Share Your Story with CT Paid Leave

If you've received CT Paid Leave benefits for a qualifying leave reason, we want to hear from you!

Please note that by filling out this form, you grant permission for CT Paid Leave to use your comments, name and location in marketing materials. Your address and phone number will not be shared publicly.
1..Please enter your contact information
2.What type of leave have you taken for which you received CT Paid Leave?
3.How would you like to share your story?
4.How has CT Paid leave benefitted you, your family, or your business?