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COVID-19 Employee Leave Request Form

The Massachusetts COVID-19 Emergency Paid Sick Leave law requires employers, including the Everett Public Schools, to provide up to one week (5 days) of paid sick leave to employees who need leave for a covered COVID-19 related reason. A recent bill was passed by the Commonwealth that extends this benefit through April 1, 2022. If employees have absences that qualify for leave under these reasons, they should complete this form that will be sent to HR.
 
— THIS FORM IS FOR EPS EMPLOYEES ONLY —
 
Your School/Location*
Answer Required
Reason for Absence(s)*
Answer Required
Documentation to support the absence(s)
Answer Required
or drag it here.
Confirmation Email