Image of the outline of New York State. Employer, Insurance Carrier Form PFL-271S - PFL Statement of Rights Translated versions available Learn more about Form PFL-271S - PFL Statement of Rights
Image of the outline of New York State. Insurance Carrier Form PFL-CR-001 - PFL Claim Denial Template Learn more about Form PFL-CR-001 - PFL Claim Denial Template
Image of the outline of New York State. Employee, Employer, Insurance Carrier Form LAC-1 - Language Access Complaint Form Learn more about Form LAC-1 - Language Access Complaint Form