This page, Paid Family and Medical Leave downloads for Massachusetts employers, is part of
This page, Paid Family and Medical Leave downloads for Massachusetts employers, is offered by

Paid Family and Medical Leave downloads for Massachusetts employers

All Massachusetts employers are required to distribute certain information to both their W-2 and 1099-MISC workers under the PFML law.

Download your copies of the mandatory workplace poster, notices for your W-2 and 1099-MISC workers (depending on the size of your workforce), a rate sheet, and some basic PFML facts. This information must be made available in English and each language that is the primary language of 5 or more of your workers, if it is one of the available translations.

Skip table of contents

Table of Contents

Workforce notifications (English)

2019 Updated rate sheet for 25 or more covered individuals (DOCX 18.12 KB)
2019 Updated rate sheet for fewer than 25 covered individuals (DOCX 18.33 KB)
Basic contribution facts for employers (PDF 221.63 KB)
Employer notice for a workforce with 25 or more covered individuals (DOCX 52.07 KB)
Employer notice for a workforce with fewer than 25 covered individuals (DOCX 51.93 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (DOCX 46.06 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (DOCX 47.61 KB)
Paid Family and Medical Leave mandatory workplace poster (PDF 240.27 KB)

Employer exemption information (English only)

Basic exemptions facts for employers (PDF 177.56 KB)
Review the questions you will be asked during your exemption application (DOCX 18.21 KB)

Arabic translations

Employer notice for a workforce with 25 or more covered individuals (Arabic) (PDF 175.48 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Arabic) (PDF 427.1 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Arabic) (PDF 665.55 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Arabic) (PDF 665.55 KB)
PFML mandatory workplace poster (Arabic) (PDF 139.39 KB)

Chinese translations

Employer notice for a workforce with 25 or more covered individuals (Chinese) (DOCX 15.26 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Chinese) (DOCX 15.33 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Chinese) (DOCX 16 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Chinese) (DOCX 15.41 KB)
PFML mandatory workplace poster (Chinese) (PDF 572.24 KB)

French translations

Employer notice for a workforce with 25 or more covered individuals (French) (DOCX 15.31 KB)
Employer notice for a workforce with fewer than 25 covered individuals (French) (DOCX 15.39 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (French) (DOCX 15.16 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (French) (DOCX 15.13 KB)
PFML mandatory workplace poster (French) (PDF 107.7 KB)

Haitian Creole translations

Employer notice for a workforce with 25 or more covered individuals (Haitian Creole) (DOCX 15.04 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Haitian Creole) (DOCX 15.32 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Haitian Creole) (DOCX 15.13 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Haitian Creole) (DOCX 15.01 KB)
PFML mandatory workplace poster (Haitian Creole) (PDF 119.91 KB)

Italian translations

Employer notice for a workforce with 25 or more covered individuals (Italian) (DOCX 16 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Italian) (DOCX 15.15 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Italian) (DOCX 14.94 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Italian) (DOCX 14.84 KB)
PFML mandatory workplace poster (Italian) (PDF 49.42 KB)

Khmer translations

Employer notice for a workforce with 25 or more covered individuals (Khmer) (PDF 252.27 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Khmer) (PDF 350.54 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Khmer) (PDF 216.09 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Khmer) (PDF 217.66 KB)
PFML mandatory workplace poster (Khmer) (PDF 85.7 KB)

Korean translations

Employer notice for a workforce with 25 or more covered individuals (Korean) (DOCX 19.37 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Korean) (DOCX 19.78 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Korean) (DOCX 19.5 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Korean) (DOCX 19.69 KB)
PFML mandatory workplace poster (Korean) (PDF 362.91 KB)

Lao translations

Employer notice for a workforce with 25 or more covered individuals (Lao) (DOCX 42.76 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Lao) (DOCX 43.85 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Lao) (DOCX 44.1 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Lao) (DOCX 41.78 KB)
PFML mandatory workplace poster (Lao) (PDF 137.3 KB)

Portuguese translations

Employer notice for a workforce with 25 or more covered individuals (Portuguese) (DOCX 14.91 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Portuguese) (DOCX 15.25 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Portuguese) (DOCX 15.02 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Portuguese) (DOCX 15.02 KB)
PFML mandatory workplace poster (Portuguese) (PDF 39.83 KB)

Russian translations

Employer notice for a workforce with 25 or more covered individuals (Russian) (DOCX 16.35 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Russian) (DOCX 16.88 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Russian) (DOCX 16.17 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Russian) (DOCX 16.16 KB)
PFML mandatory workplace poster (Russian) (PDF 230.31 KB)

Spanish translations

Employer notice for a workforce with 25 or more covered individuals (Spanish) (DOCX 15.05 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Spanish) (DOCX 15.36 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Spanish) (DOCX 14.92 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Spanish) (DOCX 14.91 KB)
PFML mandatory workplace poster (Spanish) (PDF 360.04 KB)

Vietnamese translations

Employer notice for a workforce with 25 or more covered individuals (Vietnamese) (DOCX 15.79 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Vietnamese) (DOCX 15.74 KB)
Employer notice to self-employed individual for a workforce with 25 or more covered individuals (Vietnamese) (DOCX 15.91 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Vietnamese) (DOCX 16.66 KB)
PFML mandatory workplace poster (Vietnamese) (PDF 709.33 KB)

Contact

Phone

For questions about benefits and eligibility: (833) 344-7365

Department of Family and Medical Leave - Hours of operation: 8 a.m - 5 p.m.

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

Department of Revenue - Hours of operation: 9 a.m. - 4 p.m.

Online

Sign up for our newsletter 
Report Employer PFML Notification Failure 
Feedback