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.
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.
Form Details:
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.