Form

Form PFL-32-D - Section 32 Waiver Agreement: 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

 

Translated versions: Español | Русский | Polski | 中文 | Italiano | Kreyòl ayisyen | 한국어 বাঙালি

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    Form PFL-32-D

    PFL-32-D (10/19) - Section 32 Waiver Agreement: Paid Family Leave Discrimination/Retaliation Claim [PDF]

     

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