Paid Family Leave 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

23 results found

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)

Form

Insurance Carrier

Notice of Compliance

Form PFL-120

Learn more about Notice of Compliance