Apply for benefits when you need time off work to bond with a new addition, or care for a loved one.
BEFORE YOU BEGIN
Check out our video tutorial. It'll guide you through the process with detailed step-by-step instructions. Plus you'll get helpful tips for completing your application.
Step 1: Create an Account
If you don't already have an account for our secure online system, click here and follow the prompts from the "First Time User?" button.
Step 2: Start an Application
You'll then be directed to the first page of the application. Read it and click the box to confirm you agree with the terms before filling out the rest of the pages.
Step 3: Print Instruction Forms
After your parts are complete, you'll be prompted to print instructions with a unique Online Form ID number. Give them to your family member's healthcare provider, if applicable, so they can complete their part online.
Step 4: Await Your Decision
Applications are processed in the order in which they are received. Stay up-to-date by checking your claim status here.
Step 5: If Approved, Access Your Funds
If we approve your application, we'll mail you a debit card to access your benefit payments. For more information about how the debit card works, click here.
Family Leave Insurance provides New Jersey workers cash benefits to bond with a newborn, newly adopted, newly placed foster child, or to provide care for a seriously ill or injured loved one. While most New Jersey workers who take family leave are covered under the State’s family leave program, some employers provide Family Leave Insurance through a plan with a private insurance carrier instead. If you are not sure about your coverage, ask your employer.
You can apply for Family Leave Insurance benefits online, in the mail, or by fax. Instructions for filing your claim are included in the application. Read all the instructions carefully before completing the application. If filing by mail or fax, don’t forget to sign and date the form.
If planning ahead, you may start your online application up to 60 days in advance. To avoid deletion of your draft application: (1) within 14 days of starting the application, provide all information and confirm your claim; then (2) within 14 days after the start of your leave, certify and file your claim. If applying after your leave begins, you have 30 days from your first day of leave to file your application.
We would like to process your claim quickly, but can’t do it without your help.
Keep these tips in mind to avoid delays and receive your benefits faster:
- Apply online. It’s faster than printing and mailing or faxing your application to us. If you are filing for family caregiving, it also allows your family member's medical provider to easily complete their section online once they get the required instructions from you. Remember, it is your responsibility to give these instructions to the medical provider to complete – they are not automatically notified by our system. If you do apply online, don’t also submit that claim by mail or fax. That may delay the processing of you’re application.
- Fill out your application completely and accurately. Read all instructions first. If you’re not sure how to answer a question, check out our FAQ or Form Look Up for more information. If you still need help, contact us.
- Include your Social Security number on all correspondence.
- Don’t fax us pictures of documents. If you want to submit a digital copy of a document, use a free mobile app like Adobe Scan or Dropbox to transform a mobile phone picture into a high-contrast, black-and-white PDF file you can print and fax.
- Get ready to receive your payments. Money Network/My Banking Direct will mail your prepaid debit card in a plain envelope (which might even look like junk mail), so check all your mail carefully. If you already have a debit card from a previous Temporary Disability, Family Leave, or Unemployment Insurance claim, we will use that same card to pay benefits for new claims. If you can’t find your card, contact Money Network/My Banking Direct for a replacement.
New Jersey workers are encouraged to apply.
In order to have a valid claim for Family Leave Insurance, you need to have paid into the program through your employment and meet minimum gross earnings requirements. Family Leave Insurance is available to most New Jersey workers.
Exemptions include:
- federal government employees
- out-of-state employees
- faith-based organizations
- workers that are not technically employees (such as contractors).
If your employer is covered for Family Leave Insurance, they are required to set up payroll contributions for you. If you believe you are covered under the program but payroll contributions have not been made, you are still encouraged to apply as it may have been an error. If you became unemployed recently and have a need for Family Leave Insurance, you still may be eligible for benefits and we encourage you to apply. In that case, we will forward your application to our Family Leave During Unemployment section.
Your employer is required to report your wages to the state after each calendar quarter. When your claim is under review, we consider the earnings reported for the 5 completed quarters prior to the week your leave began. The first 4 quarters of that time frame is called the base year.
To qualify for Family Leave Insurance in 2023, you must have worked 20 weeks earning at least $260 weekly, or have earned a combined total of $13,000 in those four quarters (the base year).
To qualify for Family Leave Insurance in 2024, you must have worked 20 weeks earning at least $283 weekly, or have earned a combined total of $14,200 in those four quarters (the base year).
Your regular base year period consists of 52 weeks and is determined by the date you apply for Family Leave Insurance benefits, as outlined in the chart below:
earnings from: |
|
February 2024 March 2024 |
|
May 2024 June 2024 |
|
August 2024 September 2024 |
|
November 2024 December 2024 |
The wages earned during your base year will determine the amount of weekly benefits you may receive, and the total amount you can claim in a given year.
For workers who don't qualify with a standard base year, we have other ways of calculating a base year. Click here for more information on these alternate base years.
1. First, we calculate your average weekly wage. We do this by dividing your base year earnings by the number of base weeks.
In 2023, a "base week" is any week you earn $260 or more.
In 2024, a "base week" is any week you earn $283 or more.
2. Now, we can determine your weekly benefit rate. Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year.
In 2023, the maximum weekly benefit rate is $1,025 per week.
In 2024, the maximum weekly benefit rate is $1,055 per week.
For example, let’s say Steve's first day of family leave is Friday, March 1, 2024. To see how much he would receive weekly on Family Leave Insurance, we look at his reported wages for the first four of the last five completed quarters:
Previous Completed Quarters | Timeframe Covered | Total Earnings | Number of Base Weeks |
---|---|---|---|
Quarter 5 |
10/1/23 - 12/31/23
|
$5,500 | 13 base weeks |
Quarter 4 |
7/1/23 - 9/30/23
|
$5,000 | 12 base weeks |
Quarter 3 |
4/1/23 - 6/30/23
|
$5,000 | 12 base weeks |
Quarter 2 |
1/1/23 - 3/31/23
|
$4,000 | 10 base weeks |
Quarter 1 |
10/1/22 - 12/31/22
|
$4,200 | 11 base weeks |
Quarters 1 through 4 are the regular base year and the timeframe used to calculate his benefits.
Total base year earnings: $18,200 which we divide by 45 (the number of base weeks)
This gives us an average weekly wage of $404.
Steve’s weekly benefit rate is 85% of his average weekly wage: $343
If Steve is taking his leave on a day by day basis, he will receive 1/7 of his weekly benefit rate for each day he claims.
