
Get the free COVID-19 Leave Request Form - wichita.edu
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COVID-19 Request Form
Revised 03/31/2020Instructions:
Employees requesting leave related to COVID-19 should complete this form if the leave is requested for one of the
reasons listed below. Requests
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How to fill out covid-19 leave request form

How to fill out covid-19 leave request form
01
Obtain a covid-19 leave request form from your employer or human resources department.
02
Read the instructions and requirements mentioned on the form carefully.
03
Provide your personal information such as name, employee ID, and contact details in the designated fields.
04
Mention the date you are submitting the leave request form.
05
Specify the duration of the leave you are requesting, including the start and end dates.
06
Explain the reason for your leave request, stating that it is related to covid-19.
07
If necessary, attach any supporting documents or medical certificates.
08
Sign and date the form.
09
Submit the completed form to your employer or human resources department as instructed.
10
Keep a copy of the filled-out form for your records.
Who needs covid-19 leave request form?
01
Any employee who requires leave due to covid-19 related issues should use the covid-19 leave request form. This includes employees who have tested positive for covid-19, are experiencing symptoms, need to quarantine due to exposure, or need time off for caregiving responsibilities related to covid-19.
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