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Employee Exposed to & Diagnosed with COVID 19
Covid-19 Reporting Form (Updated 1/22/2021)
Families First Corona Virus Response Act (FFCRA) COVID-19 Leave Requests
The FFCRA provides two types of leave:
- Emergency Paid Sick Leave (EPSL); and
- Extended Family Medical Leave (EFML). To apply for FFCRA COVID-19 Leave, complete this Leave Request Form.
NOTE: Employees who submit an application for EFML, and/or EPSL, for a childcare provider closure due to a qualifying COVID-19 reason must submit the Childcare Provider Certification with their leave application in order for the District to determine qualification for the leave.
For information about the two types of leave, please review the Frequently Asked Questions posted below and the FFCRA Employee Rights.
Completed COVID-19 Reporting Form goes to healthservices@ems-isd.net and leave request forms go to emp_relations@ems-isd.net.
Employees who are absent from duty for any reason under FFCRA are required to enter an absence in the District’s absence reporting system as “Personal Illness” (if entering a reason for an absence for self) or “Immediate Family Illness” (if entering a reason for an absence of an immediate family member).
For questions about leave related to an illness/absence qualifying under the FFCRA, contact Amber Galloway, Personnel Specialist, at 817-232-0880 Ext. 2743 or via email at emp_relations@ems-isd.net.
FAQs
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What is the Families First Coronavirus Response Act (FFCRA)?
The FFCRA is Congressional response to COVID-19 that allows employees to receive paid sick leave or expanded family medical leave for specified reasons relating to COVID-19.
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What are the two types of leave granted under the FFCRA?
The two types of leave granted to employees under the FFCRA are Emergency Paid Sick Leave and Expanded Family Medical Leave.
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What is the Emergency Paid Sick Leave (EPSL) granted under the FFCRA?
Emergency Paid Sick Leave (EPSL) allows all employees who work for the district to be eligible for up to two weeks of paid sick leave for specified reasons relating to COVID-19.
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What are the specified reasons an employee can qualify for Emergency Paid Sick Leave? There are six reasons an employee can qualify for Emergency Paid Sick Leave:
- The employee is subject to Federal, State, or local quarantine or isolation order related to COVID-19;
- The employee has been advised by a health care provider to self-quarantine related to COVID-19;
- The employee is experiencing COVID-19 symptoms and is seeking a medical diagnosis;
- The employee is caring for an individual subject to an order described in (1) or
self- quarantine as described in (2);
- The employee is caring for a child whose school or childcare provider is unavailable for reasons relating to COVID-19;
- The employee is experiencing any other substantially similar condition specified by the Secretary of Health and Human Services, in consultation with the Secretaries of Labor and Treasury.
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How much leave am I eligible to receive under Emergency Paid Sick Leave (EPSL)?
Full-time employees are eligible for 80 hours of leave under Emergency Paid Sick Leave
Part-time employees are eligible to receive the number of hours of leave that the employee works on average over a two-week period.
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How much will I be paid during my Emergency Paid Sick Leave (EPSL)?
The amount of pay you will receive depends on the reason you are applying for EPSL.
If you are applying for EPSL for the following reasons, you will receive your normal rate of pay, up to $511 per day and $5,110 in the aggregate (over a two-week total period).
- You are subject to a Federal, State or local quarantine or isolation order related to COVID-19;
- The employee has been advised by a health care provider to self-quarantine related to COVID-19; OR
- The employee is experiencing COVID-19 symptoms and is seeking a medical diagnosis.
If you are applying for EPSL for the following reasons you will receive 2/3 of your pay, up to $200 per day and $2,000 in the aggregate (over a two-week period)
- You are caring for an individual subject to an order described in (1) or self- quarantine as described in (2);
- You are caring for a child whose school or childcare provider is unavailable for reasons relating or COVID-19; OR
- You are experiencing any other substantially-similar condition specified by the Secretary of Health and Human Services, in consultation with the Secretaries of Labor and Treasury.
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What if I make more than $511 per day, can I supplement my pay?
Yes, you have the option to elect to supplement your pay with any accrued paid leave that you may have from the District. Please indicate on your EPSL Leave Request Form in the appropriate section that you would like to do so. The District will not automatically substitute any accrued leave you may have, so the employee must choose to do so.
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What if I will only be receiving 2/3 pay up to $200 maximum per day under Emergency Paid Sick Leave (EPSL), can I substitute the other 1/3 with my own leave?
Yes, if you would like, you have the option to elect to substitute any pay decease you would incur because of the 2/3 and $200 per day maximum with your own accrued paid leave that you may have from the District. Please indicate on your EPSL Leave Request Form in the appropriate section that you would like to do so. The District will not automatically substitute any accrued paid leave you may have, so the employee must choose to do so.
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Do I have to take all 80 hours or the maximum I am eligible for of Emergency Paid Sick Leave (EPSL) at one time?
No, you do not have to use all your EPSL at one time. You may use up to 40 hours per week, twice. For example, an employee may elect to take 40 hours of EPSL for only one week, then use their remaining 40 hours at a later time.
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When does Emergency Paid Sick Leave end?
All EPSL MUST be taken before December 31, 2020 or it will be lost.
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Does Emergency Paid Sick Leave roll over if it unused?
No. Any EPSL that is not used before December 31, 2020 expires.
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Will I be required to submit documentation for my Emergency Paid Sick Leave to be granted?
Yes, you will be required to submit medical certification and/or other documentation. All documentation must clearly indicate the leave request is for COVID-19 related reasons. Failure to submit proper documentation may result in leave denial.
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Where should I apply for Emergency Paid Sick Leave (EPSL)?
Find information and how to submit a FFCRA Leave Request Form.
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What is the Expanded Family Medical Leave (EFML) granted under the FFCRA?
Expanded Family Medical Leave (EFML) allows an eligible employee to take up to 12 weeks of leave if the employee is caring for a child whose school or place of care (or a childcare provider) is unavailable for reasons related to COVID-19.
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For what reasons am I eligible for EFML?
You are only eligible to receive EFML leave if you are caring for a child whose school or place of care (or a childcare provider) is unavailable for reasons related to COVID-19.