Family Leave Insurance benefits do not need to be claimed all at once. You can claim Family Leave Insurance benefits in one consecutive 12-week period, or on a day-by-day basis to suit your needs. However, the manner in which you choose to claim your leave will determine the duration of leave that you are entitled to.
Continuous Leave: You may receive up to 12 weeks of benefits in a 12-month period, if the benefits are claimed for one continuous period of unpaid leave.
Non-Continuous (intermittent) Leave: If you are claiming benefits on an intermittent schedule, whether it be a week, a month, or a day at a time, you may receive up to 56 individual days (8 weeks) of Family Leave benefits in a 12-month period. If you take your leave in a non-continuous manner, let us know those dates after taking each segment. If you are approved for Family Leave Insurance benefits but do not initially claim your maximum duration of leave when filing, we will mail you a Continued Claim Certification (FL3), which includes a schedule that you must fill out and sign – showing the days you did not work during the period. You will need to submit an updated schedule after each period of leave is completed.
You must give your employer 30 days’ notice if taking your family leave bonding in one continuous period, and 15 days' notice if taking your leave in a non-continuous manner. If you plan to care for a family member and take your leave all at once, you must give your employer reasonable notice, unless there are unforeseen or emergency circumstances and 15 days' notice for separate periods of leave.
If you do not give your employer adequate notice, your benefit entitlement may be reduced by 14 days. We encourage you to keep your employer informed. Having an open discussion with your employer about your need for leave will allow them to prepare for your absence and make adjustments to work schedules if necessary. Your employer may also be able to provide insight on job protection and if you qualify for it through the federal Family and Medical Leave Act (FMLA) or the New Jersey Family Leave Act (NJFLA).
Applications are processed in the order they are received. Payment of benefits will be delayed if your application is incomplete or contains missing or conflicting information.
Benefits are issued on a debit card sent to you directly by Money Network/My Banking Direct. You will receive this card in the mail in a plain, unmarked envelope once your claim is approved. Don’t lose it!
For Continuous Leave: Payments are usually issued every two weeks after the initial payment, with a one-week lag for processing time. Payment may be more or less than a one-week period.
For Non-Continuous Leave: Each day of benefits paid to you is one-seventh (1/7) of your weekly benefit rate.
Once a payment is posted, funds should be available on your debit card within three business days of the payment date. No federal income tax is withheld from your benefits unless you request a 10 percent deduction when you apply.
Family Leave benefits are paid until you: return to work, exhaust your maximum benefit entitlement, your child's first birthday, 12 months after adoptive or foster placement, or your family member no longer needs care.
Here is a list of the important mail you’ll receive from us, in the order it’s typically sent:
- C05 - Confirmation of Claim Receipt: This form lets you know we received your claim. Don’t discard it! You’ll need it if you have to update any of your information (name, address, earlier return to work date, etc.).
- D10 - Eligible Notice: This form tells you that your claim has been approved for benefits.
- D30 - Ineligible Notice: This form tells you that your claim has not been approved for benefits.
- FL3 - Request to Claimant for Continued Claim Information: If your family caregiving or bonding claim is approved and you did not initially request your maximum benefit duration, you’ll receive this form so you can extend your benefits.
You also may receive one or more of the following if your application contains missing or conflicting information:
- C10 - Request to Claimant for Information: You’ll receive this form if your claim has missing or conflicting information.
- M10 - Request for Medical Information: You’ll receive this form if your caregiving claim is missing medical information, if the medical information needs further review, or if your statement conflicts with the medical provider’s statement.
For more information about specific forms or notices, see our Form Look Up page.
The family leave program is financed 100% by worker payroll deductions. Employers do not contribute to the program.
For 2023, workers contribute 0.06% on the first $156,800 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2023 is $94.08. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
For 2024, workers contribute 0.09% on the first $161,400 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2024 is $145.26. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
Workers can receive benefits for twelve consecutive weeks (84 days) or up to eight weeks (56 days) of intermittent leave in a 12-month period.
For caregiving claims, the 12-month period begins on the first day of your leave, and for bonding it begins on the child's birth, placement or adoption.
If you have not claimed your maximum benefit amount, you may reestablish a claim within the same 12-month period to care for a different family member, or during or following employment with a different employer.
After the 12-month period, regardless of whether or not you used the maximum amount of benefits, you must submit a completely new application for Family Leave Insurance benefits.
If you disagree with our decision, you may submit an appeal. Click here for more information about the appeals process.
Did you receive a Demand for Refund (P60) notice in the mail? We try to make the process of repayment as easy as possible. Click here for more information about the repayment process.
After the end of each calendar year, Form 1099-G will be available in our online system for you to download and use when filing your federal income tax return. This form lists the total New Jersey State Family Leave Insurance (including Family Leave During Unemployment) benefits received that calendar year. This information is also sent to the Internal Revenue Service (IRS). If you receive Family Leave Insurance benefits from an approved private plan, your employer will provide you with the information required to file your federal income tax return. Family Leave Insurance benefits are not taxed by the State of New Jersey.
Parents of newborns who work in New Jersey may qualify for cash benefits for time off from work to bond with a baby during the infant’s first year. Either the applicant or their spouse, domestic partner, or civil union partner must be the biological parent of the child.
New parents do not need to claim their benefits all at once. You can claim Family Leave Insurance to bond in one consecutive 12-week period, or on a day-by-day basis to suit your needs. However, the manner in which you choose to claim your leave will determine the duration of leave that you are entitled to.
Continuous Leave: You may receive up to 12 weeks of benefits before your child’s first birthday, if the benefits are claimed for one continuous period of unpaid leave.
Non-Continuous (intermittent) Leave: If you are claiming benefits on an intermittent schedule, whether it be a week, a month, or a day at a time, you may receive up to 56 individual days (8 weeks) of Family Leave benefits before your child’s first birthday. If you take your leave in a non-continuous manner, let us know those dates after taking each segment. If you are approved for Family Leave Insurance benefits but do not initially claim your maximum duration of leave when filing, we will mail you a Continued Claim Certification (FL3), which includes a schedule that you must fill out and sign – showing the days you did not work during the period. You will need to submit an updated schedule after each period of leave is completed.
Family Leave Insurance provides New Jersey workers cash benefits for time off from work to bond with a newborn. While most New Jersey workers who take family leave are covered under the State’s family leave program, some employers provide Family Leave Insurance through a plan with a private insurance carrier instead. If you are not sure about your coverage, ask your employer.
You can apply for Family Leave Insurance benefits online, in the mail, or by fax. Instructions for filing your claim are included in the application. Read all the instructions carefully before completing the application. If filing by mail or fax, don’t forget to sign and date the form.
