COVID-19 Small Business Resource Center

Emergency Paid Sick Leave for COVID-19

Updated: March 22, 2021

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.

Download the Policy

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.

Download the Form

Public Health Emergency Leave

Updated: March 22, 2021

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.

Download the Form

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.

Download the Form

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.

Download the Form

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.

Download the Form

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.

Download the Form

COBRA Subsidy

The DOL has published the following model notices to address the COBRA subsidy:

Model General Notice and COBRA Continuation Coverage Election Notice

A general notice that must be provided to all qualified beneficiaries who either have a reduction in hours or an involuntary termination of employment from April 1, 2021 through September 30, 2021. This notice may be provided separately or with the COBRA election notice following a COBRA qualifying event.

Download the Model Notice

Model Notice in Connection with Extended Election Period

This is a model notice of the extended COBRA election period to any assistance eligible individual who had a qualifying event before April 1, 2021. This notice must be provided by May 31, 2021.

Download the Model Notice

Model Alternative Notice of Continuation Coverage Election Notice

This notice can be used for coverage subject to state continuation requirements between April 1, 2021 and September 30, 2021.

Download the Model Notice

Model Notice of Expiration of Premium Assistance

Plans and issuers are required to provide individuals with a notice explaining that the premium assistance for the individual will expire soon, the date of the expiration, and that the individual may be eligible for coverage without any premium assistance through COBRA continuation coverage or coverage under a group health plan. This notice must be provided 15 - 45 days before the individual’s premium assistance expires.

Download the Model Notice