Employee Certification of Need

for Emergency Paid Sick Leave (EPSL) for COVID-19

Applicable to Faculty through 12/17/2021 per AFT MOU

Please find in this section information regarding Emergency Paid Sick Leave and Expanded Family and Medical Leave under the Families First Coronavirus Response Act (FFCRA).

FFCRA Leaves Information

2021 COVID-19 Supplemental Paid Sick Leave

Emergency Paid Sick Leave and Expanded Family Medical Leave Guidelines

Once the Emergency Paid Sick Leave (EPSL) for COVID-19 form is completed, a copy of this form will be sent to Human Resources. If your request is approved by Human Resources, a copy of your approved form will be emailed to you and your supervisor. If at any time you need assistance completing this form, please contact, Ingrid Melgoza melgozai@smccd.edu, in Human Resources.

To begin the form, please click Start below: