Practice Areas

New York Paid Family Leave Forms Are Available

The New York Workers’ Compensation Board has prepared and released the forms necessary for implementing the New York Paid Family Leave Law, which goes into effect on January 1, 2018. The forms are available on the New York State website.

The available forms include the PFL-1 form, through which employees may request leave, and other forms specific to each covered purpose of paid family leave. The PFL-1 form is attached to the other specific forms pertaining to the sought-after leave:

  • PFL-2 – for employees requesting leave to bond with a newborn, adopted child or foster child,
  • PFL-3 and PFL-4 – for employees requesting leave for a family member’s serious health condition
  • PFL-5 – for employees requesting leave to assist family member(s) due to another family member’s active military duty or impending active duty abroad

Also available on the New York State website are the waiver form for employees who will not reach eligibility as well as the Employer’s Application for Voluntary Coverage (PFL-135 and PFL-136).