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Division of Temporary Disability and Family Leave Insurance fax number

(609) 292-9209

Division of Temporary Disability and Family Leave Insurance

Used for: Disability During Unemployment inquiries and private plan inquiries; online submission via the Private Plan Appeal and Inquiry Form and the Disability During Unemployment and Family Leave During Unemployment Inquiry Form; mail or fax submissions accepted for inquiries.

Fax destination details

Department
Division of Temporary Disability and Family Leave Insurance
Purpose
Disability During Unemployment inquiries and private plan inquiries; online submission via the Private Plan Appeal and Inquiry Form and the Disability During Unemployment and Family Leave During Unemployment Inquiry Form; mail or fax submissions accepted for inquiries.
Form
Private Plan Appeal and Inquiry Form — Private Plan Appeal and Inquiry Form
Address
Division of Temporary Disability and Family Leave Insurance, PO Box 387, Trenton, NJ 08625-0387
Voice phone
609-292-7060

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Submit online using the Private Plan Appeal and Inquiry Form or the Disability During Unemployment and Family Leave During Unemployment Inquiry Form. Refer to the NJDOL My Leave Benefits contact pages for detailed steps.

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