Paid Family Leave

Initial claim determinations can be appealed either to the Department of Employment Services (DOES) Administrative Appeals Division or to OAH. If you first appeal to DOES for a reconsideration and you disagree with the new determination, you can then appeal the new determination to OAH.

This means that you can appeal to OAH either an initial OPFL determination or a new determination following DOES’s reconsideration.

To request an OAH hearing, whether appealing an initial determination or a new determination following DOES reconsideration, you need to file two things with OAH:

• a completed copy of the Paid Family Leave Benefits Appeal Form and
• a copy of the determination you are appealing

Visit the Filings & Forms page for detailed filing instructions. You must file your hearing request with OAH within 60 calendar days of the date of the initial OPFL determination if appealing an initial determination. If you asked DOES for a reconsideration first, you must file your hearing request within 60 calendar days of the date of the new determination.

If your hearing request does not include a copy of the determination you are appealing, OAH will send you an order directing you to file a copy by a set date. If you need more time to get the determination from OPFL or DOES, you may request an extension. If OAH does not receive a copy of the determination by the deadline, your case may be dismissed. In that case, you can still get the case reopened by filing the determination when you get it, along with a written explanation as to why you filed the determination late.

You must get the written decision directly from OPFL or DOES. OAH is a separate agency, so OAH does not automatically have OPFL’s or DOES’s determination and cannot get a copy from the agency on your behalf.

OAH Rule 2808 has more information about OAH hearing requests. The OAH Rules are on the Rules & Laws page. DOES regulations also have information about DOES and OAH appeals. These regulations are in Title 7, Chapter 35, Sections 3511 and 3512 of the D.C. Municipal Regulations (DCMR).

The OAH Rules explain all the steps required to complete the OAH hearing process, from requesting a hearing to appealing a judge’s final decision. You can find the OAH Rules on the Rules & Laws page. You must follow the OAH Rules throughout the process.

All the rules that apply to a paid family leave case are in Chapter 28. The table of contents for Chapter 28 can help guide you to the information you need.

Every case has its own facts and circumstances, so some cases may involve laws and regulations that are not listed on this page. However, the D.C. Code and the D.C. Municipal Regulations (DCMR) generally cover paid family leave benefits cases.

The D.C. Code is where you can find District laws that create a program, such as the paid family leave program. Within the bounds of those laws, the D.C. agency that administers the program may then make regulations creating specific requirements and procedures. Regulations are often more detailed than laws, but laws have more authority. If there is a discrepancy between a law and a regulation, the law applies. When a judge decides a case at OAH, he or she may apply both laws and regulations to reach a final decision.

The laws creating the District’s paid family leave program are in Title 32, Chapter 5, Subchapter IV of the D.C. Code. This subchapter includes sections that cover, among other things, administration of the program, duration and amount of benefits, and claim determination appeals, including OAH appeals.

OPFL administers the paid family leave program as part of the Department of Employment Services (DOES), the agency responsible for making the regulations to implement the program. OPFL must follow these regulations when processing and deciding benefit claims. The regulations are in Title 7, Chapter 35 of the DCMR. Sections in this chapter cover eligibility, the processes for submitting and processing claims, benefit amount calculation, duration and payment of benefits, and appeals, among other things.

It can be helpful to navigate to the relevant title and chapter numbers in the D.C. Code and DCMR and look at the subchapter and section headings. The headings can help guide you to the particular sections that apply to the issues in your case.

If you are having difficulty finding or understanding laws or regulations that may apply to your case, click on the “I need more help” tab below for more information about who you can contact for help.

After you file a hearing request, OAH will mail you a “scheduling order” that tells you when your hearing will be. OAH will also email it to you if you put your email address on the Appeal Form.

The scheduling order will have specific instructions, but hearing preparation generally involves each side collecting the information they want the judge to know and planning how to present the information during the hearing.

Information you present during a hearing is called “evidence.” There are two broad categories of evidence:

• Verbal testimony (what you and other witnesses say at the hearing)
• Documents, photographs, or other physical items

For testimony, you can practice telling your side of the story before the hearing. If you have witnesses that will testify on your behalf, you can ask your witnesses to practice their testimony as well. Practicing your testimony can help make sure you and your witnesses don’t accidentally leave out important information and can help you feel more comfortable on the day of the hearing.

If a witness won’t agree to come to a hearing voluntarily, you can ask the judge for a “subpoena.” A subpoena is a court order that requires someone to come to a hearing or provide documents. Visit the Subpoena Request page for more information about the subpoena process.

