COVID-19 Leave Template Request
According to IRS guidance, eligible employers claiming the credits must retain records and documentation related to and supporting each employee’s leave to substantiate the claim for the credits. I have created online forms for both Office 365 and Google. These forms will allow employees to submit their request(s) and provide documentation without any physical interaction with the office staff. Also, the form can be customized to notify someone when the form has been completed, so it can help managers track requests.

***I MAKE NO WARRANTY THIS FORM IS ADEQUATE FOR WHAT YOU NEED AS AN EMPLOYER.***

After you complete this form, you'll receive an automated email confirmation message that includes a link to a webpage. On the webpage, you'll find links to the templates as well as tutorials. You can copy the template and customize it for your own use.

Please note it is the employer's responsibility to determine how to meet the obligations under any leave act. I am providing this form without consideration; I'm simply trying to help other companies who may not be used to using online forms.

Linda Couch, MBA
Chief Operating Officer
Parrish Services, Inc.
Manassas, Virginia
Email *
Your name *
Company name *
Organization size *
Sector *
Indicate the 2017 NAICS sector for the largest segment of the business.
State *
Where is your business located? If in more than one state, in which state do the majority of your employees work?
Form *
If your company uses Office 365, you should choose Microsoft Forms. By limiting respondents to company users, you can include a file upload question for documentation. If your company does not use Office 365, you should choose Google Forms. Note that if you require documentation be submitted with the Google form, users must log in with a Google account. Work or personal accounts may be used.
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