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Paid Family and Medical Leave documents and forms for Massachusetts employees

Paid Family and Medical Leave benefits are available to help eligible Massachusetts workers manage their own health and the health of their family members.

Download employee resources to learn more about leave to care for a family member, how to apply, and Paid Family and Medical Leave (PFML) benefits overall. These downloads are available in English, Español, Português, Simplified Chinese, and Haitian Creole.

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DFML Employee One Pagers

Open PDF file, 144.16 KB,  Other leave or income to report when applying for PFML (English, PDF 144.16 KB)
Open PDF file, 153.11 KB,  PFML Family Leave to Care for a Family Member (English, PDF 153.11 KB)
Open PDF file, 276.03 KB,  PFML Information for Employees Overview (English, PDF 276.03 KB)
Open PDF file, 187.99 KB,  PFML New and Expectant Parents Overview (English, PDF 187.99 KB)

DFML Employee Toolkit

Open PDF file, 2.15 MB,  Employee Toolkit for Paid Family and Medical Leave (English, PDF 2.15 MB)

Health forms

Open PDF file, 1.22 MB,  Certification of your Serious Health Condition form (English, PDF 1.22 MB)

You and your health care provider must fill out this form about your serious health condition.

Open PDF file, 1.14 MB,  Certification of your Family Member's Serious Health Condition form (English, PDF 1.14 MB)

You, the employee, and your family member's health care provider must fill out this form about your family member's serious health condition.

Open PDF file, 1.01 MB,  Get ready to apply for PFML (English, PDF 1.01 MB)

Contact

Phone

Get answers to your questions in English, Español, and Português. Translation services for up to 240+ languages are also available. (833) 344-7365

Department of Family and Medical Leave - Hours of operation: Monday-Friday, 8 a.m. - 4:30 p.m.

Fraud Reporting Hotline: (857) 366-7201

Department of Family and Medical Leave - Hours of operation: Monday-Friday, 8 a.m. - 4:30 p.m.

For questions about contributions and exemptions: (617) 466-3950

Department of Revenue - Hours of operation: Monday-Friday, 8:30 a.m. - 4:30 p.m.

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