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Get the free COVID-19 Special Leave with Pay Self-Declaration Form - HSE

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Appendix C: COVID-19 SELF DECLARATION FORM FOR SPECIAL LEAVE WITH PAY FOR PUBLIC HEALTH SERVICE EMPLOYEESThis form should be read in conjunction with the current HSE HR Circular and DEER FAQs for
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How to fill out covid-19 special leave with

01
Obtain the necessary forms from your employer or human resources department.
02
Fill out the form with your personal information, including your name, contact information, and employee number.
03
Indicate the reason for requesting covid-19 special leave, such as being diagnosed with the virus, being in close contact with someone who has tested positive, or experiencing symptoms.
04
Provide any supporting documentation, such as a doctor's note or positive test result, if required.
05
Submit the completed form to your employer for review and approval.

Who needs covid-19 special leave with?

01
Employees who have tested positive for covid-19 and need time off to recover.
02
Employees who have been in close contact with someone who has tested positive and need to quarantine.
03
Employees who are experiencing symptoms of covid-19 and need to get tested.
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Covid-19 special leave is used to provide employees with paid time off to deal with covid-19 related issues.
Employers are required to file covid-19 special leave with their employees.
Covid-19 special leave can typically be filled out online through the employer's HR portal or by using a paper form provided by the employer.
The purpose of covid-19 special leave is to ensure that employees have the necessary time off to address covid-19 related issues without losing income.
Information such as the reason for the leave, the dates requested, and any supporting documentation may need to be reported on covid-19 special leave.
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