• EPLSA FORM

     

    Effective for requests made on or after April 1, 2020, through December 31, 2020.

    The Families First Coronovirus Response Act (FFCRA), which became effective April 1, 2020, provides employees with access to emergency paid sick leave (EPLSA) for certain leave requests related to the COVID-19 pandemic. EPLSA is available for immediate use by qualifying employees. Full-time employees are eligible for up to 80 hours of EPLSA. Part-time employees are eligible for EPLSA in an amount equal to the number of hours the employee works, on average, over a two-week period. All paid leave under the Act is subject to the provisions outlined below. Employees should contact their supervisor or Human Resources Department with any questions. 

    Do not report to work if you have been diagnosed with COVID-19, are exhibiting symptoms of COVID-19, or if you have been in direct contact (within six feet) of an individual with a confirmed case of COVID-19.

    NOTE: Employee must complete this form in its entirety.