Division of Temporary Disability and Family Leave InsuranceURL reading ( My Leave Benefits . NJ . Gov )

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Information for Healthcare Providers
Learn more about our programs, and find out how to complete and submit patient forms.
Family Leave Insurance:
Complete Patient Forms Online

Frequently Asked Questions

Get answers to common questions about our programs, and how to submit patient information to us.

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Unique Patient Situations

Some diagnoses require more details from the healthcare provider. Find out what they are, and what information we need.

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Download Patient Brochures

Use our free, printable information pages to keep your patients informed about our programs.

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How to Complete a Medical Statement

We explain step-by-step how to submit a patient's proof of disability, or need for caregiving by a family member.

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Glossary of Terms

Our forms and notices may use words that have other meanings outside of the context of our programs. Here's what they mean for our purposes.

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Form Lookup

This page lists all the Temporary Disability and Family Leave Insurance forms that we send, why we send them, and what to do if you get one.

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