As mandated by the Washington State Employment Security Department, covered employers must provide the Washington Paid Family and Medical Leave Notice of Rights to employees who take family or medical leave.
As mandated by the District of Columbia, Department of Employment Services, covered employers must post the District of Columbia Paid Family Leave Notice to Employees.
As recommended by the Massachusetts Department of Family and Medical Leave, covered business entities may use this notice to inform certain contract workers that they are not covered individuals.
As mandated by the Massachusetts Department of Family and Medical Leave, self-insured employers seeking exemptions from making paid family and medical leave contributions must complete this form.