Department of Family and Medical Leave (DFML)

State of Massachusetts

Official Website: https://www.mass.gov/orgs/department-of-family-and-medical-leave

Forms & Documents

Browse all Department of Family and Medical Leave (DFML) government forms

1 - 20 of 21 forms

Form Title Topics
2023 Employer notice for a workforce with fewer than 25 covered individuals
2023 Employer notice to self-employed individual for a workforce with 25 or more covered individuals
2023 Employer notice to self-employed individual for a workforce with less than 25 covered individuals
2023 Supplementary Form for Employers with a Private Plan
2024 Notice for Employers with 25 or More Covered Individuals English
2024 Notice to Self Employed Individuals from Employers with fewer than 25 Covered Individuals
2025 Employer Notice for a workforce with 25 or more covered individuals
2025 Notice to Self Employed Individuals from Employers with fewer than 25 Covered Individuals
2025 rate sheet for employers with less than 25 covered individuals
Certification of your Family Member's Serious Health Condition form
Certification of your Serious Health Condition form
DFML Affidavit of Qualifying Family Relationship
Get ready to apply for PFML
MA PFML Confirmation of Insurance (Version 3 - revised 6/14/22)
Paid Family and Medical Leave appeals timeline
Paid Family and Medical Leave Bond Form 1.1.20 exemptions
Paid Family and Medical Leave Contributions Bond form 10.1.19 exemptions
Paid Family and Medical Leave Group Bond Form (Version 1, Revised 12.16.22)
Paid Family & Medical Leave (PFML) Contributions Bond fast facts
PFML 1099-MISC acknowledgement reversal

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