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FL-1 New Jersey – Family Leave Insurance Application

FL-1 New Jersey – Family Leave Insurance Application

www.nj.gov

NOTE: To claim benefits for individual periods of Family Leave, you must complete the Intermittent Family Leave Schedule, Part E, of this form. Your employer must approve the schedule and the leave must be taken in increments of at least 7 continuous days.

  Family, Leave, Intermittent, Family leave, Intermittent family leave

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