Self-Employed Individual Opt-In and Registration Form

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.