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You have a serious health condition as defined by the DC Paid Family Leave law. You must complete section 1 of the form. Your doctor or licensed health care provider must complete section 2 of the form. You may complete the filing process for Medical Leave benefits only after this form is completed and signed by your doctor. Please ensure that your health care provider completes all sections of the form or your claim may be denied. Using the online Paid Family Leave benefits portal availa.

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As of October 1, 2022 the Paid Leave Act provides up to: 2 weeks to care for your pregnancy. 12 weeks to bond with a new child. 12 weeks to care for a family member with a serious health condition.

To qualify for Paid Family Leave (PFL) benefits, an individual must be a part-time or full-time employee in the District, regardless of their residence, and must meet all of the requirements, monetary and non-monetary, outlined within the law. District government and federal employees are excluded.

If paid leave taken under the District's program also qualifies as protected leave under the Family and Medical Leave Act (FMLA), or the District's Family and Medical Leave Act (DCFMLA), the paid leave taken shall run concurrently with, and not in addition to, the leave taken under FMLA or DCFMLA.

Prior to October 1, 2022, a maximum of 8 weeks per year can be paid. On or after October 1, 2022, a maximum of 12 weeks per year can be paid. Note, the right to prenatal leave is separate from the right to parental leave. An eligible employee can take the maximum amount of both types of leave available.

If you are eligible for Paid Family Leave in the District of Columbia, you may receive a weekly benefit amount which is based on your weekly wages. The current maximum weekly benefit amount is $1,118. The calculation will be based off of a minimum wage of $17.00 per hour.

You are eligible for Paid Family Leave benefits if you: Spend more than 50% of your time working in DC. Eligible workers must spend a majority of their time working the District—including teleworking or telecommuting—for a covered employer, and must have completed that work during the year prior to needing leave.

If you are eligible for Paid Family Leave in the District of Columbia, you may receive a weekly benefit amount which is based on your weekly wages. The current maximum weekly benefit amount is $1,118. The calculation will be based off of a minimum wage of $17.00 per hour.

Family Leave provides up to twelve (12) weeks of benefits in a year to care for a family member with... DC offers Paid Family Leave benefits, so you don't have to choose between taking care of your health and earning income.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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