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COVID-19-Related Paid Sick Leave or Family and Medical Leave (FFCRA/ARPA) Documentation Checklist

This leave requirement expired 9/30/2021

April 17, 2021 3213

Employers voluntarily providing leave under the Families First Coronavirus Response Act (FFCRA) may use this form, which includes the latest changes made by the American Rescue Plan Act of 2021, effective March 12, 2021. The FFCRA Emergency Paid Sick Leave and Emergency Family and Medical Leave mandates expired on December 31, 2020; however, employers may voluntarily provide leave under the FFCRA through September 30, 2021, and claim reimbursement tax credits so long as employers follow FFCRA rules and regulations. The FFCRA regulations require employees to provide notice to their employers of their need to take either paid sick leave or expanded family and medical leave.