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EXPANDED FAMILY AND MEDICAL LEAVE REQUEST FOR UNDER THE FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FF CRA) Name: ___ Anticipated Begin Date: ___ Expected Return to Work Date: ___ Employees may be entitled

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How to fill out emergency paid sick leave

01

Determine if you qualify for emergency paid sick leave based on eligibility criteria

02

Notify your employer as soon as possible if you need to take emergency paid sick leave

03

Complete the required paperwork provided by your employer for requesting emergency paid sick leave

04

Provide any necessary documentation to support your request for emergency paid sick leave

05

Keep track of the amount of emergency paid sick leave used and communicate with your employer about any changes or extensions needed

Who needs emergency paid sick leave?

01

Employees who are unable to work or telework due to being subject to a government quarantine or isolation order related to COVID-19

02

Employees who have been advised by a healthcare provider to self-quarantine due to COVID-19 concerns

03

Employees experiencing COVID-19 symptoms and seeking a medical diagnosis

04

Employees caring for an individual who is subject to a quarantine order or has been advised to self-quarantine by a healthcare provider

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What is emergency paid sick leave?

Emergency paid sick leave is a provision that allows employees to take paid time off for specified reasons related to COVID-19.

Who is required to file emergency paid sick leave?

Employees who are unable to work or telework due to specific COVID-19 related reasons are required to file for emergency paid sick leave.

How to fill out emergency paid sick leave?

Employees can fill out the emergency paid sick leave request form provided by their employer and submit it according to their company's policies.

What is the purpose of emergency paid sick leave?

The purpose of emergency paid sick leave is to provide financial assistance to employees who are unable to work due to COVID-19 related reasons.

What information must be reported on emergency paid sick leave?

Employees must report the reason for needing emergency paid sick leave, the duration of their leave, and any other information required by their employer.

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