Washington Record of Absence - Self-Certification Form

State:
Multi-State
Control #:
US-457EM
Format:
Word; 
Rich Text
Instant download

Description

This Employment & Human Resources form covers the needs of employers of all sizes.
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FAQ

Nearly every worker can qualify for Paid Leave if they worked a minimum of 820 hours (about 16 hours a week) in Washington during their qualifying period. Log in to your Paid Leave account and submit a Request for Review.

For Paid Leave reporting: 1, 2022, the premium rate is 0.6 percent of each employee's gross wages, not including tips, up to the 2022 Social Security cap ($147,000). Of this, employers with 50+ employees will pay up to 26.78% and employees will pay 73.22%.

PFL isn't included in your employer's regular W-2. Instead, it's reported on a separate 1099-G from the insurer. Amounts labeled as PFL on the W-2 from your employer are taxable both on the federal level and state levels if you are in a state that is not tax-exempt.

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.

Employers who provide paid family and medical leave to their employees may claim a credit for tax years 2018 and 2019. The Employer Credit for Paid Family and Medical Leave is a business credit based on a percentage of wages paid to qualifying employees while they're on family and medical leave.

Are CA PFL benefits taxable? Family leave insurance benefits are subject to federal income tax and to federal rules on reporting income and paying taxes. CA PFL benefits are not subject to California state income tax. Benefits paid directly from the state of California are reported on Form 1099-G.

Are CA PFL benefits taxable? Family leave insurance benefits are subject to federal income tax and to federal rules on reporting income and paying taxes. CA PFL benefits are not subject to California state income tax. Benefits paid directly from the state of California are reported on Form 1099-G.

What are the benefits available? The maximum benefit in 2021 will be $1,206/week; adjusted annually after the first year to 90% of the Washington average weekly wage. An Employee makes 90% of his first $670 in wages and 50% of any wages up to the $1206 maximum.

The daily benefit amount is calculated by dividing your weekly benefit amount by seven. The maximum benefit amount is calculated by multiplying your weekly benefit amount by 8 or adding the total wages subject to State Disability Insurance (SDI) tax paid in your base period.

Benefits provide a percentage of the employee's gross wages between $100-1,000 per week while the employee is on approved leave. To receive benefits under the Paid Family and Medical Leave program, you must have worked a total of at least 820 hours for any Washington employers during the previous 12 months.

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Washington Record of Absence - Self-Certification Form