Request for Emergency Paid Sick Leave or Expanded FMLA

March 23, 2020

To request emergency paid sick or expanded FMLA leave as provided under the Families First Coronavirus Response Act, please fully complete the following request form and submit to your manager as soon as possible before leave commences. Verbal/phone notice will be accepted. Your manager will complete the form. However, you must provide the information and documentation needed and sign the form. A text message and photo of documents are fully acceptable.

Please download and fill out THIS FORM.