Paid Family and Medical Leave Written Notice to Current MA Employees due 5/31/19
- An explanation of the availability of family and medical leave benefits
- The employee’s contribution amount and obligations
- The employer’s contribution amount and obligations
- The employer’s name and mailing address
- The employer identification number assigned by DFML
- Instructions on how to file a claim for family and medical leave benefits
- The mailing address, email address, and telephone number of DFMLThe employer’s name and mailing address
Employers may provide the notice electronically and must include the opportunity for an employee to acknowledge receipt or decline to acknowledge receipt of the information. The acknowledgements may be in paper form or electronic. You must be able to provide evidence that you provided the form to each employee and the opportunity to acknowledge or decline to acknowledge receipt.
A sample notice is available at .