PFML claim pending - do weekly certifications start now or after approval?
My partner got injured in a construction accident two weeks ago and we just finished submitting all the required medical documentation for his Paid Family & Medical Leave claim. The ESD portal shows his claim as 'pending review' but we're confused about the weekly certification process. Does he need to start filing weekly certifications now while the claim is still pending, or should he wait until after the claim is actually approved? We got the doctor's certification uploaded yesterday, but he missed submitting the first weekly certification on Sunday. Will he lose that week's benefits? I'm trying to help him navigate this since he's in a lot of pain and the PFML website isn't very clear about the timing. Any advice from people who've been through this process would be really appreciated!
22 comments


Ella Thompson
He should absolutely start filing weekly claims right now, even while the initial claim is pending! This is one of the most common mistakes people make with PFML. The approval process for the initial claim can take 2-3 weeks (sometimes longer), but he needs to be certifying each week during that time. Missing weeks can mean missing benefits. He can go back and file for the missed week, but only within a limited timeframe. I believe it's 4 weeks for retroactive claims, but don't quote me on that exact number. Have him log in ASAP and look for the option to file for previous weeks. The certification process for PFML is different from regular unemployment - it's much simpler and mainly just confirms he's still unable to work due to the qualifying condition.
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Matthew Sanchez
•Thank you so much! We'll get him logged in tonight to file for last week and this week. The ESD website is so confusing compared to the regular unemployment site. I was worried he'd lost that week completely!
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JacksonHarris
OMG the PFML website is THE WORST. when i filed last year i couldn't figure out ANYTHING and nearly lost 3 weeks of benefits!! defintely file weekly claims now, don't wait for approval. also make sure he keeps any documetnation from doctors visits in case they ask for more proof later. they're super picky about paperwork
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Matthew Sanchez
•It really is confusing! Did you have any issues with getting back-paid for the weeks after you submitted all the documentation? I'm worried about how long the approval might take.
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JacksonHarris
•they did backpay me but it took like 5 weeks total. the important thing is filing those weekly claims even while waiting!!!! if you dont file the weeklys they wont pay for those weeks even if the claim gets approved later
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Jeremiah Brown
I've been through this exact situation with PFML after my surgery last year. Here's what you need to know: 1. Start filing weekly claims IMMEDIATELY - even while the main claim is pending 2. You can backfile for missed weeks (up to 4 weeks back, I believe) 3. Once approved, they'll pay for all properly certified weeks 4. The certification process is much simpler than regular UI - just confirming continued medical need 5. Keep documentation of EVERYTHING Pro tip: Take screenshots of all confirmations when you submit weekly certifications. The system is glitchy and sometimes claims will disappear from your history. Also, if you need to speak with someone at ESD about the claim (which you probably will at some point), I found a service called Claimyr that helped me get through when I couldn't reach anyone. Their website is claimyr.com and they have a video demo at https://youtu.be/7DieNd3C7zQ?si=26TzE_zGms-DODN3 that shows how it works. Saved me hours of frustration when my claim had issues.
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Matthew Sanchez
•Thank you for the detailed info! The screenshot tip is really helpful - will definitely do that. I hadn't heard of Claimyr before but will check it out. We've been trying to call with questions and it's impossible to get through.
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Royal_GM_Mark
I think everyone has it wrong here. PFML is not like unemployment. You don't file weekly claims for PFML - you file one application and then they approve your leave period. At least that's how it worked when my wife used it for maternity leave.
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Amelia Cartwright
•That's not correct for medical leave due to injury or illness. Maternity/bonding leave works differently than medical leave for injuries. With medical leave, you DO need to file weekly certifications confirming you're still unable to work. My brother went through this after his back injury. The system requires weekly certification for medical leave, but you might get approved for a longer continuous block for parental bonding leave. This is a common source of confusion since the PFML program handles both types of leave but with slightly different processes.
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Chris King
The PFML system is GARBAGE and designed to make people give up. I filed for PFML in January after my accident and had to fight for EVERY PENNY. Yes, file weekly claims starting NOW, but don't expect to see any money for at least 4-6 weeks. They'll probably deny him initially too - they deny EVERYONE. Be prepared to appeal and get more documentation. ESD is a JOKE and they make everything 10x harder than it needs to be! Oh and don't bother calling - you'll NEVER get through. I spent 30+ hours on hold over two weeks.
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Matthew Sanchez
•I'm sorry you had such a terrible experience! Did your claim eventually get approved? What kind of additional documentation did they ask for? I want to make sure we have everything ready.
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Chris King
•Yes it got approved after 7 WEEKS of fighting with them. They kept claiming they "needed more information" from the doctor even though we sent EXACTLY what their form asked for. Make sure your doctor is SUPER SPECIFIC about how long recovery will take and what exact limitations prevent working. And document EVERYTHING - dates, times, who you talked to. The system is designed to frustrate you into giving up.
