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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.  Note: Updated workplace posters and notifications with 2022 contribution rates and benefit amounts will be available to employers on November 1st for distribution.

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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 11.12 MB)

Employer exemption information (English only)

Basic exemptions facts for employers (PDF 234.25 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 153.39 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 210.36 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 197.61 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 209.33 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 149.83 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 202 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 375.99 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 136.29 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 232.14 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 231.59 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 193.05 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 240.47 KB)

Contact

Phone

For questions about benefits and eligibility: (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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