MA PFML Confirmation of Insurance (Version 3 - revised 6/14/22)

Department of Family and Medical Leave (DFML)

This government document is issued by Department of Family and Medical Leave (DFML) for use in Massachusetts

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File Details: DOCX (50.7 KB)
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https://www.mass.gov/doc/ma-pfml-confirmation-of-insurance-version-3-revised-61422/download?_gl=1*n3aw3j*_ga*MjAwMDMyNzUzNi4xNzQ3MzExNzg5*_ga_MCLPEGW7WM*czE3NDg1ODk3NjgkbzE0JGcxJHQxNzQ4NTkwOTg0JGo2MCRsMCRoMA..&_ga=2.84741401.1406572195.1748515125-2000327536.1747311789

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