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UNIVERSITY OF CALIFORNIA EMPLOYEE REQUEST FOR EMERGENCY PAID SICK LEAVE (ESL) AND/OR EXPANDED FAMILY AND MEDICAL LEAVE (EFL) Sections I and II of this form provide important information regarding

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How to fill out emergency paid sick leave

01

Step 1: Determine if you qualify for emergency paid sick leave under the applicable law.

02

Step 2: Obtain the necessary documentation or information needed to support your request for emergency paid sick leave.

03

Step 3: Complete the required form or document provided by your employer to request emergency paid sick leave.

04

Step 4: Provide the completed form or document to your employer, following any specific submission instructions provided.

05

Step 5: Keep a copy of the form or document for your records.

Who needs emergency paid sick leave?

01

Emergency paid sick leave is typically needed by employees who are unable to work due to specific qualifying reasons, such as being subject to a government quarantine or isolation order related to COVID-19, experiencing COVID-19 symptoms and seeking a medical diagnosis, or caring for an individual who is subject to a quarantine or isolation order or has been advised by a healthcare provider to self-quarantine.

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What is emergency paid sick leave?

Emergency paid sick leave is a type of leave that allows employees to take time off from work due to specific qualifying reasons related to COVID-19.

Who is required to file emergency paid sick leave?

Employers with fewer than 500 employees are required to provide emergency paid sick leave to their employees.

How to fill out emergency paid sick leave?

Employees can fill out emergency paid sick leave by requesting the leave from their employer and providing the necessary documentation for their qualifying reason.

What is the purpose of emergency paid sick leave?

The purpose of emergency paid sick leave is to provide employees with paid time off to address COVID-19 related health and caregiving needs.

What information must be reported on emergency paid sick leave?

Employees must report their qualifying reason for taking emergency paid sick leave and provide any supporting documentation as required by their employer.

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