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  1. Click ‘Get Form’ to open the FFCRA Leave Request Form in the editor.
  2. Begin by entering your name in the designated field for 'Employee name'.
  3. Specify the dates for your requested leave by filling in the 'Date(s) of FFCRA leave requested' section.
  4. Indicate your reason for requesting leave by checking the appropriate box and providing any required information, such as names of government entities or health care providers.
  5. If applicable, fill in details about caring for a child, including their name, age, and information about their school or childcare provider.
  6. Review your entries for accuracy and completeness before signing. Ensure you certify that your statements are true and accurate.
  7. Finally, sign and date the form in the designated fields to complete your request.

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Qualified family leave wages (or earnings) are paid (or apportioned) at a rate two-thirds of the individuals regular wages or earnings. The credit is reported on Form 7202, Credits for Sick Leave and Family Leave for Certain Self-Employed Individuals, with the 2020 and 2021 individual tax returns.
Calculating the Regular Rate under the FFCRA An employer can compute the Regular Rate for each employee by adding all compensation that is part of the regular rate over the applicable period (the lesser of six months or their period of employment) and dividing that sum by all hours actually worked in the same period.
Tax Credits: Covered employers qualify for dollar-for-dollar reimbursement through tax credits for all qualifying wages paid under the FFCRA. Qualifying wages are those paid to an employee who takes leave under the Act for a qualifying reason, up to the appropriate per diem and aggregate payment caps.
The tax credit amount for IRS Form 7202 is based on the number of days you were unable to work due to COVID-19-related reasons and whether you were caring for yourself or a family member during that time.
IRS Form 7202 is for self-employed individuals and gig workers, such as contractors and delivery drivers. It allows you to claim tax credits for sick and family leave under the FFCRA. The criteria for IRS Form 7202 are specific.
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People also ask

The FFCRA provides businesses with tax credits to cover certain costs of providing employees with paid sick leave and expanded family and medical leave for reasons related to COVID-19, for periods of leave from April 1, 2020, through March 31, 2021.
The FFCRA gives businesses with fewer than 500 employees (referred to throughout these FAQs as Eligible Employers) funds to provide employees with paid sick and family and medical leave for reasons related to COVID-19, either for the employees own health needs or to care for family members.
Amount of the work opportunity tax credit. The WOTC is generally equal to 40% of up to $6,000 of qualified wages paid to an eligible employee during their first year working for the business claiming the credit. So, in most cases, the maximum credit is $2,400 per eligible employee ($6,000 x . 40 = $2,400).

ffcra leave request form