Here's how it works
01. Edit your ffcra request form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send ffcra form via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out FFCRA form with our platform
- 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.
Start using our platform today to fill out your FFCRA form online for free!
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