Labor and Employment: New York State Releases Paid Family Leave Certification Forms
October 19, 2017
By: Kerry W. Langan
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:
- To apply for PFL to bond with a newborn or a newly adopted or fostered child, the WCB has developed the PFL-1 form and PFL-2 (a bonding certification form) https://www.ny.gov/sites/ny.gov/files/atoms/files/bonding.pdf
- To apply for PFL to care for a family member with a serious health condition, the WCB has developed the PFL-1 form, as well as PFL-3 (a release of personal health information form) and PFL-4 (a health care provider certification form)
- 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)
As we mentioned in the October 6, 2017 New York Labor and Employment Law Report, the WCB has already released the waiver form (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.
If you have any questions about this Information Memo, please contact Kerry W. Langan, any of the attorneys in our Labor and Employment Law Practice, or the attorney in the firm with whom you are regularly in contact.