7890a NS 10/21
Form GBD-1855 PFML (2021) (CT)
1 Plus two additional weeks during pregnancy in the case of incapacity or certain treatment.
2 Base weekly earnings: A covered employee’s total wages, using the first four of the five most recently completed quarters, and choosing the sum of the two highest quarters divided by 26.
3 Public employers are state, municipal governments or local boards of education. Federal employees are excluded.