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Connecticut Paid Leave Authority fax number

(888) 485-0973

Administrative Office (CT Paid Leave Authority)

Used for: Submitting CT Paid Leave forms by fax to the Administrative Office; common forms include CTPL-0006 Employment Verification and the Third Party Authorization to Release Personal Health Claim and Benefit Information.

Fax destination details

Department
Administrative Office (CT Paid Leave Authority)
Purpose
Submitting CT Paid Leave forms by fax to the Administrative Office; common forms include CTPL-0006 Employment Verification and the Third Party Authorization to Release Personal Health Claim and Benefit Information.
Form
CTPL-0006; CTPL-0014 — Connecticut Paid Leave - Employment Verification (CTPL-0006); Connecticut Paid Leave - Third Party Authorization To Release Personal Health Claim and Benefit Information (CTPL-0014)
Address
Administrative Office, PO Box 84077, Columbus GA 31908-4077
Voice phone
(877) 499-8606

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CTPL-0006: Employer completes and returns to Aflac within 10 calendar days; submit via email to CTPFL@Aflac.com or fax to (888) 485-0973. CTPL-0014: Same submission method (email CTPFL@Aflac.com or fax to (888) 485-0973).

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