Payroll and Benefits » Maternity/Family/Child Rearing Leave

Maternity/Family/Child Rearing Leave

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Approximately four months in advance of the birth of your baby, send your request to the superintendent, accompanied by a doctor’s note with your estimated delivery date. Your request should include the 1st day you will not be working and the date you are returning. Your return date is preferred to be the 1st day of a marking period or after a specific break, ie winter, spring etc.  Also, send a copy of your request to your building principal and department supervisor (if applicable).

Immediately after the birth email Payroll with your baby’s name and date of birth. We will add your baby to your health coverage, if applicable.  

After your follow-up doctor's appointment, postpartum, please fax or email Payroll a note from your doctor stating the date you can return to work or if you a date that you remain under his care. 
Any extensions to your original time requested for your leave must follow the same process as your original request with a written request to the superintendent and a copy to your building principal and department supervisor (if applicable).
Please refer to the Maternity FAQ's and sample letter for more details.  
New Jersey Family Leave State Plan Application Instructions
(The employee pages (Parts A, B,C) of the application are attached at the end of this section)
The Westfield Board of Education is covered under the New Jersey Family Leave State Plan.

To apply, follow the steps:

1. You cannot apply until your first day of unpaid leave.

2. You will file the application with the State of NJ, as detailed below.

There are 2 parts to the FL-1 Application for Family Leave Insurance Benefits: 

YOU, the applicant will complete Parts A-1 and (any if applicable) A-2, A-3, B, C

Payroll will complete Part D*


* The Employer's Statement Sections will be forwarded to you by Payroll in advance of your first unpaid day.  You will then transmit the entire completed application, pages 1-4 (Parts A-D) to the state for processing.
Sent all parts and any attachments to:
Division of Temporary Disability Insurance - Fax 609-984-4138
Read carefully below for benefits information. 
New Jersey law provides up to twelve (12) weeks of Family Leave Insurance benefits. Benefits are payable to covered employees from either the New Jersey State Plan or an approved employer-provided private plan to:

• Bond with a child during the first 12 months after the child's birth, if the covered individual or the domestic partner or civil union partner of the covered individual, is a biological parent of the child, or the first 12 months after the placement of the child for adoption with the covered individual.

• Care for a family member with a serious health condition supported by a certification provided by a health care provider. Claims may be filed for six consecutive weeks, for intermittent weeks, or for 42 intermittent days during a 12 month period beginning with the first date of the claim.

Family member means a child, spouse, domestic partner, civil union partner, or parent of a covered individual.

Child means a biological, adopted, or foster child, stepchild or legal ward of a covered individual, child of a domestic partner of the covered individual, or child of a civil union partner of the covered individual, who is less than 19 years of age or is 19 years of age or older but incapable of self-care because of mental or physical impairment.


Employees covered under the New Jersey State Plan can obtain information pertaining to the program and an application for Family Leave Insurance benefits (Form FL-1) by visiting the Department of Labor and Workforce Development's website at, by telephoning the Division of Temporary Disability Insurance's Customer Service Section at (609) 292-7060, or by writing to the Division of Temporary Disability Insurance, PO Box 387, Trenton, NJ 08625-0387.