Switching to PFML form received

We have received your Employer Request to Switch from a Private Plan to the Commonwealth's PFML program form.

Help Us Improve Mass.gov with your feedback

Did you find what you were looking for on this webpage?

Yes

If you have any suggestions for the website, please let us know. How can we improve the page?

Please do not include personal or contact information.

The feedback will only be used for improving the website. If you need assistance, please contact the Department of Family and Medical Leave. Please limit your input to 500 characters.

Please remove any contact information or personal data from your feedback. You will NOT get a response.

Please let us know how we can improve this page.

Please remove any contact information or personal data from your feedback. You will NOT get a response.