Home
Forms Library
Victims Economic Security and Safety Act VESSA Leave of

Victims Economic Security and Safety Act VESSA Leave of 2025

Victims Economic Security and Safety Act VESSA Leave of Preview on Page 1

See details

4 out of 5

25 votes

The document is a Leave of Absence Request Form under the Victims Economic Security and Safety Act (VESSA), allowing employees to request up to twelve weeks of unpaid leave due to domestic or sexual violence affecting themselves or a family member. It outlines the process for requesting leave, using accrued paid time off, maintaining benefits during the leave, and requirements for documentation and certification. The form must be submitted to HR-Leave Administration with specific details about the leave duration and reason.

Here's how it works

01. Edit your 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 it via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact Victims Economic Security and Safety Act VESSA Leave of online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for changing your forms online. Follow this simple instruction to edit Victims Economic Security and Safety Act VESSA Leave of in PDF format online free of charge:

Register and sign in. Register for a free account, set a secure password, and proceed with email verification to start working on your templates.
Upload a document. Click on New Document and choose the file importing option: upload Victims Economic Security and Safety Act VESSA Leave of from your device, the cloud, or a protected URL.
Make adjustments to the sample. Use the upper and left-side panel tools to edit Victims Economic Security and Safety Act VESSA Leave of. Add and customize text, images, and fillable areas, whiteout unneeded details, highlight the important ones, and comment on your updates.
Get your paperwork accomplished. Send the form to other parties via email, generate a link for quicker document sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail included.

Discover all the advantages of our editor today!

See more Victims Economic Security and Safety Act VESSA Leave of versions

We've got more versions of the Victims Economic Security and Safety Act VESSA Leave of form. Select the right Victims Economic Security and Safety Act VESSA Leave of version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2024	4.3 Satisfied (21 Votes)
2024	4.6 Satisfied (51 Votes)
2024	4.5 Satisfied (23 Votes)
2024	4.8 Satisfied (29 Votes)
2023	4.7 Satisfied (42 Votes)
2023	4.4 Satisfied (48 Votes)
2023	4 Satisfied (63 Votes)
2023	4.5 Satisfied (26 Votes)
2023	4.6 Satisfied (34 Votes)
2023	4.2 Satisfied (30 Votes)
2023	3.9 Satisfied (31 Votes)
2023	4.3 Satisfied (42 Votes)
2023	4.7 Satisfied (39 Votes)
2023	4.4 Satisfied (22 Votes)
2023	4.2 Satisfied (51 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the Victims Economic Security and Safety Act?

DISCRIMINATION AND RETALIATION VESSA prohibits employers from discriminating, retaliating, or otherwise treating an employee or job applicant unfavorably if the individual involved: Is or is perceived to be a victim of domestic, sexual, or gender violence, or any other crime of violence; Attended, participated in

What is the proper statement to use for a sworn statement?

Affirmation of Truth: Conclude with an affirmation statement asserting the truth of the facts presented, often phrased as I affirm that the above statements are true to the best of my knowledge. Notary Section: Leave space for a notary seal and signature, validating the documents authenticity.

What is the Vessa statute in Illinois?

The Victims Economic Security and Safety Act (VESSA) allows employees who are victims of domestic violence, sexual violence, gender violence, or any other crime of violence or who have family or household members who are victims of such violence to take up to twelve (12) weeks of unpaid leave (depending on employer

What is the sworn statement for vessa?

I, , swear that I am taking leave under the Victims Economic Security and Safety Act and that either I am a victim of domestic or sexual violence or have a family or household member who is a victim of domestic or sexual violence.

What is the 820 ILCS 180?

The Victims Economic Security and Safety Act (820 ILCS 180) is designed to promote the States interest in reducing domestic violence, dating violence, sexual assault, and stalking by enabling victims of domestic violence, sexual violence, or gender violence to maintain the financial independence necessary to leave

What is a sworn statement for contractor and subcontractor to owner?

Through this statement, the contractor swears or affirms that all payments owed to subcontractors and suppliers have been made, that there are no outstanding debts or claims, and that all necessary materials and services have been provided.

What is the oath for a sworn statement?

If posed as a question, the appropriate wording for an oath for a jurat, verification or affidavit may be something like this: Do you solemnly swear that the statements in this document are true to the best of your knowledge and belief, so help you God?

What is a vessa?

Victims Economic Security and Safety Act (VESSA) provides an employee who is a victim of domestic or sexual violence, or who has a family or household member who is a victim of domestic or sexual violence, with up to 12 weeks of unpaid leave per any 12-month period to address issues arising from domestic or sexual

Victims Economic Security and Safety Act VESSA Leave of 2025

Here's how it works

How to quickly redact Victims Economic Security and Safety Act VESSA Leave of online