| Location: | Home  EPSL-EFMLA LEAVE REQUEST EPSL-EFMLA LEAVE REQUEST Properties |
| Location: | Home EPSL-EFMLA LEAVE REQUEST EPSL-EFMLA LEAVE REQUEST Properties |
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| EPSL-EFMLA LEAVE REQUEST | |
| Handle: | Version-99324 |
| Owner: | Russell, Jeffery (User-6456, 08813:EVERETT)DS |
| Thursday, April 30, 2020 04:08:21 PM PDT | |
| Friday, May 15, 2020 04:54:20 PM PDT | |
| Modified By: | |
| - Page 1 – Continue Form on Reverse ©2020 MTSBA EMPLOYEE REQUEST FORM EMERGENCY PAID SICK LEAVE - EMERGENCY FMLA Employees may be entitled to Emergency Paid Sick Leave (EPSL) and / or Emergency FMLA (EFMLA) in accordance with the Families First Coronavirus Response Act (FFCRA) if the employee satisfies eligibility standards. - □ I am quarantined on the advice of a health care provider. - Name(s) of the individual(s) being cared for: _ □ I am experiencing a substantially similar condition as specified by the Secretary of Health and Human Services, in consultation with th... | |
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| Appears In: | EPSL-EFMLA LEAVE REQUEST |
