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COVID-19 Modified Work Schedule Request Form Caring for Others due to Quarantine Employee NameDateTitleSupervisorDepartmentCaring for Others I AM UNABLE TO WORK ON CAMPUS FOR THE FOLLOWING REASON:I

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How to fill out covid-19 modified work s

01

Consult with your employer or HR department to determine if you are eligible for covid-19 modified work s.

02

If eligible, request a copy of the covid-19 modified work s form from your employer.

03

Fill out the form accurately and completely, providing detailed information about your condition and any restrictions you may have.

04

Submit the completed form to your employer or HR department for review and approval.

05

Keep a copy of the form for your records and follow up with your employer to ensure that the necessary accommodations are made.

Who needs covid-19 modified work s?

01

Individuals who have tested positive for covid-19 and are unable to work due to their condition.

02

Individuals who have been exposed to someone with covid-19 and are required to quarantine as a precaution.

03

Individuals who are considered high-risk for severe illness from covid-19 and need accommodations to reduce their risk of exposure.

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What is covid-19 modified work s?

Covid-19 modified work s refers to any changes made to a person's work duties or responsibilities due to the covid-19 pandemic.

Who is required to file covid-19 modified work s?

Employers are required to file covid-19 modified work s for their employees who have had changes to their work due to the pandemic.

How to fill out covid-19 modified work s?

Covid-19 modified work s can be filled out by providing details of the employee, the changes made to their work, and the reason for these modifications.

What is the purpose of covid-19 modified work s?

The purpose of covid-19 modified work s is to document any adjustments made to an employee's job responsibilities or duties as a result of the covid-19 pandemic.

What information must be reported on covid-19 modified work s?

Information such as the employee's name, job title, description of modifications to their work, and the effective date of these changes must be reported on covid-19 modified work s.

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