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

10 results found available within Employer Clear All

Employer, Employer

PFL Model Language for Employee Materials (2025)

Learn more about PFL Model Language for Employee Materials (2025)

Employer, Employer

2025 PFL Payroll Deduction Notice

Learn more about 2025 PFL Payroll Deduction Notice

Employer, Insurance Carrier

Form PFL-271S - PFL Statement of Rights

Translated versions available

Learn more about Form PFL-271S - PFL Statement of Rights

Employer, Discrimination

Form PFL-300.5-D - Stipulation for PFL Discrimination Claim

Learn more about Form PFL-300.5-D - Stipulation for PFL Discrimination Claim

Employer, Discrimination

Form PFL-DC-130 - Employer's Response to PFL Discrimination Compl...

Learn more about Form PFL-DC-130 - Employer's Response to PFL Discrimination Complaint

Employee, Employer, Insurance Carrier

Form LAC-1 - Language Access Complaint Form

Learn more about Form LAC-1 - Language Access Complaint Form

Employer

Form OC-406 - Notice of Retainer and Appearance on Behalf of Empl...

Learn more about Form OC-406 - Notice of Retainer and Appearance on Behalf of Employer

Employee, Employer

PFL Waiver Form

Learn more about PFL Waiver Form

Employer

Form PFL-135 - Employer Application for Voluntary Coverage (No Em...

Learn more about Form PFL-135 - Employer Application for Voluntary Coverage (No Employee Contributions)

Employer

Form PFL-136 - Employer Application for Voluntary Coverage (Cont...

Learn more about Form PFL-136 - Employer Application for Voluntary Coverage (Contributions)

Paid Family Leave Forms

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