It is your responsibility to have the information submitted to us online, by mail, or by fax.
This is the information we need from you to complete your application:
- Your Social Security number, contact information, and date of birth
- The date your bonding leave begins
- Dates you worked for any employers in the last 18 months, the employers’ contact information, and the address(es) where you worked
- Dates of any paid time off or other benefits you received after the last day you worked
When you complete your part online, you will get a confirmation page showing your part is complete. If any information is missing or conflicting, you will be prompted to print out (or save as a PDF file) the applicable forms to complete and return to the division. If you do not have access to a printer when initially filing your application, you have a fourteen day window to return and print the instructions when a printer is available. You can do so by clicking Access claim documents at the top of this page.
If planning ahead, you may start your online application up to 60 days in advance. To avoid deletion of your draft application: (1) within 14 days of starting the application, provide all information and confirm your claim; then (2) within 14 days after the start of your leave, certify and file your claim. If applying after your leave begins, you have 30 days from your first day of leave to file your application.
We would like to process your claim quickly, but can’t do it without your help.
Keep these tips in mind to avoid delays and receive your benefits faster:
- Apply online. It’s faster than printing and mailing or faxing your application to us. If you do apply online, don’t also submit that claim by mail or fax. That may delay the processing of you’re application.
- Fill out your application completely and accurately. Read all instructions first. If you’re not sure how to answer a question, check out our FAQ or Form Look Up for more information. If you still need help, contact us.
- Include your Social Security number on all correspondence.
- Don’t fax us pictures of documents. If you want to submit a digital copy of a document, use a free mobile app like Adobe Scan or Dropbox to transform a mobile phone picture into a high-contrast, black-and-white PDF file you can print and fax.
- Get ready to receive your payments. Money Network/My Banking Direct will mail your prepaid debit card in a plain envelope (which might even look like junk mail), so check all your mail carefully. If you already have a debit card from a previous Temporary Disability, Family Leave, or Unemployment Insurance claim, we will use that same card to pay benefits for new claims. If you can’t find your card, contact Money Network/My Banking Direct for a replacement.
New Jersey workers are encouraged to apply.
In order to have a valid claim for Family Leave Insurance, you need to have paid into the program through your employment and meet minimum gross earnings requirements. Family Leave Insurance is available to most New Jersey workers.
Exemptions include:
- federal government employees
- out-of-state employees
- faith-based organizations
- workers that are not technically employees (such as contractors).
If your employer is covered for Family Leave Insurance, they are required to set up payroll contributions for you. If you believe you are covered under the program but payroll contributions have not been made, you are still encouraged to apply as it may have been an error. If you became unemployed recently and have a need for Family Leave Insurance, you still may be eligible for benefits and we encourage you to apply. In that case, we will forward your application to our Family Leave During Unemployment section.
Your employer is required to report your wages to the state after each calendar quarter. When your claim is under review, we consider the earnings reported for the 5 completed quarters prior to the week your leave began. The first 4 quarters of that time frame is called the base year.
To qualify for Family Leave Insurance in 2023, you must have worked 20 weeks earning at least $260 weekly, or have earned a combined total of $13,000 in those four quarters (the base year).
To qualify for Family Leave Insurance in 2024, you must have worked 20 weeks earning at least $283 weekly, or have earned a combined total of $14,200 in those four quarters (the base year).
Your regular base year period consists of 52 weeks and is determined by the date you apply for Family Leave Insurance benefits, as outlined in the chart below:
earnings from: |
|
February 2024 March 2024 |
|
May 2024 June 2024 |
|
August 2024 September 2024 |
|
November 2024 December 2024 |
The wages earned during your base year will determine the amount of weekly benefits you may receive, and the total amount you can claim in a given year.
For workers who don't qualify with a standard base year, we have other ways of calculating a base year. Click here for more information on these alternate base years.
- First, we calculate your average weekly wage. We do this by dividing your base year earnings by the number of base weeks.
In 2023, a "base week" was any week you earned $260 or more. In 2024, a "base week" is any week you earn $283 or more.
2. Now, we can determine your weekly benefit rate. Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year.
In 2023, the maximum weekly benefit rate is $1,025 per week.
In 2024, the maximum weekly benefit rate is $1,055 per week.
For example, let’s say Steve's first day of family leave is Friday, March 1, 2024. To see how much he would receive weekly on Family Leave Insurance, we look at his reported wages for the first four of the last five completed quarters:
Previous Completed Quarters | Timeframe Covered | Total Earnings | Number of Base Weeks |
---|---|---|---|
Quarter 5 |
10/1/23 - 12/31/23
|
$5,500 | 13 base weeks |
Quarter 4 |
7/1/23 - 9/30/23
|
$5,000 | 12 base weeks |
Quarter 3 |
4/1/23 - 6/30/23
|
$5,000 | 12 base weeks |
Quarter 2 |
1/1/23 - 3/31/23
|
$4,000 | 10 base weeks |
Quarter 1 |
10/1/22 - 12/31/22
|
$4,200 | 11 base weeks |
Quarters 1 through 4 are the regular base year and the timeframe used to calculate his benefits.
Total base year earnings: $18,200 which we divide by 45 (the number of base weeks)
This gives us an average weekly wage of $404.
Steve’s weekly benefit rate is 85% of his average weekly wage: $343.
If Steve is taking his leave on a day by day basis, he will receive 1/7 of his weekly benefit rate for each day he claims.
Applications are processed in the order they are received. Payment of benefits will be delayed if your application is incomplete or contains missing or conflicting information.
Benefits are issued on a debit card sent to you directly by Money Network/My Banking Direct. You will receive this card in the mail in a plain, unmarked envelope once your claim is approved. Don’t lose it!
For Continuous Leave: Payments are usually issued every two weeks after the initial payment, with a one-week lag for processing time. Payment may be more or less than a one-week period.
For Non-Continuous Leave: Each day of benefits paid to you is one-seventh (1/7) of your weekly benefit rate.
Once a payment is posted, funds should be available on your debit card within three business days of the payment date. No federal income tax is withheld from your benefits unless you request a 10 percent deduction when you apply.
Family Leave benefits are paid until: you return to work, exhaust your maximum benefit entitlement, or your child's first birthday.
If you are claiming Family Leave benefits in one continuous period, you must give your employer 30 days’ notice before starting your leave. If you are bonding in separate periods of leave, you must give your employer 15 days' notice before each period of leave.
