FORM
PFL-136 - Employer's Application for Voluntary Coverage for Class of Employees For Whom Paid Family Leave Benefits Are Not Required by Law (Employee Contribution Required)
Who Files: Employer
Where to File:
Workers' Compensation Board
Bureau of Compliance
PO Box 5200
Binghamton, NY 13902-5200
or
email to [email protected]
When to File: To voluntarily cover employees for whom Paid Family Leave Benefits are not required under the Law with employee contributions to the cost of the coverage.