FFCRA Employee Leave Request Notice

Provide this form to an employee who requests to take either paid sick leave or expanded family and medical leave under the federal Families First Coronavirus Response Act (FFCRA) for qualified reasons related to COVID-19.

Glad we could be helpful. Thanks for the feedback.

Sorry we couldn't be helpful. Your feedback will help us improve this article.

How helpful was this page?

Updated on Wed, 16 Dec 2020 by Sydnee Funke