download about PFL Discrimination/Retaliation Complaint

Employee

PFL Military-Related Leave Forms

Forms PFL-1 and PFL-5

Download about PFL Military-Related Leave Forms

Employee

PFL Family Care Leave Forms

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

Download about PFL Family Care Leave Forms

Employee

PFL Bonding Leave Forms

Forms PFL-1 and PFL-2

Download about PFL Bonding Leave Forms

Paid Family Leave Forms

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