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New Jersey Division of Temporary Disability Insurance (TDIF) / Family Leave Insurance, New Jersey Department of Labor and Workforce Development fax number

(609) 984-4138

Division of Temporary Disability Insurance (and Family Leave Insurance), New Jersey Department of Labor and Workforce Development

Used for: Used for submitting temporary disability insurance and family leave insurance claims and related forms; typical workflow includes completing DS-1 (Disability Insurance Application) and sending by mail or fax to the division (fax number 609-984-4138).

Fax destination details

Department
Division of Temporary Disability Insurance (and Family Leave Insurance), New Jersey Department of Labor and Workforce Development
Purpose
Used for submitting temporary disability insurance and family leave insurance claims and related forms; typical workflow includes completing DS-1 (Disability Insurance Application) and sending by mail or fax to the division (fax number 609-984-4138).
Form
DS-1 — Disability Insurance Application DS-1
Address
PO Box 387, Trenton, NJ 08625-0387
Voice phone
609-292-7060

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  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
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Download DS-1 and submit by mail to the Division of Temporary Disability Insurance or fax to 609-984-4138; online applications are also available at the agency's portal.

Review official form instructions

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