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New York State Releases Paid Family Leave Certification Forms

Paid Family Leave Certification Forms - TBM Payroll

TBM Payroll has retrieved this important article from the NY Labor and Employment Law Report, regarding the Paid Family Leave Certification Forms.

The New York State Workers’ Compensation Board (“WCB”) has just released the long-awaited Paid Family Leave (“PFL”) forms. There is a general application form (PFL-1), as well as various certification forms depending on the type of leave requested:

  1. To apply for the PFL to bond with a newborn or a newly adopted or fostered child, the WCB has developed the PFL-1 form and the PFL-2 (a bonding certification form) https://www.ny.gov/sites/ny.gov/files/atoms/files/bonding.pdf
  2. To apply for the PFL to care for a family member with a serious health condition, the WCB has developed the PFL-1 form, as well as the PFL-3 (a release of personal health information form) and PFL-4 (a health care provider certification form) https://www.ny.gov/sites/ny.gov/files/atoms/files/careforfamilymember.pdf
  3. To apply for PFL for a qualifying exigency arising from service of a family member in the U.S. Armed Forces, the WCB has developed the PFL-1 form and PFL-5 (a form to certify the military qualifying event) https://www.ny.gov/sites/ny.gov/files/atoms/files/military.pdf

In a previous article, the WCB has already released the waiver form from (PFL-Waiver) and two forms regarding voluntary coverage (PFL-135 and PFL-136). We will continue to provide additional updates on PFL as they become available.

This article was originally published on NY Labor and Employment Law Report.