New York State Releases Waiver and Voluntary Coverage Forms

October 5, 2017

By: Kerry W. Langan and Caroline M. Westover

The New York Workers’ Compensation Board recently released three key forms associated with Paid Family Leave (“PFL”):

1. PFL-Waiver:  “Employee Opt-Out of Paid Family Leave Benefits”
2. PFL-135:  “Employer’s Application for Voluntary Coverage” (No Employee Contribution)
3. PFL-136:  “Employer’s Application for Voluntary Coverage” (Employee Contribution Required)

These are the first forms that the WCB has formally published in connection with PFL, which will become effective on January 1, 2018.  We are still waiting for the WCB to provide the requisite PFL certification forms and will provide additional updates as they become available.