Forms & Policies

Mask/Face Covering Policy

Mask/Face Covering Policy

This policy addresses a requirement for employees to wear a mask/face covering when working, regardless of vaccination status.

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Emergency Paid Sick Leave for COVID-19

Emergency Paid Sick Leave for COVID-19 Policy

This policy addresses employee rights and employer responsibilities related to emergency paid sick leave under the Families First Coronavirus Response Act.

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COVID-19: Request for Emergency Paid Sick Leave Form

This form can be used by employees to request Emergency Paid Sick Leave under the Families First Coronavirus Response Act.

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Public Health Emergency Leave

Public Health Emergency Leave/Expanded FMLA Policy

This policy addresses employee rights and employer responsibilities for expanded family and medical leave under the Family and Medical Leave Act.

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COVID-19: Public Health Emergency Leave/Expanded FMLA Request Form

This form can be used by employees to request Public Health Emergency Leave/Expanded FMLA leave under the Families First Coronavirus Response Act.

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COVID-19 Infectious Disease Control Policy

COVID-19 Infectious Disease Control Policy

This policy addresses the company's response to COVID-19 in order to ensure the health and safety of associates, customers, and visitors.

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COVID-19: Potential Exposure Notice

COVID-19: Potential Exposure Notice

This sample notice can be used to notify employees of potential contact with an individual diagnosed with COVID-19 in the workplace.

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COVID-19: Furlough Notice

COVID-19: Furlough Notice

The purpose of this notice is to inform impacted employees of a furlough related to COVID-19.

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COVID-19: Notice of Recall

COVID-19: Notice of Recall

Before using this notice, you are responsible for determining whether your business is permitted to recall employees under federal, state, and local guidelines and orders.

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COVID-19: Safety Measures to Protect Employees Notice

COVID-19: Safety Measures to Protect Employees Notice

The purpose of this letter is to inform employees of safety measures taken related to COVID-19.

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COVID-19: Employee Daily Certification and Authorization

COVID-19: Employee Daily Certification and Authorization Form

Employers can use this form to help screen employees before they enter the workplace each day. A disclosure form and a form for employees to authorize the employer to take their temperature are also included. A separate form is available for visitors.

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COVID-19: Visitor Attestation

COVID-19: Visitor Attestation Form

Employers can use this form to ask visitors questions related to COVID-19 and respond via email prior to their visit. A separate form is available for employees.

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COVID-19: Vaccination Attestation

COVID-19: Vaccination Attestation

This form can be used to help track the number of employees who have received the COVID-19 vaccine. Before providing this form to any employee, you are responsible for determining whether you are permitted to ask for such documentation. Consult legal counsel as needed when making such determinations.

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COVID-19: Potential Exposure Notice (California)

COVID-19: Potential Exposure Notice (California)

This sample notice can be used in California to notify employees of potential contact with an individual diagnosed with COVID-19 in the workplace.

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