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.
Massachusetts shared leave request forms are documents used by employees in the state of Massachusetts to request shared leave from their employers. Shared leave refers to a policy where employees can donate a portion of their accrued leave (such as sick, vacation or personal time) to a fellow employee who is in need of additional time off due to a serious medical condition, the birth or adoption of a child, or the care of a sick family member. The Massachusetts shared leave request form typically includes the following information: 1. Employee Details: The employee's name, employee ID, job title, department, and contact information. 2. Recipient Details: The name, employee ID, department, and contact information of the employee who will receive the shared leave. 3. Reason for Shared Leave: The detailed reason for requesting shared leave, such as a serious medical condition, the birth or adoption of a child, or the care of a sick family member. 4. Duration of Shared Leave: The specific dates or duration for which shared leave is being requested. 5. Certification: The form may require the employee to provide documentation or certification related to the reason for needing shared leave, such as a medical certificate or birth certificate. 6. Signature: The employee is required to sign and date the form to indicate their agreement and acknowledgement of the shared leave request. Different types of Massachusetts shared leave request forms may exist based on the nature of the leave being requested. For example, there could be specific forms for medical-related shared leave, parental/shared parental leave, and family care-related shared leave. These forms may have slight variations in the information required, but the overall purpose remains the same — to facilitate the process of requesting and approving shared leave in line with the applicable laws and regulations in Massachusetts.

Massachusetts shared leave request forms are documents used by employees in the state of Massachusetts to request shared leave from their employers. Shared leave refers to a policy where employees can donate a portion of their accrued leave (such as sick, vacation or personal time) to a fellow employee who is in need of additional time off due to a serious medical condition, the birth or adoption of a child, or the care of a sick family member. The Massachusetts shared leave request form typically includes the following information: 1. Employee Details: The employee's name, employee ID, job title, department, and contact information. 2. Recipient Details: The name, employee ID, department, and contact information of the employee who will receive the shared leave. 3. Reason for Shared Leave: The detailed reason for requesting shared leave, such as a serious medical condition, the birth or adoption of a child, or the care of a sick family member. 4. Duration of Shared Leave: The specific dates or duration for which shared leave is being requested. 5. Certification: The form may require the employee to provide documentation or certification related to the reason for needing shared leave, such as a medical certificate or birth certificate. 6. Signature: The employee is required to sign and date the form to indicate their agreement and acknowledgement of the shared leave request. Different types of Massachusetts shared leave request forms may exist based on the nature of the leave being requested. For example, there could be specific forms for medical-related shared leave, parental/shared parental leave, and family care-related shared leave. These forms may have slight variations in the information required, but the overall purpose remains the same — to facilitate the process of requesting and approving shared leave in line with the applicable laws and regulations in Massachusetts.

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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.

More info

... DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY. Family Medical Leave. FMLA Form WH-381 Eligibility and Rights · Certify your need to take leave · Request proof of your relationship to the family member you're requesting leave to ...21-Dec-2020 ? 1, 2021, employees in Massachusetts may begin to apply for and receive paid leaveincluding the current bond form and instructions. 25-Aug-2021 ? If the donated time may be applied to cover the requested period of leave that has already passed without pay. Other Information. Definitions. Second - obtain from the employee documentation supporting the requested leave. The form required is dependent upon the purpose of the leave: Certification of ... 16-Feb-2022 ? 1. Obtain a Paper Claim Form · Visit Online Forms and Publications and order a form online. A form will be mailed to you. · Obtain the form from ... To apply for shared leave, please download the following document and submit the Shared Leave Request form and the Shared Leave Medical Certificate by following ... Download forms to your computer before completing themInteractive PDFs must be saved to your computer toRetirement application, Part 2 for employers. After the day EPSL leave is first taken, employees should complete, sign and submit the FFCRA Request Form to the HR Department. 30-Jun-2020 ? without pay, or to fill a vacancy until a qualified replacement isencouraged to request annual vacation leave during each year in order ...

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Massachusetts Shared Leave Request Form