Ny paid family leave form 2026

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  1. Click ‘Get Form’ to open the NY Paid Family Leave form in the editor.
  2. Begin with Part A, Employee Information. Fill in your legal name, mailing address, Social Security Number, and date of birth. Ensure all details are accurate for a smooth application process.
  3. Next, indicate your preferred language and gender. This information helps tailor communication during your leave.
  4. In the Reason for PFL Request section, select the appropriate reason: Bond with Child, Care for Family Member, or Military Qualifying Event. Specify the family member's relationship to you.
  5. Complete the Employment Information section by providing your business name, date of hire, and average gross weekly wage over the last eight weeks.
  6. Once all sections are filled out accurately, review your entries for any errors before submitting the completed application along with required documentation to The Hartford.

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