How to Request Leave

Ready to submit a Paid Family and Medical Leave Insurance (PFMLI) request? Follow the steps below to get started.

How to Submit a PFMLI Leave Request

Medical Leave

Caring for the covered individual’s own serious health condition.

Family Leave

Bonding with a new child or caring for a family member with a serious health condition.

Safe Leave / Personal Protected Leave

Seeking help relating to domestic violence, harassment, sexual assault, or stalking experience by a covered individual or a minor child/dependent.

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Your Employer

30-day notice

If you know you need to take paid leave, inform your employer at least 30 calendar days beforehand, unless giving advance notice is not possible.

24-hour emergency notice

In an emergency, you must at least verbally tell your employer that you plan to use paid leave within 24 hours. An additional written notice is required within three days after starting the leave.

Leave Request

Log in to your online account and click Request Leave, then follow the on-screen prompts.

Don’t have an account? Register now

Required Documentation

You may be required to submit documentation to support your leave request. You can view the requested documents in your online account. You will be notified if any additional documents are required.

Review required PFMLI documentation


Once we receive your leave request with the required documentation, we’ll begin reviewing it. After receiving all required documentation and information, processing time can take up to 14 calendar days. American Fidelity will contact you directly once your request has been approved or denied. For assistance, please call us at 800-662-1113.

PFMLI - Limitations and exclusions apply.

This information is intended to be educational. It is general in nature and should not be considered financial, legal or tax advice. Consult an attorney or a tax professional regarding your specific situation. 

This page, any linked websites, and any downloadable items are up to date as of February 2024 and may not reflect changes in the law, finance, administration or current events.