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All Paid Family Leave Forms

22 results found

Employer Resources, Employer Resources

Employee Notice of Paid Family Leave Payroll Deduction for 2021 [PDF]

Employer Resources, Employer Resources

Model Language for Employee Materials (2021) [PDF]

Employer, Insurance Carrier

PFL-271S Form (2021)

Form PFL-271S (2021) - Statement of Rights for Paid Family Leave

COVID-19, Employee

Forms PFL-1 and CCOVID19

COVID-19, Employee

Forms PFL-1 and SCOVID19

Employee

PFL-Bonding Leave Form

Paid Family Leave Request - Bond with a Newborn, a Newly Adopted or Foster Child

Forms PFL-1 and PFL-2

Employee

Paid Family Leave Request - Care for a Family Member with Serious Health Condition

Forms PFL-1, PFL-3, PFL-4

Employee

Paid Family Leave Request - Assist Families in Connection with a Military Deployment

Forms PFL-1 & PFL-5

Employee, Employer

PFL-Waiver Form

Form PFL-Waiver - Employee Paid Family Leave Opt-Out and Waiver of Benefits

Employee, Discrimination

PFL-DC-119 Form

Form PFL-DC-119 - Formal Request for Reinstatement Regarding Paid Family Leave