Paid Family Leave Forms

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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

23 results found

Employer, Insurance Carrier

Form PFL-271S - PFL Statement of Rights (2023)

Translated versions available

Learn more about Form PFL-271S - PFL Statement of Rights (2023)

Employer Resources, Employer Resources

2023 PFL Payroll Deduction Notice

Learn more about 2023 PFL Payroll Deduction Notice

Employer Resources

Employee Notice of Paid Family Leave Sibling Care for 2023

Learn more about Employee Notice of Paid Family Leave Sibling Care for 2023

Employee

Form PFL-3 - PFL Family Care Leave

Translated versions available

Learn more about Form PFL-3 - PFL Family Care Leave

Employee

Form PFL-5 - PFL Military-Related Leave

Translated versions available

Learn more about Form PFL-5 - PFL Military-Related Leave

Employee

Form PFL-2 - PFL Bonding Leave

Translated versions available

Learn more about Form PFL-2 - PFL Bonding Leave

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

Discrimination

Form PFL-DC-119 - Request for Reinstatement

Learn more about Form PFL-DC-119 - Request for Reinstatement

Employee, Discrimination

Form PFL-DC-120 - PFL Discrimination/Retaliation Complaint

Learn more about Form PFL-DC-120 - PFL Discrimination/Retaliation Complaint

Paid Family Leave Forms

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