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CALIFORNIA SUPPLEMENTAL PAID SICK LEAVE REQUEST Employees who are unable to work or telework can use CPSL for one of the reasons shown below. This form to be completed by the EMPLOYEE Company Name:Date:Employee
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Step 1: Obtain the California Revives Supplemental Paid form.
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Step 2: Read through the instructions provided with the form.
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Step 3: Fill out your personal information in the appropriate sections, such as your name, address, and contact details.
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Step 4: Provide details about your current employment status, including the name of your employer and the dates of your employment.
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Step 5: Indicate the reasons for requesting the supplemental paid, such as a recent loss of income or reduced work hours.
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Step 6: Attach any supporting documents, such as pay stubs or other proof of income.
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Step 7: Review the completed form to ensure all information is accurate and complete.
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Step 8: Sign and date the form.
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Step 9: Submit the form to the appropriate California state agency or department as instructed.
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Step 10: Keep a copy of the filled-out form for your records.

Who needs california revives supplemental paid?

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California Revives Supplemental Paid is needed by employees in the state of California who have experienced a loss of income or reduced work hours.
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This program is designed to provide temporary financial assistance to eligible individuals who are facing financial hardship.
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Employees who meet the program's eligibility criteria can apply for the supplemental paid to help cover their living expenses during times of reduced income.
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It is important to carefully review the eligibility requirements and instructions provided with the form to determine if you qualify for the California Revives Supplemental Paid.
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California Revives Supplemental Paid refers to a temporary program that provides additional paid sick leave to workers in California who are affected by COVID-19-related issues.
Employers in California with employees who qualify for Supplemental Paid Sick Leave under the program are required to file California Revives Supplemental Paid.
To fill out California Revives Supplemental Paid, employers should complete the designated forms provided by the California state government, detailing eligible employees and the amount of supplemental paid sick leave each has taken.
The purpose of California Revives Supplemental Paid is to provide financial support to workers who are unable to work due to COVID-19-related reasons, ensuring that they can take necessary time off without suffering a loss of income.
Employers must report the employee's name, the number of hours of supplemental paid sick leave taken, the reason for the leave, and any other information specified by state regulations.
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