NYS DBL and PFL

NY Disability (DBL)

NY Paid Family Leave (PFL)

*** Information ***

NYS Disability (DBL)
Claim Filing PROCEDURE

NYS Paid Family Leave (PFL)
General Information

*** Claim Forms ***

ARCH DBL Claim Form

ARCH PFL Claim Form – All Sections

Hartford DBL Claim Form

Hartford PFL Claim Form – Bonding

Hartford PFL Claim Form – Family Care

Hartford PFL Claim Form – Military Leave

ShelterPoint DBL Claim Form

ShelterPoint PFL Claim Form – Bonding

ShelterPoint PFL Claim Form – Family Care

ShelterPoint PFL Claim Form – Military Leave

Stnd. Security DBL Claim Form

Stnd. Security PFL Claim Form – Bonding

Stnd. Security PFL Claim Form – Family Care

Stnd. Security PFL Claim Form – Military Leave