Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act / Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia

Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act / Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia

What Is Form DOP-L4A?

This is a legal form that was released by the West Virginia Division of Personnel - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form DOP-L4A?
A: Form DOP-L4A is used to apply for leave under the Federal Families First Coronavirus Response Act in West Virginia.

Q: What does the Federal Families First Coronavirus Response Act provide?
A: The Act provides emergency family and medical leave and emergency paid sick leave.

Q: Who is eligible for leave under the Act?
A: Employees who work for certain public employers or private employers with fewer than 500 employees are eligible.

Q: What are the qualifying reasons for leave under the Act?
A: Qualifying reasons include caring for a child whose school or daycare is closed due to COVID-19, being unable to work due to a COVID-19 diagnosis, and experiencing a similar COVID-19 related condition.

Q: How long can an employee take leave under the Act?
A: The amount of leave available depends on the specific reason for the leave and the employee's individual circumstances.

Q: How does an employee apply for leave under the Act?
A: Employees can use Form DOP-L4A to apply for leave under the Act in West Virginia.

Q: What information should employees provide on Form DOP-L4A?
A: Employees should provide their name, contact information, employer information, reason for leave, and any supporting documentation.

ADVERTISEMENT

Form Details:

  • Released on December 3, 2020;
  • The latest edition provided by the West Virginia Division of Personnel;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form DOP-L4A by clicking the link below or browse more documents and templates provided by the West Virginia Division of Personnel.

Download Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act / Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia

4.5 of 5 (31 votes)
  • Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act/Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia

    1

  • Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act/Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia, Page 2

    2

  • Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act/Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia, Page 3

    3

  • Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act / Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia, Page 1
  • Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act / Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia, Page 2
  • Form DOP-L4A Application for Leave Under the Federal Families First Coronavirus Response Act / Emergency Family and Medical Leave and Emergency Paid Sick Leave - West Virginia, Page 3
Prev 1 2 3 Next
ADVERTISEMENT