Documentation of Need For Leave

Documentation of Need for Leave

The DOL regulations explain that for paid sick leave or expanded family and medical leave, an employer may require employees to follow reasonable notice procedures as soon as practical. That can be after the first workday or portion of a workday for which an employee receives paid sick leave in order to continue to receive such leave, the DOL stated in the preamble to the regulations.

The DOL said that the employee must provide a signed statement containing:

  • The employee’s name.
  • The date(s) for which leave is requested.
  • The coronavirus-qualifying reason for leave.
  • A statement that the employee can’t work or telework because of this reason.

In addition, an employee must provide the name of the government entity that issued the quarantine or isolation order to which the employee is subject, if that is the reason for paid sick leave, according to the DOL. 

An employee seeking leave because he or she is self-quarantined must provide the name of the health care provider making the quarantine recommendation. Someone caring for a person who is quarantined must provide either the government entity that issued the quarantine or isolation order or the name of the health care provider who advised the individual to self-quarantine.

The DOL said that an individual requesting expanded family and medical leave must provide:

  • The name of the child being cared for.
  • The name of the school, place of care or child care provider that closed or became unavailable due to coronavirus reasons.
  • A statement representing that no other suitable person is available to care for the child during the period of requested leave.

Greene County employees that would like to apply for Emergency Paid Sick Leave and/or Expanded Paid Family Medical Leave should bring/send their request and any supporting documentation directly to the HR Department on the 3rd Floor of the Catskill Office Building. Our core office hours are currently 9:00 a.m. – 5:00 p.m. Monday – Friday. We ask all employees and visitors to please call ahead and to wear a mask. Thank you!

Emergency Paid Sick Leave Request Form

NOTE: The FFCRA became effective on April 1, 2020 and is not retroactive. The NYS Paid Leave Law for Quarantine or Isolation in Response to Coronavirus provides at least 14 days of paid sick leave for employees who are subject to a mandatory or precautionary order of quarantine or isolation issued by the State of New York, state or local department of health, or any government entity authorized to issue such orders due to COVID-19. Notices of the FFCRA and NYS Law are posted on the County website, HR website and the employee portal. Stay safe!