Paid Family Leave Application 2025

Get Form
Paid Family Leave Application Preview on Page 1
See details
4.8 out of 5
173 votes
The document provides detailed instructions for applying for Paid Family Leave (PFL) through the New York City District Council of Carpenters Welfare Fund. It outlines the application process, including the completion of specific forms (PFL-1 and PFL-2), required documentation, and submission guidelines to ensure eligibility for benefits related to bonding with a newborn, adopted, or foster child. The document emphasizes the importance of accurate information and timely submission to facilitate claims processing.
DocHub Reviews
44 reviews
DocHub Reviews
23 ratings
15,005
10,000,000+
303
100,000+ users

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Paid Family Leave Application with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Paid Family Leave Application in our editor.
  2. Begin with 'Part A - Employee Information'. Fill in your legal name, mailing address, and Social Security Number. Ensure all required fields are completed accurately.
  3. Next, specify the reason for your PFL request by selecting from options such as bonding with a child or caring for a family member. Provide the start and end dates of your leave.
  4. Calculate and enter your average gross weekly wage based on the last eight weeks of earnings. This includes overtime and any bonuses.
  5. Once Part A is complete, save your document. You can then share it with your employer for them to fill out 'Part B'.
  6. After receiving Part B back from your employer, combine both parts and submit them along with any required documentation to Wesco Insurance Company.

Start using our platform today to easily complete your Paid Family Leave Application for free!

Fill out Paid Family Leave Application online
It's free
Start now

See more Paid Family Leave Application versions

We've got more versions of the Paid Family Leave Application form. Select the right Paid Family Leave Application version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2017 4.8 Satisfied (173 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Who is eligible for FMLA leave? Employees are eligible if they have worked for a covered employer for at least 12 months and 1,250 hours over the past 12 months, and work at a location where the employer has 50 or more employees within a 75-mile radius.
13:14-1.4 Terms of leave (a) Family leave may be taken for up to 12 weeks within any 24-month period. The leave may be paid, unpaid, or a combination of paid and unpaid.
Family Leave benefit days can be taken in one continuous period, or in individual days to suit your needs. If taking leave in one continuous period, you may claim up to 12 weeks (84 days)in a 12-month period. If taking leave on an intermittent basis, you may claim up to 8 weeks (56 days) in a 12-month period.
Not all employees are eligible for FMLA, and often newer employees like Jaimie are left high and dry. In order to be eligible, an employee must have worked for their employer for at least 12 months and have worked at least 1,250 hours during that time.
Full-time employees who regularly work 20 or more hours/week can take PFL after working 26 consecutive weeks. Part-time employees who regularly work less than 20 hours/week can take PFL after working 175 days. These days dont need to be consecutive.

Related Searches

paid family leave (form pdf) EDD Paid Family Leave form PDF FMLA application How to fill out Paid Family Leave form NYS Paid Family Leave application Printable FMLA medical certification form pfl-1 form Printable FMLA forms

People also ask

Eligible employees: Employees are eligible if they work for a covered employer for at least 12 months, have at least 1,250 hours of service with the employer during the 12 months before their FMLA leave starts, and work at a location where the employer has at least 50 employees within 75 miles.

Related links

sample form employee cancer - for family and medical leave

FOR FAMILY AND MEDICAL LEAVE. This form must be completed by a Health Care Provider when FMLA leave is requested and medical documentation is required

Learn more
FMLA: Forms

Return completed certifications to the employee to provide to his or her employer. There are five DOL optional-use FMLA certification forms. Certification of

Learn more
WH-381 (.pdf)

You have a right under the FMLA to take unpaid, job-protected FMLA leave in a 12-month period for certain family and medical reasons, including up to 12 weeks

Learn more

Try more PDF tools

Edit & Annotate
Edit PDF
Add Fillable Fields
Create PDF
Insert and Merge
Add Page Numbers
Rotate Pages
Delete Pages
Convert
Word to PDF
TXT to PDF
HTML to PDF
CSV to PDF
PPT to PDF
RTF to PDF
JPG/JPEG to PDF
PNG to PDF
Collaborate & Share
Add Comments
Fax
PDF Status
Sign & Send
Sign a PDF
Send for Signing
Protect PDF
Set PDF password
Readable PDF
Certify PDF
PDF Audit Trail
Others
Search for PDF
Export
Download
Flatten Fields
Print out
If you believe that this page should be taken down, please follow our DMCA take down process here
support@dochub.com
17 Station St., Ste. 303 Brookline, MA 02445
Google Play App Store
© 2025 DocHub, LLC
All Rights Reserved.
Products
PDF Editor
Forms & Templates
Sign Documents
Server Status
Pricing
Forms Library
Features
Functions
Company
About
Terms of Service
Privacy Notice
Legal Hub
E-Signature Compliance
Support
Release Notes
Bug Bounty Program
Resources
pdfFiller
US Legal Forms
SignNow
WorkFlow
Instapage
DocHub Mobile App
What's New
New
DocHub v6.6.0 - @mentions, AI assistant and more
Contact us
support@dochub.com
17 Station St., Ste. 303 Brookline, MA 02445
Google Play App Store
© 2025 DocHub, LLC
All Rights Reserved.