PFL-300.5-D Form

Form

PFL-300.5-D - Stipulation for Paid Family Leave Discrimination/Retaliation Claim

Who Files: Employee, Employer, or Attorney

Where to File: This form and any attachments must be sent to the employee, the employee's attorney (if one has been retained), the employer, the employer’s attorney (if one has been retained) and to:

Paid Family Leave
PO Box 9030
Endicott, NY 13761-9030

Form

Form PFL-300.5-D