Documents, photographs, or other items you plan to use to support your case are called “exhibits.” You should collect all your exhibits before the hearing so that you can file a copy of the exhibit with OAH and “serve” a copy on the other party by the deadline given in the scheduling order. “Serving” means delivering, mailing, or faxing a copy of the exhibit to the other party. You can also serve exhibits by email if you and the other party have agreed in writing to allow service by email. You can find the contact information for the other party at the end of the scheduling order, on the page called “Certificate of Service.”

If you know that the other party, or a person or organization related to the case, has important documents about the facts in the case, but they will not give you copies of the documents, you can ask the judge for a “subpoena” that will require them to do so. You can also ask the judge to allow “discovery.” Discovery is the formal process of getting information from an opposing party. Discovery generally is not needed or permitted in most OAH hearings, but it may be an option if you have a good reason. Visit the Subpoena Request and Discovery Request pages for more information about these processes.

Also, as you prepare exhibits, keep in mind that OAH is a separate agency from OPFL. That means that OAH does not automatically have copies of anything OPFL sends you or any of OPFL’s records. To use those documents at the hearing, you still need to file copies with OAH.

You should also keep in mind that properly filing and serving an exhibit does not automatically mean that the judge can rely on the information in the exhibit when making a decision. Instead, you need to be prepared to introduce the exhibit during your testimony or a witness’s testimony. In other words, you or a witness will need to describe the item and may need to answer questions about it, so that the judge can be satisfied that the item is relevant to the case and is reliable. After you or a witness describe an exhibit and answer any questions from the judge or the other party, you can then ask the judge to admit the exhibit into evidence. If the judge allows the exhibit into evidence, you can then refer to the item in detail during your testimony, and the judge can rely on the item when making a decision. You need to be prepared for this process for each individual exhibit.

Here are some of the common OAH Rules that apply to hearing preparation: Rule 2809 (Filing of Papers); Rule 2811 (How to Serve a Paper); Rule 2812 (Calculating Deadlines); Rule 2813 (Motions Procedure); Rule 2821 (Hearings and Evidence). Other rules may apply, so it is a good idea to familiarize yourself with the OAH Rules’ table of contents so that you know where to go to look for particular requirements. The OAH Rules are on the Rules & Laws page.

All exhibits must be filed with OAH and served on the other party.

You can file exhibits with OAH in person; by mail, email, or fax; or through the OAH E-Filing Portal. Visit the Filings & Forms page for specific filing instructions.

“Serving” means delivering, mailing, or faxing copies of your exhibits to the other party. If the other party has agreed in writing, you may also send exhibits by email.

Each party must file and serve exhibits by the deadline given in the scheduling order to make sure both sides have opportunity to review all the documents and other items the other side intends to use to support their case.

If you do not know the contact information for the other party, look at the “Certificate of Service” at the end of the scheduling order you receive from OAH. The Certificate of Service lists the contact information for each party.

You should look closely at your scheduling order for information about how your hearing will be held, but most OAH hearings are currently remote and are scheduled to take place by telephone. OAH uses a program called Webex to hold remote hearings, but only a phone is required for anyone to join. Visit the Webex Hearings page for more information about joining a remote hearing by phone.

If you are scheduled for a telephone hearing, you can request a video hearing or an in-person hearing, using the Request for Video Conference or In-Person Hearing form. Or, if you are scheduled for an in-person hearing, you can request to join the hearing by phone, using the Request to Participate by Telephone form.

Whether remote or in person, an evidentiary hearing is generally divided into three main parts:

• Opening statements
• Presentations of evidence
• Closing arguments

An opening statement is not required but is your chance to give the judge a broad overview of your case and what you intend to prove through your evidence. The opening statement is not testimony and does not count as evidence, however. So, remember to present all of your evidence during the next part of the hearing, even if you talked about it already in your opening statement.

The presentation of evidence is the main part of the hearing. The judge will explain how the hearing will go before it begins, but the side with the “burden of proof” often goes first when giving evidence. The side with the burden of proof must present sufficient evidence to prove their side. If they can’t, then the other side wins. In cases involving an initial determination of eligibility for benefits, the claimant normally has the burden to prove that they meet all the eligibility requirements. But sometimes the judge may have the agency present evidence first since the agency has all the information as to why a claim for benefits was denied.

When it is your turn to present evidence, you can give testimony and, if the judge allows your exhibits into evidence, talk about the documents or other items you have as evidence. (See “How do I prepare for hearing?” above for more explanation about how exhibits are admitted into evidence). You can also have your witnesses attend and ask them questions to get them to testify on your behalf. Asking questions of your own witnesses is called “direct examination.”

