COVID-19 Client Alerts:
Required Notices for Paid Sick Leave/Expanded Family Leave
1) The employee’s name;
2) The date(s) for which leave is requested;
3) Which of the six COVID-19 qualifying reasons the leave is being taken; and
4) A statement affirming the employee is unable to work or telework because of the identified COVID-19 qualifying reason.
5) Additional information needs to be provided depending on the reason the leave is being taken. Specifically:
- If the employee is taking the leave because of a quarantine or isolation order, the name of the government entity that issued the order;
- If the employee was told to self-quarantine due to COVID-19, the name of the health care provider who advised the employee;
- If the employee is caring for someone else, the employee must provide the name of the relevant government entity that issued the quarantine or isolation order, or the name of the health care provider who advised the individual to self-quarantine; or
- If the employee is taking care of a child whose school is closed or child care is unavailable due to COVID-19, then the employee must provide the child’s name, the school/daycare name, and a representation that no other suitable person will be caring for the child during the requested leave.
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