Claim Help, NY COVID-19 Selfcare - ShelterPoint Blog 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by completing Sections 1 and 2 of the form. In Section 1, provide your reason for requesting Paid Family Leave (PFL) due to COVID-19 quarantine or isolation.
3. In Section 2, sign and date the Employee Attestation, confirming that you have exhausted any COVID-19 paid sick leave.
4. Once completed, submit the forms to your employer. They will need to fill out Section 3 within three business days.
5. Attach any mandatory quarantine or isolation orders as required and ensure all documents are submitted to your employer’s PFL insurance carrier.

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