New Jersey Temporary Disability: Fax Number for Claims

What is the fax number for New Jersey Temporary Disability claims?

New Jersey's Division of Temporary Disability and Family Leave Insurance confirms directly on its own official FAQ page that a claimant can "download, print, and fill out a paper application (DS-1)... or fax it to 609-984-4138." This is the claimant-facing paper application route.

Where to fax

• Paper DS-1 claim application (claimant): fax 609-984-4138. Source: New Jersey's Division of Temporary Disability and Family Leave Insurance FAQ page.

Fax number verified 2026-09-17.

Which route should I use?

1. Consider filing online through myLeaveBenefits first, it's the state's primary channel and typically faster.
2. Use the fax route if you prefer or need to file the paper DS-1 form instead.
3. Mail is also accepted at PO Box 387, Trenton, NJ 08625-0387, if you don't have access to a fax.

Documents to include

Complete the DS-1 form in full before faxing, it's the standard paper application for New Jersey Temporary Disability Insurance benefits.

Filing in a different state? See how to fax the Texas DWC or the Ohio BWC fax page for that state's confirmed routing.