Updated to include guidance reflecting a California Court of Appeal ruling concerning meal break waivers.
A covered Massachusetts employer may use this form to inform an employee whether their family and medical leave request has been approved or denied.
A covered Massachusetts employer may use this form to notify an employee of their eligibility for family and medical leave.
A covered Massachusetts employer may use this form to receive employee requests for a family and medical leave of absence.
A covered Maine employer may use this form to inform an employee whether their family and medical leave request has been approved or denied.
A covered Maine employer may use this form to notify an employee of their eligibility for family and medical leave.
A covered Maine employer may use this form to receive employee requests for a family and medical leave of absence.
Updated to reflect the Form I-9 with a revision date of 01/20/25.
This letter may be used to notify an employee that their requested accommodation under the Pregnant Workers Fairness Act (PWFA) has been approved.
An employer may use this form, when reasonable under the circumstances, to request documentation supporting an employee's accommodation request under the Pregnant Workers Fairness Act (PWFA).