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Department of Family and Medical Leave
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A guide to Paid Family and Medical Leave for Massachusetts employers
Prepare for Paid Family and Medical Leave
Paid Family and Medical Leave Information for Massachusetts Employers

Paid Family and Medical Leave downloads for Massachusetts employers

Here's a list of downloadable material Massachusetts employers are required to distribute under the PFML law.

Note: Translated workplace posters and written notification templates will be available soon to include changes based on the announced 3-month program delay.

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Table of Contents

Employer workplace poster

Paid Family and Medical Leave mandatory workplace poster (PDF 240.27 KB)
PFML mandatory workplace poster (Arabic) (PDF 139.39 KB)
PFML mandatory workplace poster (Chinese) (PDF 572.24 KB)
PFML mandatory workplace poster (French) (PDF 107.7 KB)
PFML mandatory workplace poster (Haitian Creole) (PDF 119.91 KB)
PFML mandatory workplace poster (Italian) (PDF 49.42 KB)
PFML mandatory workplace poster (Khmer) (PDF 85.7 KB)
PFML mandatory workplace poster (Korean) (PDF 362.91 KB)
PFML mandatory workplace poster (Lao) (PDF 137.3 KB)
PFML mandatory workplace poster (Portuguese) (PDF 39.83 KB)
PFML mandatory workplace poster (Russian) (PDF 230.31 KB)
PFML mandatory workplace poster (Spanish) (PDF 360.04 KB)
PFML mandatory workplace poster (Vietnamese) (PDF 709.33 KB)

Employer written notices to W-2 workers

Employer notice for a workforce with 25 or more covered individuals (DOCX 52.07 KB)
Employer notice for a workforce with 25 or more covered individuals (Arabic) (PDF 175.48 KB)
Employer notice for a workforce with 25 or more covered individuals (Chinese) (DOCX 15.26 KB)
Employer notice for a workforce with 25 or more covered individuals (French) (DOCX 15.31 KB)
Employer notice for a workforce with 25 or more covered individuals (Haitian Creole) (DOCX 15.04 KB)
Employer notice for a workforce with 25 or more covered individuals (Italian) (DOCX 16 KB)
Employer notice for a workforce with 25 or more covered individuals (Khmer) (PDF 252.27 KB)
Employer notice for a workforce with 25 or more covered individuals (Korean) (DOCX 19.37 KB)
Employer notice for a workforce with 25 or more covered individuals (Lao) (DOCX 42.76 KB)
Employer notice for a workforce with 25 or more covered individuals (Portuguese) (DOCX 14.91 KB)
Employer notice for a workforce with 25 or more covered individuals (Russian) (DOCX 16.35 KB)
Employer notice for a workforce with 25 or more covered individuals (Spanish) (DOCX 15.05 KB)
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 (DOCX 51.93 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Arabic) (PDF 427.1 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Chinese) (DOCX 15.33 KB)
Employer notice for a workforce with fewer than 25 covered individuals (French) (DOCX 15.39 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Haitian Creole) (DOCX 15.32 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Italian) (DOCX 15.15 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Khmer) (PDF 350.54 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Korean) (DOCX 19.78 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Lao) (DOCX 43.85 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Portuguese) (DOCX 15.25 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Russian) (DOCX 16.88 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Spanish) (DOCX 15.36 KB)
Employer notice for a workforce with fewer than 25 covered individuals (Vietnamese) (DOCX 15.74 KB)

Employer written notices to eligible 1099-MISC workers

Employer notice to self-employed individual for a workforce with 25 or more covered individuals (DOCX 46.06 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 individual for a workforce with 25 or more covered individuals (Chinese) (DOCX 16 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 individual for a workforce with 25 or more covered individuals (Haitian Creole) (DOCX 15.13 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 individual for a workforce with 25 or more covered individuals (Khmer) (PDF 216.09 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 individual for a workforce with 25 or more covered individuals (Lao) (DOCX 44.1 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 individual for a workforce with 25 or more covered individuals (Russian) (DOCX 16.17 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 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 (DOCX 47.61 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Arabic) (PDF 665.55 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Chinese) (DOCX 15.41 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (French) (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)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Italian) (DOCX 14.84 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Khmer) (PDF 217.66 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Korean) (DOCX 19.69 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Lao) (DOCX 41.78 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Portuguese) (DOCX 15.02 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Russian) (DOCX 16.16 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Spanish) (DOCX 14.91 KB)
Employer notice to self-employed individuals for a workforce with fewer than 25 covered individuals (Vietnamese) (DOCX 16.66 KB)

Exemption downloads

Basic exemptions facts for employers (PDF 177.56 KB)
PFML exemption bond form (PDF 207.15 KB)
Review the questions you will be asked during your exemption application (DOCX 18.21 KB)

Employer downloads

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 220.84 KB)

Contact

Phone

(617) 626-6565

DFML hours of operation: 9 a.m.-5 p.m., DOR hours of operation: 8:30 a.m.-4:30 p.m.

Online

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