PFML workforce notifications and rate sheets for Massachusetts employers

2023 Workforce notifications, posters, and rate sheets are now available for download. The documents are provided in Word format for your convenience. The Department of Family and Medical Leave (DFML) disclaims any responsibility for modifications made to these forms and cannot guarantee that a form that has been modified from this original version will be compliant. 

2023 Workplace Poster

All Massachusetts employers must display a workplace poster prepared or approved by the Department of Family and Medical Leave (DFML) that explains the benefits available to your workforce under PFML law. You must exhibit this poster at your workplace in a location where it can be easily read. 

The poster must be available in English and each language which is the primary language of 5 or more individuals in your workforce, if these translations are available from DFML.

2023 PFML mandatory workplace poster

العربية (Arabic) | 中文 (Chinese) | Français (French) | Kreyòl Ayisyen (Haitian Creole) | Italiano (Italian) | ខ្មែរ (Khmer) | 한국어 (Korean) | ພາສາລາວ (Lao) | Português (Portuguese) | Español (Spanish) | Русский (Russian) | Tiếng Việt (Vietnamese)

Additional Resources

2023 PFML mandatory workplace poster (English)

• Español
• 简体中文
• Português, Brasil
• Français
• Русский
• 한국어
• Tiếng Việt
• العربية
• Italiano
• Kreyòl ayisyen
• ພາສາລາວ
• ភាសាខ្មែរ
• Translate labels

2023 Notice for workforce with 25 or more covered individuals

This notice is for employers who have 25 or more Massachusetts employees and covered contract workers. Use it to inform the employees and covered contract workers in your workforce about their rights and obligations under the PFML law. 

The notice must be available in English and each language which is the primary language of 5 or more individuals in your workforce, if these translations are available from DFML. 

2023 Employer notice for a workforce with 25 or more covered individuals

العربية (Arabic) | 中文 (Chinese) | Français (French) | Kreyòl Ayisyen (Haitian Creole) | Italiano (Italian) | ខ្មែរ (Khmer) | 한국어 (Korean) | ພາສາລາວ (Lao) | Português (Portuguese) | Español (Spanish) | Русский (Russian) | Tiếng Việt (Vietnamese)

2023 Notice for workforce with fewer than 25 covered individuals

This form is for employers who have fewer than 25 Massachusetts employees and covered contract workers. Use it to inform the employees and covered contract workers in your workforce about their rights and obligations under the PFML law.

The notice must be available in English and each language which is the primary language of 5 or more individuals in your workforce, if these translations are available from DFML. 

2023 Employer notice for a workforce with fewer than 25 covered individuals

العربية (Arabic) | 中文 (Chinese) | Français (French) | Kreyòl Ayisyen (Haitian Creole) | Italiano (Italian) | ខ្មែរ (Khmer) | 한국어 (Korean) | ພາສາລາວ (Lao) | Português (Portuguese) | Español (Spanish) | Русский (Russian) | Tiếng Việt (Vietnamese)

2023 Notice to self-employed individuals

If you employ covered contract workers, you may use either these notices below or the notices in the sections above to notify those workers. 

This form is for employers who have 25 or more 1099-MISC workers. Use it to inform any self-employed individuals you engage about their rights and obligations under the PFML law.

The notice must be available in English and each language which is the primary language of 5 or more individuals in your workforce, if these translations are available from DFML. 

2023 Employer notice to self-employed individual for a workforce with 25 or more covered individuals

العربية (Arabic) | 中文 (Chinese) | Français (French) | Kreyòl Ayisyen (Haitian Creole) | Italiano (Italian) | ខ្មែរ (Khmer) | 한국어 (Korean) | ພາສາລາວ (Lao) | Português (Portuguese) | Español (Spanish) | Русский (Russian) | Tiếng Việt (Vietnamese)

This form is for employers who have 25 or fewer 1099-MISC workers. Use it to inform any self-employed individuals you engage about their rights and obligations under the PFML law.

The notice must be available in English and each language which is the primary language of 5 or more individuals in your workforce, if these translations are available from DFML. 

2023 Employer notice to self-employed individual for a workforce with less than 25 covered individuals

العربية (Arabic) | 中文 (Chinese) | Français (French) | Kreyòl Ayisyen (Haitian Creole) | Italiano (Italian) | ខ្មែរ (Khmer) | 한국어 (Korean) | ພາສາລາວ (Lao) | Português (Portuguese) | Español (Spanish) | Русский (Russian) | Tiếng Việt (Vietnamese)

2023 Rate sheets for employers

Contribution rates for 2023. Employers are responsible for sending contributions to DFML for all employees. 

2023 Rate sheet for employers with 25 or more covered individuals

2023 Rate sheet for employers with less than 25 covered individuals

2023 Information for Employers with a Private Plan

2023 Supplementary Form for Employers with a Private Plan

Exemption information for employers

Basic exemption facts for employers

Review the questions you will be asked during your exemption application

Last updated:	January 3, 2023