If you do not give your employer adequate notice, your benefit entitlement may be reduced by 14 days. We encourage you to keep your employer informed. Having an open discussion with your employer about your need for leave will allow them to prepare for your absence and make adjustments to work schedules, if necessary. Your employer may also be able to provide insight on job protection and if you qualify for it through the federal Family and Medical Leave Act (FMLA) or the New Jersey Family Leave Act (NJFLA).
Here is a list of the important mail you’ll receive from us, in the order it’s typically sent:
- C05 - Confirmation of Claim Receipt: This form lets you know we received your claim. Don’t discard it! You’ll need it if you have to update any of your information (name, address, earlier return to work date, etc.).
- D10 - Eligible Notice: This form tells you that your claim has been approved for benefits.
- D30 - Ineligible Notice: This form tells you that your claim has not been approved for benefits.
- FL3 - Request to Claimant for Continued Claim Information: If your newborn bonding claim is approved, and you did not initially request your maximum benefit duration, you’ll receive this form so you can claim additional days of benefits.
If your application contains missing or conflicting information, you may recieve a C10 - Request to Claimant for Information. Be sure to complete and return this form to the division promptly to ensure your application is approved.
For more information about specific forms or notices, see our Form Look Up page.
The family leave program is financed 100% by worker payroll deductions. Employers do not contribute to the program.
For 2023, workers contribute 0.06% on the first $156,800 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2023 is $94.08. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
For 2024, workers contribute 0.09% on the first $161,400 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2024 is $145.26. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
Workers can receive benefits for twelve consecutive weeks (84 days) or up to eight weeks (56 days) of intermittent leave in a 12-month period.
The 12-month period begins on the date of your child's birth. If you have not claimed your maximum benefit amount, you may reestablish a claim within the same 12-month period to care for a family member, or during or following employment with a different employer.
If you disagree with our decision, you may submit an appeal. Click here for more information about the appeals process.
Did you receive a Demand for Refund (P60) notice in the mail? We try to make the process of repayment as easy as possible. Click here for more information about the repayment process.
After the end of each calendar year, Form 1099-G will be available online for you to download and use when filing your federal income tax return. This form lists the total New Jersey State Family Leave Insurance (including Family Leave During Unemployment) benefits received that calendar year. This information is also sent to the Internal Revenue Service (IRS). If you receive Family Leave Insurance benefits from an approved private plan, your employer will provide you with the information required to file your federal income tax return. Family Leave Insurance benefits are not taxed by the State of New Jersey.
If you received Temporary Disability Insurance benefits from the state while you recovered from delivery, you will receive a form in the mail (FL2) with instructions on how to apply online for Family Leave Insurance benefits to bond with your newborn. The bonding period can begin after your doctor certifies that you have medically recovered from the birth.
If you haven’t received Temporary Disability Insurance benefits from the state, you can apply for Family Leave Insurance with a paper application (FL-1) or online during your baby’s first year.
Family Leave Insurance provides New Jersey workers cash benefits for time off from work to bond with a newborn. While most New Jersey workers who take family leave are covered under the State’s family leave program, some employers provide Family Leave Insurance through a plan with a private insurance carrier instead. If you are not sure about your coverage, ask your employer.
New Jersey workers are encouraged to apply.
In order to have a valid claim for Family Leave Insurance, you need to have paid into the program through your employment and meet minimum gross earnings requirements. Family Leave Insurance is available to most New Jersey workers.
Exemptions include:
- federal government employees
- out-of-state employees
- faith-based organizations
- workers that are not technically employees (such as contractors).
If your employer is covered for Family Leave Insurance, they are required to set up payroll contributions for you. If you believe you are covered under the program but payroll contributions have not been made, you are still encouraged to apply as it may have been an error. If you became unemployed recently and have a need for Family Leave Insurance, you still may be eligible for benefits and we encourage you to apply. In that case, we will forward your application to our Family Leave During Unemployment section.
Mothers who collected state Temporary Disability Insurance for their pregnancy and immediately transition into Family Leave bonding, have already met the minimum earnings requirement. See our maternity leave page for more information.
All other claims
Your employer is required to report your wages to the state after each calendar quarter. When your claim is under review, we consider the earnings reported for the 5 completed quarters prior to the week your leave began. The first 4 quarters of that time frame is called the base year.
To qualify for Family Leave Insurance in 2023, you must have worked 20 weeks earning at least $260 weekly, or have earned a combined total of $13,000 in those four quarters (the base year).
To qualify for Family Leave Insurance in 2024, you must have worked 20 weeks earning at least $283 weekly, or have earned a combined total of $14,200 in those four quarters (the base year).
Your regular base year period consists of 52 weeks and is determined by the date you apply for Family Leave Insurance benefits, as outlined in the chart below:
earnings from: |
|
February 2024 March 2024 |
|
May 2024 June 2024 |
|
August 2024 September 2024 |
|
November 2024 December 2024 |
The wages earned during your base year will determine the amount of weekly benefits you may receive, and the total amount you can claim in a given year.
For workers who don't qualify with a standard base year, we have other ways of calculating a base year. Click here for more information on these alternate base years.
1. First, we calculate your average weekly wage. We do this by dividing your base year earnings by the number of base weeks.
In 2023, a "base week" was any week you earned $260 or more.
In 2024, a "base week" is any week you earn $283 or more.
2. Now, we can determine your weekly benefit rate. Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year.
In 2023, the maximum weekly benefit rate is $1,025 per week.
In 2024, the maximum weekly benefit rate is $1,055 per week.
For example, let’s say Steve's first day of family leave is Friday, March 1, 2024. To see how much he would receive weekly on Family Leave Insurance, we look at his reported wages for the first four of the last five completed quarters:
Previous Completed Quarters | Timeframe Covered | Total Earnings | Number of Base Weeks |
---|---|---|---|
Quarter 5 |
10/1/23 - 12/31/23
|
$5,500 | 13 base weeks |
Quarter 4 |
7/1/23 - 9/30/23
|
$5,000 | 12 base weeks |
Quarter 3 |
4/1/23 - 6/30/23
|
$5,000 | 12 base weeks |
Quarter 2 |
1/1/23 - 3/31/23
|
$4,000 | 10 base weeks |
Quarter 1 |
10/1/22 - 12/31/22
|
$4,200 | 11 base weeks |
Quarters 1 through 4 are the regular base year and the timeframe used to calculate his benefits.
Total base year earnings: $18,200 which we divide by 45 (the number of base weeks)
This gives us an average weekly wage of $404.
Steve’s weekly benefit rate is 85% of his average weekly wage: $343
If Steve is taking his leave on a day by day basis, he will receive 1/7 of his weekly benefit rate for each day he claims.
