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Get the free Families First Coronavirus Response Act: Employee Paid Leave

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SubmitEMERGENCY PAID SICK LEAVE REQUEST FORM Employees eligible for Emergency Paid Sick Leave (ESL) pursuant to the Families First Coronavirus Response Act (FF CRA). Are eligible for up to two weeks
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How to fill out families first coronavirus response

01
To fill out the Families First Coronavirus Response form, follow these steps:
02
Start by entering the required information, such as your name, address, and contact details.
03
Provide details about your family members, including their names, ages, and relationship to you.
04
Indicate if any of your family members have been diagnosed with COVID-19 or are showing symptoms.
05
Specify if any of your family members are in quarantine or isolation.
06
Provide information on your employment status, including your current employer and job title.
07
Indicate if you have been affected by the pandemic, such as experiencing a loss of income or unable to work.
08
Provide any additional details or documentation required by the form, such as proof of income or medical records.
09
Double-check all the information you have entered to ensure its accuracy.
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Submit the completed form online or follow the instructions for mailing it to the respective authority.
11
Keep a copy of the filled-out form for your records.

Who needs families first coronavirus response?

01
The Families First Coronavirus Response is designed to provide assistance to individuals and families who have been affected by the COVID-19 pandemic.
02
Those who may need the Families First Coronavirus Response include:
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- Individuals who have lost their jobs or experienced a reduction in income due to the pandemic.
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- Families with members who have been diagnosed with COVID-19 or are in quarantine.
05
- Parents who need financial support for childcare due to school closures.
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- Individuals who are unable to work or telework because they are caring for a family member affected by COVID-19.
07
- Individuals who need access to free testing or medical services related to COVID-19.
08
It is important to review the eligibility criteria and specific requirements of the Families First Coronavirus Response program to determine if you qualify for assistance.
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