Massachusetts 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

A. See below: Employees paid through W-2 and considered a covered individual under the statute cannot opt out of coverage, even if they don't plan to use the benefit. An owner paid through a W-2 is considered an employee of the company and cannot opt out of coverage.

Business owners and family businesses Any spouse, minor child (under 18), or parent of a business owner who is employed by their family member's business will have their wages excluded from PFML because their services are not considered "employment" in the statute.

If you are applying for military-related paid family leave benefits, or if you are currently self-employed or unemployed, please call the Department's Contact Center at (833) 344-7365 to begin your application.

Claimants who are on a leave of absence granted at their request will be considered not in unemployment and therefore ineligible for UI benefits during the period of their leave.

Massachusetts employers have until Dec. 20 to opt out of the state's paid family leave program and elect private coverage that meets certain criteria. Employers may opt for such plans to be self-funded or fully insured. "Employers who wish to apply for a self-funded private plan exemption for the quarter beginning Oct.

An individual may pay taxes on benefits if they received payments from PFML in a given calendar year. Contributions to the PFML Family and Employment Security Trust Fund are withheld from Massachusetts employees' paychecks to fund the program.

Generally no, you are not eligible for unemployment benefits if you take medical leave under the Family and Medical Leave Act and you cannot work.

You may not be eligible for Unemployment Insurance (UI) benefits if your only source of employment is from working as: An employee of a non-profit or religious organization. A worker trainee in a program run by a nonprofit or public institution. A real estate broker or insurance agent who work only on commission.

If you employ Massachusetts employees, you're required to comply with the PFML law. Learn more about the law, your obligations, how to make contributions, and other employer responsibilities.

Employers should report year-end PFML contributions on Box 14 for W-2s and Box 16 for 1099-MISC. In both cases, the boxes should be labeled MAPFML. The amounts in the Boxes should include the combined total for Family and Medical Leave.

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Massachusetts Shared Leave Request Form