New Jersey Family Leave Insurance Poster Mandatory

New Jersey Department of Labor and Workforce Development	
Your employer	 is su	bject to the	  	
Fa	mily	 Leave Insurance 	 	
provisions of the 	New Jersey 	Temporary Disability Benefits Law	
Display this poster in a conspicuous place	PR-2 (4/19)	
Enforced by: NJ Department of Labor and Workforce Development 	 	Division of Temporary Disability Insurance, PO Box 387, Trenton, NJ 08625-0387 
This and other required employer posters are available free online at 	nj.gov/labor	, or from 	the Office of Constituent Relations, PO Box 110, Trenton, NJ 08625-0110 • 609-777-3200.
The New Jersey Department of Labor and Workforce Development is an equal opportunity employer with equal opportunity programs. Auxiliary aids and services are available upon request to individuals with disabilities.	
New Jersey law provides up to 6 weeks of family leave insurance benefits. Beginning July 1, 2020, the law will 
allow up to 12 weeks of continuous family leave or 56 days of intermittent leave. Employees who are covered by 
family leave insurance can apply for benefits to:	
• bond with a child within 12 months of the child’s birth or placement by adoption or foster care. The 
applicant, or the applicant’s spouse or domestic or civil union partner, must be the child’s biological, 
adoptive or foster parent, unless a surrogate carried the child. 
• care for a family member with a serious health condition. Supporting documentation from a health care 
provider is mandatory. 
• care for a victim of domestic violence or a sexually violent offence or for a victim’s family member. 
“Family member” means a child, parent, parent-in-law, sibling, grandparent, grandchild, spouse, domestic 
partner, civil union partner, and any other person related by blood to the employee or with whom the 
employee has a close association that is the equivalent of a family relationship.
“Child” means a biological, adopted, or foster child, stepchild or legal ward of a parent. A child gained by way 
of a valid written contract between the parent and a surrogate (gestational carrier) is included in this definition.	 	
State Family Leave Insurance Plan	 (“state plan”)	
You can get program information and an application for family leave benefits (form FL-1) online at 
myleavebenefits.nj.gov	, by phone at 609-292-7060, or by mail: Division of Family Leave Insurance, P.O. Box 	
387, Trenton, NJ 08625-0387.
New mothers who receive temporary disability benefits through the state plan for their pregnancy will get 
instructions on how to file for family leave benefits after the child is born.
Private Family Leave Insurance Plan	 (“private plan”)	
An employer may provide family leave insurance through a private insurance carrier, if this Division approves the 
plan. If your employer has an approved private plan, your employer must provide information about coverage 
and provide the forms to apply for benefits.
Who pays for Family Leave Insurance?
Payroll contributions from employees finance this program. Family leave insurance coverage under the state 
plan will require contributions to be deducted from employee wages. The deductions must be noted on the 
employee’s pay envelope, paycheck, or on some other form of notice. In 2018, the taxable wage base for family 
leave insurance benefits is the same as the taxable wage base for unemployment and temporary disability 
insurance.