Updated Notice of Compliance (Form PFL-120) Now Available

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Updated Notice of Compliance (Form PFL-120) now available

The New York State Workers’ Compensation Board (Board) has updated the Notice of Compliance (Form PFL-120) for Paid Family Leave (PFL) to include PFL for COVID-19 quarantine leave. To obtain a copy of the updated form, insurance carriers and self-insured employers should email certificates@wcb.ny.gov.

  • Paid Family Leave insurance carriers: This form should be completed and distributed by your employer policy holders, with instructions to post it conspicuously in and about the employer’s place or places of business.
  • Self-insured employers: Please complete and post the form conspicuously in your place or places of business.

More information

For more information and resources related to New York State Paid Family Leave, please visit PaidFamilyLeave.ny.gov. Updated employer resources for 2023 can be found at PaidFamilyLeave.ny.gov/2023.

Questions?

Contact the PFL helpline: (844) 337-6303.