Get Form Pfl 1

Filling out the Request for Paid Family Leave (Form PFL-1) online is a straightforward process that allows you to formally request leave while ensuring all necessary information is provided. Follow this guide to understand each component of the form and ensure a complete submission.

Follow the steps to fill out the Form PFL-1 accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete Part A, which includes your personal information. Make sure to fill in your legal name, mailing address, date of birth, and Social Security Number accurately.
3. Answer questions related to your request for Paid Family Leave. Specify whether your leave is for continuous or periodic dates, and provide the start and end dates as required.
4. If providing less than 30 days’ notice, explain the reason for the short notice in the space provided or indicate 'See Attached' if more space is needed.
5. Complete the employment information section by entering the date of hire and the average gross weekly wage. Follow the provided instructions for calculating the average wage based on your earnings over the previous eight weeks.
6. Sign and date the form before submitting it to your employer to complete Part B.
7. Your employer will complete Part B of the form. Ensure you provide the form to them promptly, as they are required to return it within three days.
8. After receiving the completed form from your employer, submit it, along with any additional required forms, to the employer’s Paid Family Leave insurance carrier.
9. Make sure to retain a copy of the submitted form for your records.

Start filling out your Form PFL-1 online today to ensure your request for Paid Family Leave is processed smoothly.