This form should be used to request emergency leave under the Families First Coronavirus Response Act (FFCRA). ). If you are requesting leave with this form, you are stating you have been impacted by the COVID-19 Pandemic.  Prior to applying for leave, be sure to review the FFCRA document issued by the Secretary of Labor that was shared with all staff or it may be found on the Regis Catholic Schools website under About, then Human Resources.

Employees requesting an emergency leave must have been employed by us for more than thirty calendar days.

Employees may request up to twelve weeks of Emergency Family Medical Leave.  The first day of leave request may be April 1, 2020.  The last day of leave request must be before December 31, 2020.

Please understand as defined by the United States Government:
1. FMLA leave may be used because of a “qualifying need related to a public health emergency.” With respect to leave, the quoted phrase is defined to mean that the employee “is unable to work (or telework) due to a need for leave to care for the son or daughter under 18 years of age of such employee if the school or place of care has been closed, or the child care provider of such son or daughter is unavailable, due to a public health emergency.”
2. The first ten days of FMLA leave under the Act “may consist of unpaid leave” but an employee may elect to substitute any accrued vacation leave, personal leave, or medical or sick leave for unpaid leave (the employer may not require substitution of paid for unpaid leave). After ten days of such leave, the employer must provide paid FMLA leave at a rate of no less than two-thirds of the employee’s salary (that is, 2/3 of the employee’s regular rate times the number of hours the employee would otherwise be normally scheduled to work).  The 2/3 paid leave requirement is subject to a cap of $200 per day and $10,000 in the aggregate.

Please complete the form in its entirety. Determination for leave requests made under FFCRA will be made on a case-by-case basis. You will receive a response to your request as soon as administratively feasible.