New Jersey Application for Family Medical Leave of Absence
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How to fill out Application For Family Medical Leave Of Absence?
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FAQ
Family Leave benefits are paid until you: return to work, exhaust your maximum benefit entitlement, your child's first birthday, 12 months after adoptive or foster placement, or your family member no longer needs care.
Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year. In 2021, the maximum weekly benefit rate is $903 per week. In 2022, the maximum weekly benefit rate is $993 per week.
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.
Employees are eligible for leave under New Jersey's family and medical leave law if they have worked for their employers for at least one year, and have worked at least 1,000 hours in the last 12 months. Employees may take leave to care for a parent, spouse, child, parent-in-law, or partner in a civil union.
A week (up to 13 weeks) in which you were separated from employment due to a declared state of emergency during the base year; or 2022 earned $8,500 or more during the base year. You may receive up to six weeks of Family Leave Insurance benefits in a 12-month period.
Paid family leave Eligible workers must have earned at least $142 per week for 20 weeks in a row or at least $7,250 in the preceding 52 weeks. The only eligible employees for paid leave under the act are parents, step-parents, adoptive parents and foster parents for taking leave to care for new children.
Employees are eligible for FMLA leave if: they have worked for the company for at least a year. they worked at least 1,250 hours during the previous year, and. they work at a location with at least 50 employees within a 75-mile radius.
Family Leave Insurance provides New Jersey workers cash benefits to bond with a newborn, newly adopted, newly placed foster child, or to provide care for a seriously ill or injured loved one.
To apply for FMLA, the employee must take an FMLA Medical Certification Form to their health care provider. This form ensures that the employee's or family member's applicable health condition is valid. After receiving the form, the employee must return it within 15 calendar days.
