PFML workplace poster, notices and rate sheets for Massachusetts employers

The notices and rate sheets are provided in Word format for your convenience. 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. 

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. DFML provides translations in English and 12 other languages.  The employer is responsible for providing translation with regard to any language not provided by DFML.  

2024 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)

 

Notice for workforce with 25 or more covered individuals

This notice is for employers who have 25 or more Massachusetts employees and covered self-employed individuals. Use it to inform the employees and covered self-employed individuals 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. DFML provides translations in English and 12 other languages. The employer is responsible for providing translation with regard to any language not provided by 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)

2024 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)

Notice for workforce with fewer than 25 covered individuals

This form is for employers who have fewer than 25 Massachusetts employees and covered self-employed individuals. Use it to inform the employees and covered self-employed individuals 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. DFML provides translations in English and 12 other languages. The employer is responsible for providing translation with regard to any language not provided by 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)

2024 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)

Notice for self-employed individuals

If you employ covered self-employed individuals, 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 self-employed individuals. 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. DFML provides translations in English and 12 other languages. The employer is responsible for providing translation with regard to any language not provided by DFML.

2023 Notice to Self Employed Individuals from Employers with More 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)

2024 Notice to Self Employed Individuals from Employers with More Than 25 Covered Individuals

Translated versions of the 2024 Notice to Self-employed Individuals will be made available at a future date.

This form is for employers who have fewer than 25 self-employed individuals. 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. DFML provides translations in English and 12 other languages. The employer is responsible for providing translation with regard to any language not provided by DFML. 

2023 Notice to Self Employed Individuals from Employers with fewer than 25 Covered Individuals

لعربية (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)

2024 Notice to Self Employed Individuals from Employers with fewer than 25 Covered Individuals

Translated versions of the 2024 Notice to Self-employed Individuals will be made available at a future date.

Rate sheets for employers

Contribution rates for 2023 and 2024. 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

2024 Rate sheet for employers with 25 or more covered individuals

2024 Rate sheet for employers with fewer than 25 covered individuals

Last updated:	November 27, 2023