Massachusetts Leave Request - Return From Leave Form

State:
Multi-State
Control #:
US-410EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an employee to request leave and to return from leave.

How to fill out Leave Request - Return From Leave Form?

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FAQ

Getting Back to Work After Taking a Leave of AbsenceSet up a meeting with your supervisor.Consider asking for a transition period or flex scheduling.Notify coworkers you're friendly with.Make your first day gracious.Show that you've still got it.Prepare for questions about your absence.Don't doubt yourself.12 Sept 2016

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.

Your payment will be processed within two weeks. Remember: You must file every week, even during your waiting week. (People taking bonding leave or military family leave don't have to take a waiting week.) You are not paid during your waiting week, but you can use vacation or sick days from your employer.

The Massachusetts Paid Family Medical Leave (Massachusetts FLI) became effective on October 1, 2019. Note: You may find it useful to review the Guide to Paid Family and Medical Leave for Massachusetts Employers from the Massachusetts Paid Family Medical Leave web page.

How to File a Paid Family Leave (PFL) Claim by MailVisit Online Forms and Publications and order a form online. A form will be mailed to you.Obtain the form from your physician/practitioner or employer.Visit an SDI Office.Call 1-877-238-4373. California Relay Service (711) Provide the PFL number (1-877-238-4373)16-Feb-2022

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.

General information about the FLI premium13% for family leave). The employee is responsible for 40% of the medical leave contribution and 100% of the family leave contribution. Employers with 25 or more employees are responsible for paying 60% of the medical leave contribution.

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.

Washington's statewide Paid Family and Medical Leave insurance program which launched in 2019 is intended to provide wage replacement and job protection to employees who need time away from work to tend to family or medical needs. The program is funded by both employer and employee payroll contributions.

The 2022 State contribution rate for the Massachusetts Paid Family & Medical Leave program will be 0.68% of eligible wages 0.56% for the Medical leave component and 0.12% for Family leave. The maximum employee contribution for Family and Medical leave combined will be 0.344%.

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Massachusetts Leave Request - Return From Leave Form