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Get the free NYS Covid Leave Request (.pdf)Human ResourcesDutchess County Government. Covid Leave...

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Employee Information Employee Name:DUTCHESS COUNTY COVID-19 LEAVE Equestrian Phone Number:Department:Are you able to telecommute? Yes Continuous Intermittent* No ___(#) Hours a day*___(#) Days a week×Requested
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How to fill out nys covid leave request

01
Step 1: Download the NYS Covid Leave Request Form from the official website.
02
Step 2: Fill in your personal details, including your name, address, and contact information.
03
Step 3: Provide information about your employer, including the company name and their contact information.
04
Step 4: Indicate the reason for your leave request, specifying that it is related to Covid-19.
05
Step 5: Mention the dates of your requested leave, including the start and end date.
06
Step 6: Sign and date the form, indicating your agreement with the information provided.
07
Step 7: Submit the completed form to your employer or Human Resources department.
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Step 8: Keep a copy of the form for your records.

Who needs nys covid leave request?

01
Any employee in the state of New York who is seeking leave due to Covid-19 may need to fill out the NYS Covid Leave Request form. This includes employees who are experiencing symptoms of Covid-19, have tested positive for the virus, or have been exposed to someone with Covid-19. Additionally, employees who need to care for a family member with Covid-19 or are unable to work due to school or childcare closures may also need to submit this form.
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The NYS COVID leave request is a formal application process for New York State employees seeking paid leave due to COVID-19 related reasons, such as illness, quarantine, or caregiving responsibilities.
Employees of New York State who are unable to work due to COVID-19 related issues, including those who have tested positive or are required to quarantine, must file a NYS COVID leave request.
To fill out a NYS COVID leave request, employees should complete the designated application form, providing relevant personal information, details about the COVID-19 situation, and any supporting documentation if required.
The purpose of the NYS COVID leave request is to allow employees affected by the pandemic to receive job-protected paid leave, ensuring they can take necessary time off without financial loss.
The information that must be reported includes the employee's name, contact information, dates of leave, reason for the leave, and any supporting documentation to substantiate the request.
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