Eligibility for [State name]’s paid family medical leave program depends on a number of factors. Use the following questionnaire to determine your own eligibility:

I am…

Check all that apply

If you checked the first two boxes and at least one other box, you may be eligible for up to four weeks of paid leave. Visit the estimator page to get a sense of how much you might receive, or visit the file a claim page to start the claims process.