I need sick pay due to the COVID-19 crisis! Necesito pago de enfermedad basado en el crisis de COVID-19!
We won 80 hours paid sick leave, plus ten weeks of paid family and medical leave at small to medium-sized employers. The information you provide here will be sent to a CTUL organizer who will contact you with more information and resources about how to organize to receive these benefits.

Ganamos 80 horas de dias de enfermedad pagados mas 10 semanas de ausencia medica pagada en empleadores de tamano pequeno a mediano. La informacion que entres en este formulario se mandara a un organizador de CTUL quien te contacara con mas informacion y recursos de como organizar para recibir estos beneficios.
Email address *
Name / Nombre *
Your answer
Phone Number / Numero de Telefono *
Your answer
Employer Name / Nombre del Empleador *
Your answer
Workplace Location / Ubicacion del Trabajo *
Your answer
How many employees does your employer have? / Cuantos empleados tiene tu empleador? *
Industry / Industria *
Workplace Issues related to COVID-19 / Problemas en el Trabajo relacionados con COVID-19 *
Are your co-workers in a similar situation? / Tus companeros de trabajo estan en una situacion similar? *
Anything else you want to tell us at CTUL? / Algo mas que quieres decirnos?
Your answer
A copy of your responses will be emailed to the address you provided.
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