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Results 1 - 10 of about 34400 for FORMS.

FORMS - NYSIF

Access frequently-used workers' compensation and disability benefits FORMS below. Many of the FORMS link directly to the Workers' Compensation Board website.

https://ww3.nysif.com/Home/FooterPages/Column1/Forms

Paid Family Leave - NYSIF

FORMS/Resources: The FORMS below are hosted by the state's Paid Family Leave website. Employee Notice of Paid Family Leave Payroll Deduction for 2025; Employer’s Application for Voluntary Coverage (No Employee Contribution) (PFL-135) Employer’s Application for Voluntary Coverage (Employee Contribution Required) (PFL-136)

https://ww3.nysif.com/Home/Employer/DBpolicyholder/AboutYourPoli...

Filing a Claim - NYSIF

To file a Paid Family Leave claim, an employee must complete NYSIF Form PFL-1, along with additional PFL FORMS for the type of leave being requested. See more details on our PFL claimant page. Your Part: PFL FORMS. All FORMS must be returned to the employee within three business days.

https://ww3.nysif.com/Home/Employer/DBpolicyholder/AboutClaims/D...

Claimant Information Packet - NYSIF

Employers must give injured workers a Claimant Information Packet (available in several languages under Workers' Comp Claim FORMS - Employer) when filing claims. The packet includes: the claimant’s rights and responsibilities; pharmacy benefits information, and

https://ww3.nysif.com/Home/Employer/WCpolicyholder/AboutClaims/C...

Policyholder Responsibilities - NYSIF

Policyholder responsibilities and options regarding NYSIF statutory and enriched disability benefits insurance.

www.nysif.com/DisabilityBenefits

Employer's Role in Claims - NYSIF

Employers must file a report of work-related injury or illness with NYSIF immediately upon becoming aware of the injury or illness, and no later than 10 days after the employer’s knowledge of the injury or illness, in all cases where the injury/illness:. Has caused or will cause the employee’s loss of time from regular duties of one day beyond the workday or shift during which the incident ...

www.nysif.com/reportinjury

Self-Reporting - NYSIF

Mailing Your FORMS . To submit a Payroll Report or Self-Audit Report with a Document Number in letter/number format such as A1B2C3D4E5F6, please email the fully completed form to your policy rep or mail it to: NYSIF PO Box 66699 Albany, NY 12206. Report Payroll for Domestic Workers

https://ww3.nysif.com/Home/Employer/WCpolicyholder/AboutAuditing...

PFL Form - Request for Family Care Leave - NYSIF

Solicitud de Licencia Familiar Remunerada (Formulario NYSIF PFL-1) PARTE A INFORMACIÓN DEL EMPLEADO-(a completar por el empleado) 1.Nombre (nombre, inicial del segundo nombre, apellido)

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/NYSI...

PFL Form - Request for Family Care Leave - NYSIF

Complete your FORMS and attach the required documentation Complete the Request for Paid Family Leave (Form PFL-1). Fill out your section, make a copy, and give the form to your employer to fill out Part B.

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/2023...

New York State NOTICE AND PROOF OF CLAIM FOR DISABILITY ... - NYSIF

Keep a copy of all FORMS and documentations for your records. 1. If you are using this form because you became disabled while employed or you became disabled within four (4) weeks

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/2024...