This version of the form is not currently in use and is provided for reference only. Download this version of State Form 56941 for the current year.
This is a legal form that was released by the Indiana State Personnel Department - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 56941?
A: Form 56941 is the Request for Emergency Paid Sick Leave (EPSL) form.
Q: Who needs to fill out Form 56941?
A: Employees in Indiana who are requesting Emergency Paid Sick Leave (EPSL) need to fill out Form 56941.
Q: What is Emergency Paid Sick Leave (EPSL)?
A: Emergency Paid Sick Leave (EPSL) is a special type of paid leave provided to employees for specific COVID-19 related reasons.
Q: How can I submit Form 56941?
A: You should submit Form 56941 to your employer.
Q: What information is required on Form 56941?
A: Form 56941 requires information such as your name, employee ID, reason for requesting EPSL, and the dates for which you are requesting leave.
Q: How much paid leave can I get with EPSL?
A: Under EPSL, you can receive up to 80 hours (or two weeks) of paid leave, depending on your employment status and reason for requesting EPSL.
Q: Is EPSL available to all employees?
A: EPSL is available to most employees, including full-time, part-time, and temporary employees, but there may be certain exceptions.
Form Details:
Download a fillable version of State Form 56941 by clicking the link below or browse more documents and templates provided by the Indiana State Personnel Department.