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  • Part A-1 New Jersey Family Leave Insurance Application

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FL1 PART A1New Jersey Family Leave Insurance Application TO BE COMPLETED BY THE PERSON PROVIDING CARE TO A SICK FAMILY MEMBER OR BONDING WITH A NEWBORN Print clearly and answer ALL questions or your.

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While the FMLA provides up to 12 weeks of leave within a 12-month time frame, the NJFLA provides up to 12 weeks of leave within a 24-month time frame. Eligible employees of covered employers can take NJFLA leave to: Give birth and care for a newborn child. Care for an adopted child or one placed through foster care.

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.

To be eligible you must work in New Jersey and meet minimum gross earnings. For 2022, you must have worked 20 weeks earning at least $240 weekly, or have earned a combined total of $12,000 in the base year period (approx. 18 month before taking leave).

You can apply online, which is the easiest way to apply for benefits. ... 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.

You may apply for Family Leave Insurance benefits if you are bonding with a newborn, newly adopted, or newly placed foster child.

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.

Reasons for Leave recuperate from a serious health condition. care for a family member with a serious health condition. bond with a new child. handle qualifying exigencies arising out of a family member's military service, or. care for a family member who suffered a serious injury during active duty in the military.

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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