Click the link provided below to download an application now or order an application by mail.
If you are receiving temporary disability benefits from the State Plan for a pregnancy related disability you will receive instructions for claiming Family Leave benefits for bonding with your newborn child.
Download an Application for Family Leave Insurance Benefits
WORKER – Order an application by mail
EMPLOYER – Order applications and informational pamphlets by mail
Download Family Leave Insurance Brochures
Your Guide to Family Leave Insurance in New Jersey (PR-119)Guide to Family Leave Insurance For Medical Providers (PR-118W)
Your Guide to Family Leave Insurance in New Jersey - Spanish (PR-119S)
