District of Columbia Shared Leave Request Form

State:
Multi-State
Control #:
US-231EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an employee to request voluntary shared leave.

How to fill out Shared Leave Request Form?

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FAQ

Submit your claim through the benefits portal on the Office of Paid Family Leave's website at dcpaidfamilyleave.dc.gov or call 202-899-3700. You must wait until after the event happens to submit a claim. But apply soon after the event!

Paid family leave benefits are funded by a quarterly employer payroll tax of 0.62% of their covered employees' total wages. These quarterly contributions are based on the immediate past quarter of wages paid, on the same reporting schedule as UI tax.

We encourage you to use our benefits application portal to file a claim. If you are unable to apply online, please call our contact center at (202) 899-3700. Click to download our PFL Employee Handbook for additional information about qualifying events and the program.

DC workers can now apply for paid family leave. The Paid Leave Act provides up to: 2 weeks to care for your pregnancy. 8 weeks to bond with a new child.

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 Districtincluding teleworking or telecommutingfor a covered employer, and must have completed that work during the year prior to needing leave.

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 Districtincluding teleworking or telecommutingfor a covered employer, and must have completed that work during the year prior to needing leave.

How Much Can I Receive in Parental Leave Benefits? DC Paid Family Leave provides wage replacement of 90% of wages up to 1.5 times DC's minimum wage and 50% of wages above 1.5 times DC's minimum wage. The maximum weekly benefit amount is $1,000.

The fastest and easiest way to file a Paid Family Leave (PFL) claim is online, using SDI Online.Gather Required Information. You must provide the following information to file a PFL claim:Register.Log In to File a New Claim.Attach Additional Documentation Required.Completion of Your PFL Claim Filing.

In D.C., employers with 20 or more employees must allow eligible employees to take up to 16 weeks of unpaid family leave plus 16 weeks of unpaid medical leave in any 24-month period. Medical leave is for the employee's own serious health condition.

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District of Columbia Shared Leave Request Form