Applications are processed in the order they are received. Payment of benefits will be delayed if your application is incomplete or contains missing or conflicting information.
Benefits are issued on a debit card sent to you directly by Money Network/My Banking Direct. You will receive this card in the mail in a plain, unmarked envelope once your claim is approved. Don’t lose it!
For Continuous Leave: Payments are usually issued every two weeks after the initial payment, with a one-week lag for processing time. Payment may be more or less than a one-week period.
For Non-Continuous Leave: Each day of benefits paid to you is one-seventh (1/7) of your weekly benefit rate.
Once a payment is posted, funds should be available on your debit card within three business days of the payment date. No federal income tax is withheld from your benefits unless you request a 10 percent deduction when you apply.
Family Leave benefits are paid until: you return to work, exhaust your maximum benefit entitlement, or your child's first birthday.
New moms do not need to take their leave all at once. You can claim Family Leave Insurance to bond in one consecutive 12-week period, or on a day-by-day basis to suit your needs. However, the manner in which you choose to claim your leave will determine the duration of leave that you are entitled to.
Continuous Leave: You may receive up to 12 weeks of benefits before your child’s first birthday, if the benefits are claimed for one continuous period of unpaid leave.
Non-Continuous (intermittent) Leave: If you are claiming benefits on an intermittent schedule, whether it be a week, a month, or a day at a time, you may receive up to 56 individual days (8 weeks) of Family Leave benefits before your child’s first birthday. If you take your leave in a non-continuous manner, let us know those dates after taking each segment. If you are approved for Family Leave Insurance benefits but do not initially claim your maximum duration of leave when filing, we will mail you a Continued Claim Certification (FL3), which includes a schedule that you must fill out and sign – showing the days you did not work during the period. You will need to submit an updated schedule after each period of leave is completed.
To receive Family Leave benefits in one continuous period, you must notify your employer 30 days’ in advance of the date you plan to start your leave. To claim your benefits in non-consecutive days, you must notify your employer 15 days’ in advance of each anticipated absence.
If you do not give your employer adequate notice, your benefit entitlement may be reduced by 14 days. We encourage you to keep your employer informed. Having an open discussion with your employer about your need for leave will allow them to prepare for your absence and make adjustments to work schedules if necessary. Your employer may also be able to provide insight on job protection and if you qualify for it through the federal Family and Medical Leave Act (FMLA) or the New Jersey Family Leave Act (NJFLA).
The family leave program is financed 100% by worker payroll deductions. Employers do not contribute to the program.
For 2023, workers contribute 0.06% on the first $156,800 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2023 is $94.08. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
For 2024, workers contribute 0.09% on the first $161,400 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2024 is $145.26. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
You can claim Family Leave Insurance benefits for time off from work to bond with an adopted child or foster child during the first 12 months after the child’s adoption or placement.
Adoptive and Foster parents do not need to take their leave all at once. You can claim Family Leave Insurance to bond in one consecutive 12-week period, or on a day-by-day basis to suit your needs. However, the manner in which you choose to claim your leave will determine the duration of leave that you are entitled to.
Continuous Leave: You may receive up to 12 weeks of benefits within a year of the child's adoption or placement, if the benefits are claimed for one continuous period of unpaid leave.
Non-Continuous (intermittent) Leave: If you are claiming benefits on an intermittent schedule, whether it be a week before returning to work or a day at a time, you may receive up to 56 individual days (8 weeks) of Family Leave benefits within a year of the child's adoption or placement. If you take your leave in a non-continuous manner, let us know those dates after taking each segment. If you are approved for Family Leave Insurance benefits but do not initially claim your maximum duration of leave when filing, we will mail you a Continued Claim Certification (FL3), which includes a schedule that you must fill out and sign – showing the days you did not work during the period. You will need to submit an updated schedule after each period of leave is completed.
You can apply for Family Leave Insurance benefits online, in the mail, or by fax. Instructions for filing your claim are included in the application. Read all the instructions carefully before completing the application. If filing by mail or fax, don’t forget to sign and date the form.
It is your responsibility to have the information submitted to us online, by mail, or by fax.
This is the information we need from you to complete your application:
- Your Social Security number, contact information, and date of birth
- The date your bonding leave begins
- Dates you worked for any employers in the last 18 months, the employers’ contact information, and the address(es) where you worked
- Dates of any paid time off or other benefits you received after the last day you worked
When you complete your part online, you will get a confirmation page showing your part is complete. If any information is missing or conflicting, you will be prompted to print out (or save as a PDF file) the applicable forms to complete and return to the division. If you do not have access to a printer when initially filing your application, you have a fourteen day window to return and print the instructions when a printer is available. You can do so by clicking Access claim documents at the top of this page.
If planning ahead, you may start your online application up to 60 days in advance. To avoid deletion of your draft application: (1) within 14 days of starting the application, provide all information and confirm your claim; then (2) within 14 days after the start of your leave, certify and file your claim. If applying after your leave begins, you have 30 days from your first day of leave to file your application.
We would like to process your claim quickly, but can’t do it without your help.
Keep these tips in mind to avoid delays and receive your benefits faster:
- Apply online. It’s faster than printing and mailing or faxing your application to us. If you do apply online, don’t also submit that claim by mail or fax. That may delay the processing of you’re application.
- Fill out your application completely and accurately. Read all instructions first. If you’re not sure how to answer a question, check out our FAQ or Form Look Up for more information. If you still need help, contact us.
- Include your Social Security number on all correspondence.
- Don’t fax us pictures of documents. If you want to submit a digital copy of a document (such as a birth certificate), use a free mobile app like Adobe Scan or Dropbox to transform a mobile phone picture into a high-contrast, black-and-white PDF file you can print and fax.
- Get ready to receive your payments. Money Network/My Banking Direct will mail your prepaid debit card in a plain envelope (which might even look like junk mail), so check all your mail carefully. If you already have a debit card from a previous Temporary Disability, Family Leave, or Unemployment Insurance claim, we will use that same card to pay benefits for new claims. If you can’t find your card, contact Money Network/My Banking Direct for a replacement.
Family Leave Insurance provides New Jersey workers cash benefits for time off from work to bond with a newly adopted or newly placed foster child. While most New Jersey workers who take family leave are covered under the State’s family leave program, some employers provide Family Leave Insurance through a plan with a private insurance carrier instead. If you are not sure about your coverage, ask your employer.
New Jersey workers are encouraged to apply.
