ALL FORMS ARE SUPPLIED BY YOUR EMPLOYER. Check with your Human Resource Department to obtain those forms. It is your responsibility to confirm your eligibility and know your specific employer policies regarding medical leave.

FMLA stands for Family Medical Leave Act.  For those employers who are eligible for this program it provides up to 12 weeks of job protected unpaid leave in a calendar year. You may use these hours anytime during your pregnancy. FMLA paperwork will be completed within 2 weeks from date of submission. Please provide a fax number where the completed forms can be faxed to your employer.

PFML stands for Paid Family Medical Leave. PFML applies to Massachusetts employers. PFML provides up to 12 weeks of job protected, paid family leave starting after birth. This program provides flexibility in how you schedule your leave. PFML forms can only be completed after your date of delivery. Those are the requirements of this program. Any submissions prior to delivery will be denied. These completed forms will be emailed to you.

Both of these forms are to be submitted to us no sooner than 28-30 weeks of pregnancy

Short term disability applications must be approved by our office prior to submission. Medical disability requires documentation of a medical diagnosis preventing you from performing your job. Pregnancy itself it not a medical diagnosis.

There is a service fee to complete requests at $25.00, per form. It must be paid at the time the forms are submitted. We cannot accept cash or personal checks.

For questions regarding Paid Family and Medical Leave (PFML) benefits, please log into the Department of Family and Medical Leave- Massachusetts at the following sites:

https://www.mass.gov/orgs/department-of-family-and-medical-leave

OR

https://www.mass.gov/info-details/paid-family-and-medical-leave-pfml-overview-and-benefits