_pages/eligibility.html
---
title: Eligibility
---
{% include head.html %}
<body class="no-js layout-page layout-page-eligibility">
<a class="a-skip-to-main" href="#main">Skip to main content</a>
{% include site-header.html %}
<main role="main" id="main" class="page">
<div class="wrapper">
<h1>Eligibility</h1>
<p>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:</p>
<h2>I am…</h2>
<p>Check all that apply</p>
<div class="field field-checkbox">
<label>
<input type="checkbox" name="">
<span class="label-text">Currently employed and have worked for my employer for at least one year.</span>
</label>
</div>
<div class="field field-checkbox">
<label>
<input type="checkbox" name="">
<span class="label-text">Paying payroll taxes and have paid them for the past year.</span>
</label>
</div>
<div class="field field-checkbox">
<label>
<input type="checkbox" name="">
<span class="label-text">Managing a medical issue or temporary disability that requires me to take considerable time off of work.</span>
</label>
</div>
<div class="field field-checkbox">
<label>
<input type="checkbox" name="">
<span class="label-text">The parent of a newborn.</span>
</label>
</div>
<div class="field field-checkbox">
<label>
<input type="checkbox" name="">
<span class="label-text">The legal guardian of a newly adopted child.</span>
</label>
</div>
<div class="field field-checkbox">
<label>
<input type="checkbox" name="">
<span class="label-text">The primary caretaker of a family member (spouse, parent, sibling, or other close relative) who is experiencing a major medical issue or temporary disability.</span>
</label>
</div>
<p>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 <a href="{{site.baseurl}}/estimator/">estimator page</a> to get a sense of how much you might receive, or visit the <a href="{{site.baseurl}}/claims/new/">file a claim</a> page to start the claims process.</p>
</div>
</main>
{% include site-footer.html %}
</body>