In order to have a valid claim for Family Leave Insurance, you need to have paid into the program through your employment and meet minimum gross earnings requirements. Family Leave Insurance is available to most New Jersey workers.
Exemptions include:
- federal government employees
- out-of-state employees
- faith-based organizations
- workers that are not technically employees (such as contractors).
If your employer is covered for Family Leave Insurance, they are required to set up payroll contributions for you. If you believe you are covered under the program but payroll contributions have not been made, you are still encouraged to apply as it may have been an error. If you became unemployed recently and have a need for Family Leave Insurance, you still may be eligible for benefits and we encourage you to apply. In that case, we will forward your application to our Family Leave During Unemployment section.
Your employer is required to report your wages to the state after each calendar quarter. When your claim is under review, we consider the earnings reported for the 5 completed quarters prior to the week your leave began. The first 4 quarters of that time frame is called the base year.
To qualify for Family Leave Insurance in 2023, you must have worked 20 weeks earning at least $260 weekly, or have earned a combined total of $13,000 in those four quarters (the base year).
To qualify for Family Leave Insurance in 2024, you must have worked 20 weeks earning at least $283 weekly, or have earned a combined total of $14,200 in those four quarters (the base year).
Your regular base year period consists of 52 weeks and is determined by the date you apply for Family Leave Insurance benefits, as outlined in the chart below:
earnings from: |
|
February 2024 March 2024 |
|
May 2024 June 2024 |
|
August 2024 September 2024 |
|
November 2024 December 2024 |
The wages earned during your base year will determine the amount of weekly benefits you may receive, and the total amount you can claim in a given year.
For workers who don't qualify with a standard base year, we have other ways of calculating a base year. Click here for more information on these alternate base years.
1. First, we calculate your average weekly wage. We do this by dividing your base year earnings by the number of base weeks.
In 2023, a "base week" was any week you earned $260 or more.
In 2024, a "base week" is any week you earn $283 or more.
2. Now, we can determine your weekly benefit rate. Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year.
In 2023, the maximum weekly benefit rate is $1,025 per week.
In 2024, the maximum weekly benefit rate is $1,055 per week.
For example, let’s say Steve's first day of family leave is Friday, March 1, 2024. To see how much he would receive weekly on Family Leave Insurance, we look at his reported wages for the first four of the last five completed quarters:
Previous Completed Quarters | Timeframe Covered | Total Earnings | Number of Base Weeks |
---|---|---|---|
Quarter 5 |
10/1/23 - 12/31/23
|
$5,500 | 13 base weeks |
Quarter 4 |
7/1/23 - 9/30/23
|
$5,000 | 12 base weeks |
Quarter 3 |
4/1/23 - 6/30/23
|
$5,000 | 12 base weeks |
Quarter 2 |
1/1/23 - 3/31/23
|
$4,000 | 10 base weeks |
Quarter 1 |
10/1/22 - 12/31/22
|
$4,200 | 11 base weeks |
Quarters 1 through 4 are the regular base year and the timeframe used to calculate his benefits.
Total base year earnings: $18,200 which we divide by 45 (the number of base weeks)
This gives us an average weekly wage of $404.
Steve’s weekly benefit rate is 85% of his average weekly wage: $343
If Steve is taking his leave on a day by day basis, he will receive 1/7 of his weekly benefit rate for each day he claims.
Applications are processed in the order they are received. Payment of benefits will be delayed if your application is incomplete or contains missing or conflicting information.
Benefits are issued on a debit card sent to you directly by Money Network/My Banking Direct. You will receive this card in the mail in a plain, unmarked envelope once your claim is approved. Don’t lose it!
For Continuous Leave: Payments are usually issued every two weeks after the initial payment, with a one-week lag for processing time. Payment may be more or less than a one-week period.
For Non-Continuous Leave: Each day of benefits paid to you is one-seventh (1/7) of your weekly benefit rate.
Once a payment is posted, funds should be available on your debit card within three business days of the payment date. No federal income tax is withheld from your benefits unless you request a 10 percent deduction when you apply.
Family Leave benefits are paid until you: return to work, exhaust your maximum benefit entitlement, or 12 months after the child's placement has passed.
The family leave program is financed 100% by worker payroll deductions. Employers do not contribute to the program.
For 2023, workers contribute 0.06% on the first $156,800 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2023 is $94.08. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
For 2024, workers contribute 0.09% on the first $161,400 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2024 is $145.26. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
If you are claiming Family Leave benefits in one continuous period, you must give your employer 30 days’ notice before starting your leave. If you are bonding in separate periods of leave, you must give your employer 15 days' notice before each period of leave.
If you do not give your employer adequate notice, your benefit entitlement may be reduced by 14 days. We encourage you to keep your employer informed. Having an open discussion with your employer about your need for leave will allow them to prepare for your absence and make adjustments to work schedules, if necessary. Your employer may also be able to provide insight on job protection and if you qualify for it through the federal Family and Medical Leave Act (FMLA) or the New Jersey Family Leave Act (NJFLA).
Here is a list of the important mail you’ll receive from us, in the order it’s typically sent:
- C05 - Confirmation of Claim Receipt: This form lets you know we received your claim. Don’t discard it! You’ll need it if you have to update any of your information (name, address, earlier return to work date, etc.).
- D10 - Eligible Notice: This form tells you that your claim has been approved for benefits.
- D30 - Ineligible Notice: This form tells you that your claim has not been approved for benefits.
- FL3 - Request to Claimant for Continued Claim Information: If your bonding claim is approved and you did not initially request your maximum benefit duration, you’ll receive this form so you can extend your benefits.
If your application contains missing or conflicting information, you may recieve a C10 - Request to Claimant for Information. Be sure to complete and return this form to the division promptly to ensure your application is approved.
For more information about specific forms or notices, see our Form Look Up page.
Workers can receive benefits for up to twelve consecutive weeks (84 days) or up to eight weeks (56 days) of intermittent leave in a 12-month period.
The 12-month period begins on the first day of the child's placement or adoption.
If you have not claimed your maximum benefit amount, you may reestablish a claim within the same 12-month period to care for a family member, or during or following employment with a different employer.
If you disagree with our decision, you may submit an appeal. Click here for more information about the appeals process.
Did you receive a Demand for Refund (P60) notice in the mail? We try to make the process of repayment as easy as possible. Click here for more information about the repayment process.
After the end of each calendar year, Form 1099-G will be available in our system for you to download when filing your federal income tax return. This form lists the total New Jersey State Family Leave Insurance (including Family Leave During Unemployment) benefits received that calendar year. This information is also sent to the Internal Revenue Service (IRS). If you receive Family Leave Insurance benefits from an approved private plan, your employer will provide you with the information required to file your federal income tax return. Family Leave Insurance benefits are not taxed by the State of New Jersey.
