This government document is issued by Department of Family and Medical Leave (DFML) for use in Massachusetts
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https://www.mass.gov/doc/2023-supplementary-form-for-employers-with-a-private-plan/download?_gl=1*1xxzhb*_ga*MjAwMDMyNzUzNi4xNzQ3MzExNzg5*_ga_MCLPEGW7WM*czE3NDg1ODk3NjgkbzE0JGcxJHQxNzQ4NTkxMjM1JGo2MCRsMCRoMA..&_ga=2.119351433.1406572195.1748515125-2000327536.1747311789