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Get the free www.placer.ca.gov COVID-Sick-Leave-Claim-formCOVID-19 ONLY IHSS/WPCS Provider Sick L...

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PLACER COUNTY HUMAN RESOURCES DEPARTMENT COVID-19 Name:Job Classification:Department:Date(s) of Leave: FromToEmployee Certification of Need for 2022 COVID-19 Paid Sick Leave (CSL) I acknowledge that
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The wwwplacercagov covid-sick-leave-claim-formcovid-19 only ihsswpcs is a form designated for In-Home Supportive Services (IHSS) workers in Placer County to claim sick leave benefits related to COVID-19.
IHSS workers in Placer County who have been affected by COVID-19 and are seeking to claim sick leave benefits are required to file this form.
To fill out the form, individuals must provide their personal information, details about their employment as an IHSS worker, the dates of leave taken due to COVID-19, and any supporting documentation required by the county.
The purpose of the form is to facilitate the process for IHSS workers to claim sick leave benefits while ensuring they receive necessary financial support during their recovery from COVID-19.
The form requires personal information, employment details, sick leave dates, and any relevant documentation that supports the claim for sick leave due to COVID-19.
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