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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 the new 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, Spanish, and Portuguese.

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DFML Employee One Pagers (English)

Other leave or income to report when applying for PFML (PDF 120.05 KB)
PFML Information for Employees Overview (PDF 141.31 KB)
PFML Leave to Care for a Family Member (PDF 94.89 KB)
PFML New and Expectant Parents Overview (PDF 170.39 KB)

DFML Employee Toolkit (English)

Employee Toolkit for Paid Family and Medical Leave (PDF 2.06 MB)

Health forms

Certification of your Serious Health Condition form (PDF 1.35 MB)

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

Certification of your Family Member's Serious Health Condition form (PDF 741.91 KB)

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

Get ready to apply for PFML (PDF 611.5 KB)

Portuguese translations

Other leave or income to report when applying for PFML - Portuguese (PDF 138.67 KB)
PFML Family Leave to Care for a Family Member - Portuguese (PDF 179.77 KB)
PFML Information for Employees Overview - Portuguese (PDF 148.89 KB)
PFML New and Expectant Parents Overview - Portuguese (PDF 150.99 KB)

Spanish translations

PFML Family Leave to Care for a Family Member - Spanish (PDF 193.78 KB)
PFML Information for Employees Overview - Spanish (PDF 139.65 KB)
PFML New and Expectant Parents Overview - Spanish (PDF 194.29 KB)

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. - 5 p.m.

Fraud Reporting Hotline: (857) 366-7201

Department of Family and Medical Leave - Hours of operation: Monday-Friday, 8 a.m - 5 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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