Family Leave Insurance Benefits can partially replace your wages when you have to stop working to care for a loved one with a serious physical or mental health condition, or to handle certain matters related to domestic or sexual violence. Most employers in New Jersey are required to have Family Leave Insurance for their employees. A health care provider must certify your family member's condition and that your family member needs your care. Caregiving leave may be taken in one continuous period or on an intermittent basis to suit your needs.
The definition of "family member" has been expanded to cover more people. You may provide care for:
- parents
- spouse
- children of any age
- parents-in-law
- siblings
- grandparents
- grandchildren
- domestic partners
- chosen family
- any other individuals related by blood
- any other individuals with whom you consider to be family
Caregiving claims require documentation from you, and your family member's health care provider. All parts can be completed online.
After you complete your part of the application, it is your responsibility to make sure your family member's health care provider submits the medical certification.
You can apply for Family Leave Insurance benefits online, in the mail, or by fax. Instructions for filing your claim are included in the application. Read all the instructions carefully before completing the application. If filing by mail or fax, don’t forget to sign and date the form.
When you apply for Family Leave Insurance benefits, we’ll need information from you, and your family member's healthcare provider. It is your responsibility to have all this information – including the medical provider part – submitted to us online, by mail, or by fax.
This is the information we need to complete your application:
- From you:
- Your Social Security number, contact information, and date of birth
- The date your caregiving leave begins
- Contact information for the medical provider who treated the family member you are caring for
- Dates you worked for any employers in the last 18 months, the employers’ contact information, and the address(es) where you worked
- Dates of any paid time off or other benefits you received after the last day you worked
- From the healthcare provider:
- A medical certification to confirm your family member is in need of caregiving. Find printable guidance for the healthcare provider here.
When you complete your part online, you will get a unique Online Form ID number to give to your family member's medical provider. They will use this number to submit their part to us online. You will be prompted to print out (or save as a PDF file) a page that has your unique Online Form ID number, along with instructions for your family member's medical provider to follow. If you do not have access to a printer when initially filing your application, you have a fourteen day window to return and print the instructions when a printer is available. You can do so by clicking Access claim documents at the top of this page.
If planning ahead, you may start your online application up to 60 days in advance. To avoid deletion of your draft application: (1) within 14 days of starting the application, provide all information and confirm your claim; then (2) within 14 days after the start of your leave, certify and file your claim. If applying after your leave begins, you have 30 days from your first day of leave to file your application.
We would like to process your claim quickly, but can’t do it without your help.
Keep these tips in mind to avoid delays and receive your benefits faster:
- Apply online. It’s faster than printing and mailing or faxing your application to us. If you are filing for family caregiving, it also allows your family member's medical provider to easily complete their section online once they get the required instructions from you. Remember, it is your responsibility to give these instructions to the medical provider to complete – they are not automatically notified by our system. If you do apply online, don’t also submit that claim by mail or fax. That may delay the processing of you’re application.
- Fill out your application completely and accurately. Read all instructions first. If you’re not sure how to answer a question, check out our FAQ or Form Look Up for more information. If you still need help, contact us.
- Include your Social Security number on all correspondence.
- Don’t fax us pictures of documents. If you want to submit a digital copy of a document (such as a birth certificate), use a free mobile app like Adobe Scan or Dropbox to transform a mobile phone picture into a high-contrast, black-and-white PDF file you can print and fax.
- Get ready to receive your payments. Money Network/My Banking Direct will mail your prepaid debit card in a plain envelope (which might even look like junk mail), so check all your mail carefully. If you already have a debit card from a previous Temporary Disability, Family Leave, or Unemployment Insurance claim, we will use that same card to pay benefits for new claims. If you can’t find your card, contact Money Network/My Banking Direct for a replacement.
Family Leave Insurance provides New Jersey workers cash benefits to care for a seriously ill or injured family member. While most New Jersey workers who take family leave are covered under the State’s family leave program, some employers provide Family Leave Insurance through a plan with a private insurance carrier instead. If you are not sure about your coverage, ask your employer.
New Jersey workers are encouraged to apply.
In order to have a valid claim for Family Leave Insurance, you need to have paid into the program through your employment and meet minimum gross earnings requirements. Family Leave Insurance is available to most New Jersey workers.
Exemptions include:
- federal government employees
- out-of-state employees
- faith-based organizations
- workers that are not technically employees (such as contractors).
If your employer is covered for Family Leave Insurance, they are required to set up payroll contributions for you. If you believe you are covered under the program but payroll contributions have not been made, you are still encouraged to apply as it may have been an error. If you became unemployed recently and have a need for Family Leave Insurance, you still may be eligible for benefits and we encourage you to apply. In that case, we will forward your application to our Family Leave During Unemployment section.
Your employer is required to report your wages to the state after each calendar quarter. When your claim is under review, we consider the earnings reported for the 5 completed quarters prior to the week your leave began. The first 4 quarters of that time frame is called the base year.
To qualify for Family Leave Insurance in 2023, you must have worked 20 weeks earning at least $260 weekly, or have earned a combined total of $13,000 in those four quarters (the base year).
To qualify for Family Leave Insurance in 2024, you must have worked 20 weeks earning at least $283 weekly, or have earned a combined total of $14,200 in those four quarters (the base year).
Your regular base year period consists of 52 weeks and is determined by the date you apply for Family Leave Insurance benefits, as outlined in the chart below:
earnings from: |
|
February 2024 March 2024 |
|
May 2024 June 2024 |
|
August 2024 September 2024 |
|
November 2024 December 2024 |
The wages earned during your base year will determine the amount of weekly benefits you may receive, and the total amount you can claim in a given year.
For workers who don't qualify with a standard base year, we have other ways of calculating a base year. Click here for more information on these alternate base years.
1. First, we calculate your average weekly wage. We do this by dividing your base year earnings by the number of base weeks.
In 2023, a "base week" was any week you earned $260 or more.
In 2024, a "base week" is any week you earn $283 or more.
2. Now, we can determine your weekly benefit rate. Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year.
In 2023, the maximum weekly benefit rate is $1,025 per week.
In 2024, the maximum weekly benefit rate is $1,055 per week.
