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Get and Sign Families First Coronavirus Response Act Request Form

Get and Sign Ffcra Leave Request Form

Use a ffcra leave request form 0 template to make your document workflow more streamlined.

Age of child being cared for. Name of school place of care or childcare provider that has closed or become unavailable. Subject to an order described in 1 or self-quarantined as described in 2. order or the name of the health care provider who advised the individual being cared for to self-quarantine. I hereby certify that I am unable to work or telework because of the qualified reason stated above. No other suitable person such as a co-parent co-guardian or the usual childcare provider is...
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