After you or a witness are done giving testimony, the other side can ask questions about the testimony that was given. This is called “cross examination.” Likewise, after the other side’s witnesses give testimony as part of their presentation of evidence, you will have the opportunity to ask them questions. However, neither side is required to ask cross examination questions, and the judge will not assume you agree with the testimony of the other side’s witnesses if you choose not to question them. Also, if you choose to cross examine a witness, you’re allowed to ask questions requiring a yes or no answer, so you can ask the witness to agree or disagree with facts that you present. But if the witness responds unfavorably to a question, the judge may credit that testimony and it may hurt your case. Parties typically only cross examine an opposing witness only when confident that answers will help the party’s case.

The judge may also have questions for the parties and witnesses throughout the hearing.

Finally, after both sides have presented their evidence, each side can give a closing argument. A closing argument is not required but is your opportunity to summarize your evidence and legal arguments as to why you should win. The closing argument is not evidence, and you cannot introduce new exhibits during your closing or talk about information that was not admitted into evidence.

Throughout the process, keep in mind that all evidence and arguments are being given directly to the judge. An evidentiary hearing is not an opportunity for the parties to talk and argue between themselves. So, you should practice your opening statement, presentation of evidence, and closing argument as if you are speaking directly to the judge.

Yes. Upon request, OAH will provide a free court-certified interpreter at your hearing. You cannot have a friend or family member interpret for you during a hearing.

You may request an interpreter when you file your initial hearing request, or you may request an interpreter at any other time by calling OAH at (202) 442-9094 or by emailing [email protected]. But please let OAH know as soon as possible that you need an interpreter for your hearing to give OAH time to schedule an interpreter.

If you have not requested an interpreter by the day of your hearing, you should let the judge know that you need an interpreter, and the judge can try to get an interpreter. If the judge cannot find an interpreter right away, the judge will need to reschedule the hearing to give time for OAH to schedule an interpreter for a new hearing date.

will also provide an interpreter if you need to speak with an OAH Customer Service Representative or Resource Center staff, whether visiting in person or calling OAH by phone. Simply ask for an interpreter and identify your language when you visit or call, and OAH staff will contact an interpreter to assist.

Yes. Upon request, OAH will provide reasonable accommodations to allow you to participate in your hearing. You may request an accommodation when you file a hearing request, or you may request an accommodation at any other time by calling OAH at (202) 442-9094 or by emailing [email protected].

Please explain the accommodation you need, and OAH staff will be in touch with you to arrange reasonable accommodations for the day of your hearing. OAH may need some time to arrange the accommodations, so please let OAH know as soon as possible what accommodations you will need for your hearing.

You may ask the judge in writing for a different hearing date, also called a “continuance.”

For this type of request, you must first reach out to the other party to see if they will agree to a different hearing date. The other party doesn’t have to agree, or even respond. But you at least need to make a good faith effort to get the other party’s consent.

You then must file your request with OAH and send a copy of the request to the other party. To make sure you give OAH all the information needed for this type of request, you may use the Request for a Different Hearing Date form.

You should never assume that a request is granted. If your hearing date is approaching and you have not received a written response, contact the OAH Clerk’s Office to see if the judge has acted on your request. If the judge has not acted on the request by your hearing date, then the hearing will be held as originally scheduled and you will be required to attend.

OAH Rule 2813 has more information about filing case-related requests, also called “motions.” The OAH Rules are on the Rules & Laws page.

If you missed your hearing, and you still want a hearing, you must ask for a new hearing date in writing as soon as possible. Even if the judge sends a Final Order in the other party’s favor before you file your request, the judge can still grant a new hearing and change the final order. However, you must give a good reason for having missed the hearing. To make a request, you may complete the Request for a New Hearing form and file the form with OAH and serve a copy on the other party.

OAH Rule 2828 explains more about this type of request. OAH Rule 2813 has more information about filing case-related requests, also called “motions.” The OAH Rules are on the Rules & Laws page.

The judge will not make a final decision about your case during the evidentiary hearing. Rather, the judge will take time after the hearing to carefully consider all the evidence before making a final decision in writing. The judge’s written decision is called a “final order.” The final order will be sent to all parties to the case and will explain the facts of the case as determined by the judge, the laws that apply to the case, and the judge’s legal conclusions based on how the law applies to the facts.

The final order will also explain your appeal rights, in case you disagree with the judge’s decision.

If you disagree with a final order, you may either:

• ask the OAH judge to reconsider the decision or grant relief from the final order, or
• file an appeal with the D.C. Court of Appeals.

Visit the Closed Case Forms page, under “Filings & Forms,” for more information and instructions.

If you are looking for legal advice, you may qualify for free legal services from the First Shift Justice Project.

If you do not have a lawyer and need additional help, you may talk with someone at the OAH Resource Center. Call (202) 442-9094 and press “4” from the main menu, or send an email to [email protected]. The OAH Resource Center cannot give legal advice or be your lawyer, but our staff are happy to answer questions and give general information about paid family leave and the OAH process.