For example, let’s say Steve's first day of family leave is Friday, March 1, 2024. To see how much he would receive weekly on Family Leave Insurance, we look at his reported wages for the first four of the last five completed quarters:
Previous Completed Quarters | Timeframe Covered | Total Earnings | Number of Base Weeks |
---|---|---|---|
Quarter 5 |
10/1/23 - 12/31/23
|
$5,500 | 13 base weeks |
Quarter 4 |
7/1/23 - 9/30/23
|
$5,000 | 12 base weeks |
Quarter 3 |
4/1/23 - 6/30/23
|
$5,000 | 12 base weeks |
Quarter 2 |
1/1/23 - 3/31/23
|
$4,000 | 10 base weeks |
Quarter 1 |
10/1/22 - 12/31/22
|
$4,200 | 11 base weeks |
Quarters 1 through 4 are the regular base year and the timeframe used to calculate his benefits.
Total base year earnings: $18,200 which we divide by 45 (the number of base weeks)
This gives us an average weekly wage of $404.
Steve’s weekly benefit rate is 85% of his average weekly wage: $343
If Steve is taking his leave on a day by day basis, he will receive 1/7 of his weekly benefit rate for each day he claims.
Applications are processed in the order they are received. Payment of benefits will be delayed if your application is incomplete or contains missing or conflicting information.
Benefits are issued on a debit card sent to you directly by Money Network/My Banking Direct. You will receive this card in the mail in a plain, unmarked envelope once your claim is approved. Don’t lose it!
For Continuous Leave: Payments are usually issued every two weeks after the initial payment, with a one-week lag for processing time. Payment may be more or less than a one-week period.
For Non-Continuous Leave: Each day of benefits paid to you is one-seventh (1/7) of your weekly benefit rate.
Once a payment is posted, funds should be available on your debit card within three business days of the payment date. No federal income tax is withheld from your benefits unless you request a 10 percent deduction when you apply.
Family Leave benefits are paid until you: return to work, exhaust your maximum benefit entitlement, or your family member no longer needs care.
Family Caregivers do not need to take their leave all at once. You can claim Family Leave Insurance to provide care in one consecutive 12-week period, or on a day-by-day basis to suit your needs. However, the manner in which you choose to claim your leave will determine the duration of leave that you are entitled to.
Continuous Leave: You may receive up to 12 weeks of benefits in a 12-month period, if the benefits are claimed for one continuous period of unpaid leave.
Non-Continuous (intermittent) Leave: If you are claiming benefits on an intermittent schedule, whether it be a week, a month, or a day at a time, you may receive up to 56 individual days (8 weeks) of Family Leave benefits in a 12-month period. If you take your leave in a non-continuous manner, let us know those dates after taking each segment. If you are approved for Family Leave Insurance benefits but do not initially claim your maximum duration of leave when filing, we will mail you a Continued Claim Certification (FL3), which includes a schedule that you must fill out and sign – showing the days you did not work during the period. You will need to submit an updated schedule after each period of leave is completed.
If you plan to care for a family member and take your leave all in one continuous period, you must give your employer reasonable notice, unless there are unforeseen or emergency circumstances. If you plan to take intermittent days off to care for a family member, you must give your employer at least 15 days’ notice, unless there are unforeseen or emergency circumstances.
If you do not give your employer adequate notice, your benefit entitlement may be reduced by 14 days. We encourage you to keep your employer informed. Having an open discussion with your employer about your need for caregiving leave will allow them to prepare for your absence and make adjustments to work schedules, if necessary. Your employer may also be able to provide insight on job protection and if you qualify for it through the federal Family and Medical Leave Act (FMLA) or the New Jersey Family Leave Act (NJFLA).
Here is a list of the important mail you’ll receive from us, in the order it’s typically sent:
- C05 - Confirmation of Claim Receipt: This form lets you know we received your claim. Don’t discard it! You’ll need it if you have to update any of your information (name, address, earlier return to work date, etc.).
- D10 - Eligible Notice: This form tells you that your claim has been approved for benefits.
- D30 - Ineligible Notice: This form tells you that your claim has not been approved for benefits.
- FL3 - Request to Claimant for Continued Claim Information: If your family caregiving claim is approved and you did not initially request your maximum benefit duration, you’ll receive this form so you can claim additional benefits.
You also may receive one or more of the following if your application contains missing or conflicting information:
- C10 - Request to Claimant for Information: You’ll receive this form if your claim has missing or conflicting information.
- M10 - Request for Medical Information: You’ll receive this form if your caregiving claim is missing medical information, if the medical information needs further review, or if your statement conflicts with the medical provider’s statement.
For more information about specific forms or notices, see our Form Look Up page.
The family leave program is financed 100% by worker payroll deductions. Employers do not contribute to the program.
For 2023, workers contribute 0.06% on the first $156,800 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2023 is $94.08. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
For 2024, workers contribute 0.09% on the first $161,400 (wage cap) in covered wages earned during this calendar year. The maximum worker contribution for 2024 is $145.26. This contribution is in the form of a salary deduction that your employer takes from your weekly wages.
Workers can receive benefits for up to twelve consecutive weeks (84 days) or up to eight weeks (56 days) of intermittent leave in a 12-month period.
The 12-month period begins on the first day of your leave.
If you have not claimed your maximum benefit amount, you may reestablish a claim within the same 12-month period to care for a different family member, or during or following employment with a different employer.
If you disagree with our decision, you may submit an appeal. Click here for more information about the appeals process.
Did you receive a Demand for Refund (P60) notice in the mail? We try to make the process of repayment as easy as possible. Click here for more information about the repayment process.
After the end of each calendar year, Form 1099-G will be available in our online system for you to download and use when filing your federal income tax return. This form lists the total New Jersey State Family Leave Insurance (including Family Leave During Unemployment) benefits received that calendar year. This information is also sent to the Internal Revenue Service (IRS). If you receive Family Leave Insurance benefits from an approved private plan, your employer will provide you with the information required to file your federal income tax return. Family Leave Insurance benefits are not taxed by the State of New Jersey.
Frequently Asked Questions
Get answers to common questions about Family Leave Insurance benefits, including how to apply for benefits.
Debit Card Information
We issue benefits on a prepaid Money Network/My Banking Direct debit card. Find out when to expect yours in the mail, and how to access your funds.
Print an Application
Although the quickest way to apply is online, you can print out a paper application to submit by mail or fax if you prefer.
Form Look Up
Not sure why you received a letter from us? Get information about the forms and notices we send.
Approved Healthcare Providers
Here's a list of the medical practitioners approved by the division to submit medical information for both Temporary Disability and Family Leave Insurance.
Additional Support and Assistance
If you need help beyond what our programs offer, these programs may be able to provide resources or referrals.