NYS Paid COVID-19 Sick Leave Act Form January 2021-Further Notice

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NYS Paid COVID-19 Sick Leave Act Form January 2021-Further Notice

This form is for all employees to use to report an illness and/or quarantine due to COVID-19 Pandemic. All back-up documentation must be submitted directly to Thomas Stack, Assistant Superintendent for Personnel and Pupil Services by email. All documentation must be complete in order to continue to receive pay.

Employee Statement: I am unable to report to work or work from home/telework and request leave for the below reason(s) stated on this form.

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