Division of Temporary Disability and Family Leave InsuranceURL reading ( My Leave Benefits . NJ . Gov )

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Submit a Medical Certification

If your patient or their caregiver applied online for benefits, they will provide you with printed instructions for completing your medical statement (form M-01) online. This sheet also provides the claimant's unique Form ID, which you will need to complete your medical certification using our online system.

You must submit the medical section within 14 days of the request or processing of the claim could be significantly delayed. The information you submit is encrypted, and the system meets all state-mandated security standards. You’ll get immediate confirmation that we received your statement.