Self-Employed Individual Opt-In and Registration Form | Vietnamese Version


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  • August 20, 2019 Create Date
  • August 30, 2019 Last Updated
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Use this form to opt in to the Paid Family Leave (PFL) program and register with the Office of Paid Family Leave (OPFL) as a self-employed individual (SEI). The Universal Paid Leave Amendment Act of 2016 (D.C. Official Code §32-541) allows self-employed individuals to voluntarily opt in to the PFL program. Once opted in, you will be required to report your quarterly gross earnings from self-employment and to pay an amount equal to 0.62% of your entire quarterly gross income earned from self-employment in the District of Columbia. Your voluntary decision to opt in applies to all businesses that you operate in the District of Columbia.

DC Paid Family Leave 2019 SEI Registration Form (4)-en-vi-T.docxDownload