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T For Leave Under The Family and Medical Leave Act of 1993 (FMLA) EMPLOYEE S SERIOUS HEALTH CONDITION FMLA Page 1 to be completed by employee Name Employee # Address NUMBER STREET CITY STATE ZIP Home Phone: Job Title Date of Hire.

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Notify your employer Try to provide at least 30 days notice before your official start date, if possible. Then, you can create an account on paidleave.mass.gov and apply online. If you're applying for military-related leave, or unemployed, please call the Department's Contact Center at (833) 344-7365 to get started.

Paid Family and Medical Leave (PFML) is a state program that offers up to 26 weeks of paid leave for family or medical reasons to eligible employees (including former employees) in Massachusetts. PFML is funded through employee and employer contributions.

MA Paid Family & Medical Leave Benefit Amounts 80% of the portion of the employee's average weekly wage that is equal to or less than 50% of the State average weekly wage (SAWW); Plus 50% of the portion of the employee's average weekly wage that is more than 50% of the SAWW; Capped at the Maximum Weekly Benefit.

Establishes a system for paid family leave of up to 12 weeks to care for a family member, and up to 20 weeks for your own illness. The tax that pays for it began in 2019 with leave available beginning in 2021.

Employees may take up to 26 weeks of FMLA Lleave and up to 26 weeks of PFML leave per benefit year to care for a relatives family member with a military-related illness/injury. In most circumstances, FMLA and PFML will run concurrently if the employee is eligible for both types of leave.

For 2023, the new state average weekly wage is $1,765.34 and the new maximum weekly benefit rate is $1,129.82.

When you begin your paid family or medical leave, there is a 7-day waiting period before benefit payments start. You will not receive benefit payments during this waiting period. Also, these seven (7) days will count against your total available leave for the benefit year.

Your benefits payment is based on your individual average weekly wage, the state average weekly wage for Massachusetts workers, your benefit year, and the type of leave you are taking. In 2022, the maximum weekly benefit is $1,084.31. In 2023, it will increase to $1,129.82.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232