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Amelia Cartwright
To clarify some information that's being shared here: 1. Yes, weekly certifications ARE required for PFML medical leave due to injury (not always for parental bonding leave, which works differently) 2. You can file retroactively for missed weeks within a limited timeframe (I believe it's within 4 weeks) 3. The approval process typically takes 2-3 weeks if all documentation is complete 4. Benefits are paid retroactively to the date of eligibility once approved 5. The weekly certification process is simpler than UI - primarily confirming continued medical need Make sure all medical documentation clearly states: - Specific diagnosis - Expected recovery timeline - Work limitations - Treatment plan This will help avoid delays in processing. And yes, contacting ESD can be challenging - having a reference number from your claim ready when you call can help.
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Rachel Clark
•question - is PFML the same as workers comp? my friend got hurt at work and they said she should file workers comp not PFML?
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Matthew Sanchez
Thanks everyone for the helpful advice! We logged in last night and were able to file the weekly certification for the missed week and the current week. The system did allow retroactive filing, which was a relief! The doctor provided really detailed documentation about his construction accident injuries and recovery timeline, so hopefully that helps with the approval process. Now we just wait and keep doing the weekly certifications. I'll update here when we get an approval decision in case it helps someone else.
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Jeremiah Brown
•Great to hear! Just remember to keep filing those weekly claims every week, even if you don't hear anything about the main claim approval. The most common mistake is giving up on the weekly certifications when the approval takes longer than expected.
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Ella Thompson
•Good job! One more tip - if you haven't already, make sure he's submitted the Authorization for Disclosure of Information form. Sometimes that gets overlooked, and it's required for the doctor's office to communicate with ESD if they have any questions. You can find it in the documents section of the PFML portal.
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Ruby Blake
Just wanted to add something important that I learned the hard way - if your partner is getting treatment through workers' compensation for this construction accident, make sure to clarify with both programs about coordination of benefits. PFML and workers' comp can sometimes overlap, and you don't want any issues with duplicate payments that might need to be repaid later. Also, for the weekly certifications, keep copies of everything you submit. The PFML system sometimes has glitches where submitted certifications don't show up properly in your claim history. Having your own records can save you headaches if there are any disputes about whether you filed on time. Hope his recovery goes smoothly!
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Paolo Conti
•This is really important advice about workers' comp coordination! I hadn't even thought about potential conflicts between the two programs. Since it was a construction accident, there might be workers' comp involved too. Do you know if he needs to file both claims separately, or does one take precedence over the other? I want to make sure we don't create any problems by filing the wrong thing first.
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Malia Ponder
•Great question about workers' comp coordination! Generally, if it's a workplace injury, workers' comp should be filed first and takes precedence. PFML can sometimes serve as a supplement or backup if workers' comp doesn't cover everything, but there are specific rules about how the benefits coordinate. I'd strongly recommend contacting both programs to clarify - workers' comp through L&I (Labor & Industries) and PFML through ESD. They can help determine which program applies or if both can be used without creating overpayment issues. Getting this sorted out early will save major headaches later! The construction industry usually has pretty clear workers' comp coverage, so that might be the primary route for a workplace accident.
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AstroAdventurer
As someone who's helped several friends navigate both PFML and workers' comp claims, I want to emphasize what others have said about the workers' comp coordination. Since this was a construction accident, your partner should definitely file a workers' comp claim with L&I if he hasn't already. In Washington, workplace injuries are typically covered by workers' comp first, and it usually provides better benefits than PFML. However, don't stop the PFML process you've already started! Sometimes there are gaps in coverage or timing issues where PFML can bridge benefits while workers' comp is being processed. Both programs have their own weekly certification requirements, so you'll want to stay on top of both if you end up filing with L&I too. One thing to watch out for - if workers' comp approves the claim, they may require you to pay back any PFML benefits received for the same period. But it's better to have some income coming in while everything gets sorted out rather than having no benefits at all. The key is being transparent with both agencies about the other claim. They deal with coordination all the time, so don't try to hide one from the other - that's where people get into trouble.
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Omar Fawzi
•This is incredibly helpful advice! I really appreciate everyone taking the time to explain the workers' comp coordination issue. We hadn't filed with L&I yet because we were so focused on getting the PFML claim submitted, but it sounds like we definitely need to pursue the workers' comp route too since this was a workplace injury. The transparency point is especially important - I was worried about filing with both agencies, but it makes sense that they're used to coordinating these situations. Better to have both applications in the system and let them figure out the coordination than to miss out on benefits entirely. I'll help him get the L&I claim started this week while continuing with the PFML weekly certifications. Thanks for the warning about potential payback requirements - at least we'll know to expect that possibility if workers' comp gets approved.
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