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New York State Insurance Fund (NYSIF) fax number

(518) 437-5201

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PFL Claims (DB Claims)

Used for: Submit NYSIF Paid Family Leave forms (PFL-1 and PFL-2) via: Fax 518-437-5201; Email DBClaims@nysif.com; Mail NYSIF, PO Box 66699, Albany, NY 12206.

Fax destination details

Department
PFL Claims (DB Claims)
Purpose
Submit NYSIF Paid Family Leave forms (PFL-1 and PFL-2) via: Fax 518-437-5201; Email DBClaims@nysif.com; Mail NYSIF, PO Box 66699, Albany, NY 12206.
Form
NYSIF PFL-1; PFL-2 Bonding Certification — NYSIF PFL-1 - Request for Paid Family Leave; Bonding Certification (PFL-2)
Voice phone
866-697-4332

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Complete PFL-1 (employee and employer sections). For bonding, complete PFL-2. Attach required documentation (birth certificate, adoption records, etc.). Submit to NYSIF within 30 days after the first day of leave via Fax 518-437-5201, Email DBClaims@nysif.com, or Mail to NYSIF, PO Box 66699, Albany, NY 12206.

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