Form

PFL-DC-120 - Paid Family Leave Discrimination/Retaliation Complaint

Who Files: Employee

Where to File: This form and any attachments along with the required documentation must be sent to the employer and to:

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

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