To complete and submit this Request for Arbitration ONLINE, you will need to:
- Fill out the Request for Arbitration form online;
- Be able to upload the Denial or PFL Benefits Letter and supporting documentation; and
- Pay the $25 filing fee by Credit Card or PayPal
*NOTE: If you believe that you have been discriminated or retaliated against by your employer for taking or requesting Paid Family Leave, this kind of dispute cannot be resolved through arbitration. Please visit www.ny.gov/paidfamilyleave or contact the Paid Family Leave Hotline at (844) 337-6303 for more information about filing a Paid Family Leave discrimination claim with the Workers' Compensation Board.
For the purpose of Paid Family Leave, an employee has experienced discrimination if he or she has been refused reinstatement to the same or a comparable position or has been disciplined as a result of taking or requesting Paid Family Leave.