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Click ‘Get Form’ to open the FFCRA Leave Request Form in the editor.
Begin by entering your name in the 'Employee name' field at the top of the form.
Next, specify the dates for your requested leave in the 'Date(s) of FFCRA leave requested' section.
Indicate your reason for requesting leave by checking the appropriate box and providing any required information. For example, if you are subject to a quarantine order, include the name of the issuing government entity.
If applicable, provide details about your health care provider or individual you are caring for as prompted in each section.
Complete the certification statement at the bottom of the form by signing and dating it to confirm accuracy.
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Below is a sample employee letter for paid sick leave under
Below is a sample employee letter for paid sick leave under the Families First Coronavirus Response Act (FFCRA). Dear [Insert employee name]:. It has come toRead more
Generally, employers covered under the FFCRA must provide employees up to two weeks (80 hours or a part-time employees two-week equivalent) of paid sick leaveRead more
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