Form preview

DC PFL-MMC 2020 free printable template

Get Form
MEDICAL LEAVE MEDICAL CERTIFICATION FORM (PFL MMC)INSTRUCTIONS FOR CLAIMANT: Use this form to file for Medical Leave benefits with the DC Office of Paid Family Leave. This form is used to determine whether
pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign DC PFL-MMC

Edit
Edit your DC PFL-MMC form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your DC PFL-MMC form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit DC PFL-MMC online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to benefit from the PDF editor's expertise:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit DC PFL-MMC. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

DC PFL-MMC Form Versions

Version
Form Popularity
Fillable & printabley
4.9 Satisfied (59 Votes)
4.6 Satisfied (62 Votes)
4.4 Satisfied (27 Votes)

How to fill out DC PFL-MMC

Illustration

How to fill out DC PFL-MMC

01
Obtain the DC PFL-MMC form from the appropriate agency.
02
Read the instructions carefully to understand the requirements.
03
Fill in your personal details, including your name, address, and contact information.
04
Provide information about your employment status and the reason for your leave.
05
Attach any required supporting documentation, such as medical certificates.
06
Review the form for accuracy and completeness.
07
Submit the completed form to the designated agency or department.

Who needs DC PFL-MMC?

01
Individuals who are taking family leave or medical leave in Washington, D.C.
02
Employees who need to care for a newborn or a family member with a serious health condition.
03
Workers seeking financial assistance during their leave period.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
27 Votes

People Also Ask about

Washington D.C. paid family leave is a program fully funded by employers. Because the program is employer-only, employers do not need to withhold premiums from employee wages. Employers with at least one employee working in Washington D.C. are subject to the paid family leave program.
Nearly every Washington worker can qualify for Paid Family and Medical Leave as long as they worked a minimum of 820 hours (about 16 hours a week) in Washington over the last year. Full-time, part-time, temporary and seasonal work counts.
As of October 1, 2022 the Paid Leave Act provides up to: 2 weeks to care for your pregnancy. 12 weeks to bond with a new child. 12 weeks to care for a family member with a serious health condition.
You are eligible for Paid Family Leave benefits if you: Spend more than 50% of your time working in DC. Eligible workers must spend a majority of their time working the District—including teleworking or telecommuting—for a covered employer, and must have completed that work during the year prior to needing leave.
Qualified Washington state workers are eligible for: Up to 12 weeks of paid family or medical leave. Up to 16 weeks of leave when family and medical leave are used in combination (e.g., birth mother pregnancy and parental leave) An additional 2 weeks of leave is available as a result of pregnancy complications.
On July 1, 2020, the District of Columbia began administering paid leave benefits. DC workers can now apply for paid family leave. As of October 1, 2022 the Paid Leave Act provides up to: 2 weeks to care for your pregnancy.
You are eligible for Paid Family Leave benefits if you: Are a covered worker in DC. Generally, eligible workers spend a majority of their time working the District. Your employer must report your wages to DC for the purposes of unemployment insurance for you to be eligible for paid family leave.
Nearly every worker can qualify for Paid Leave if they worked a minimum of 820 hours (about 16 hours a week) in Washington during their qualifying period. Log in to your Paid Leave account and submit a Request for Review.
Nearly every Washington worker can qualify for Paid Family and Medical Leave as long as they worked a minimum of 820 hours (about 16 hours a week) in Washington over the last year. Full-time, part-time, temporary and seasonal work counts.
Once your application is approved, you can expect weekly payments to begin 2-4 weeks after your leave begins.
The District of Columbia Family and Medical Leave Act (DCFMLA) requires employers with 20 or more employees to provide eligible employees with 16 weeks of unpaid family leave and 16 weeks of unpaid medical leave during a 24 month period. Employee Eligibility.
Yes. The 2008 Act covered employees who worked at least 1,000 hours per year. The 2013 Amendment includes all employees who work in DC, regardless of the total number of hours they work daily, weekly or annually.
Overview of PFML and Recent Amendments Unlike federal FMLA where employees interact directly with their employers to determine eligibility, employees apply directly to the Washington Employment Security Department (ESD) to request leave, and the ESD administers the PFML program and determines employee eligibility.
Which Employers are Covered Under the Law? Under the UPLA, a covered employer is anyone who controls the wages, hours, or working conditions of a worker and is required to pay Unemployment Insurance (UI) tax in DC for its workers. It also includes self-employed individuals who opt into the PFL program (See Chapter 2).
We encourage you to use our benefits application portal to file a claim. If you are unable to apply online, please call our contact center at (202) 899-3700. Click to download our PFL Employee Handbook for additional information about qualifying events and the program.
Most benefit payments are issued within two weeks after the EDD receives a properly completed claim online or by mail. By filling in your application completely and verifying that all information is correct, you help ensure your benefit payment is issued promptly.
The EDD Determines Eligibility Once a properly completed claim application is received, the EDD usually determines eligibility within 14 days.
Processing times: Our goal is to process complete applications within three weeks.
You are eligible for Paid Family Leave benefits if you: Are a covered worker in DC. Generally, eligible workers spend a majority of their time working the District. Your employer must report your wages to DC for the purposes of unemployment insurance for you to be eligible for paid family leave.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Once your DC PFL-MMC is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.
You can. With the pdfFiller Android app, you can edit, sign, and distribute DC PFL-MMC from anywhere with an internet connection. Take use of the app's mobile capabilities.
Complete DC PFL-MMC and other documents on your Android device with the pdfFiller app. The software allows you to modify information, eSign, annotate, and share files. You may view your papers from anywhere with an internet connection.
DC PFL-MMC stands for District of Columbia Paid Family Leave - Medical and Family Care leave. It is a program that provides paid leave for employees in the District of Columbia to care for themselves or a family member.
Employers in the District of Columbia with 1 or more employees are required to file DC PFL-MMC.
To fill out DC PFL-MMC, employers must provide accurate payroll information, employee details, and the amount of leave taken for the specified period.
The purpose of DC PFL-MMC is to provide financial support to employees while they take necessary leave for medical reasons or to care for a family member, thereby promoting work-life balance.
The information that must be reported on DC PFL-MMC includes the employee's earnings, hours worked, the duration of leave, reason for leave, and details about the employer.
Fill out your DC PFL-MMC online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.