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this form to the patient or fax (marked CONFIDENTIAL) to the attention of Human Resources at Fax #503-378-3481. Oregon Department of Transportation .

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Under the FMLA, eligible employees are allowed to take up to 12 weeks off from work during any 12-month period. Under the state Family Leave Act, workers may take up to 12 weeks of leave during any 24-month period. Both the federal and state laws provide job reinstatement privileges to most workers.

Unlike the federal FMLA, the NJFLA does not allow for leave to care for one's own serious medical condition or health emergency. There are also no rights to leave related to a family member's military service.

It can take two to six weeks to approve a claim and pay benefits after we have a complete application. stop working due to your need to care for an ill or injured family member/loved one; *see the law's generous definition of family here.

M10 - Request for Medical Information We send this form if your application is missing medical information, if the medical information needs further review, or if your statement conflicts with your medical provider's statement. We will tell you which question(s) your medical provider needs to re-answer.

You can only extend or end a claim online if you received a Form P30 (Request to Claimant For Continued Claim Information) in the mail. It has a unique Form ID number you will need to enter into the online system. This form is mailed only when your benefit payments are about to stop.

You can download, print, and fill out a paper application (FL-1), and mail it back to us at Division of Temporary Disability & Family Leave Insurance, P.O. Box 387, Trenton, NJ 08625-0387, or fax it to 609-984-4138.

Contact Us Phone: 609-292-7060. 8:00am - 4:30pm, Monday - Friday. (except holidays) Fax: 609-984-4138. Email: Click here to send email. We will provide an email response as soon as possible. Division of Temporary Disability and Family Leave Insurance. PO Box 387. Trenton, New Jersey 08625-0387.

Family Leave Insurance. Apply for benefits when you need time off work to bond with a new addition, or care for a loved one. Workers: Apply Online. Start a new application (FL1)

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232