COVID-19 Leave Request for Childcare Supplemental Form

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This supplemental form must be submitted with all requests for COVID-19 Leave requests due to the closure of daycare and/or schools; or the unavailability of childcare due to the COVID-19 pandemic. Without the completion of this supplemental request form, COVID-19 Leave will not be granted and employee will be required to utilize annual leave for all time not worked. This form must be approved by the Department Head and the City Manager, Deputy City Manager, Assistant City Manager, or Chief Financial Officer prior to submission to the HR/OD department for implementation of COVID-19 Leave. Approval of this leave is during Emergency Operations only and does not imply leave may be granted after the COVID-19 Emergency Operations has ceased. 

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