Forms

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

Insurance Carrier

PFL-120 Form

Form PFL-120 - Notice of Compliance

Learn more about PFL-120 Form

Insurance Carrier

PFL-CR-001 Form

Form PFL-CR-001 - Paid Family Leave Request/Claim Denial Template

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Employer Resources, Employer Resources

PFL Resources for Small Businesses [PDF]

Resources for Small Businesses (2/19) [PDF]

Download about PFL Resources for Small Businesses [PDF]

Health Care Provider

PFL Poster Order Form

Learn more about PFL Poster Order Form

Employee, Employer, Insurance Carrier

LAC-1 Form

Form LAC-1 - Language Access Comment Form

Learn more about LAC-1 Form