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I need to care for a son or daughter under the age of 18 whose school or daycare is closed (or child care provider is unavailable) because a Federal, State or local authority has declared a public health emergency related to COVID-19. No other suitable person will be caring for the child during the period for which I am requesting leave.
Please provide additional information to support the reason for your request including additional clarification or documentation that you believe is relevant to your request. Failure to provide requested information may result in your request being delayed or denied.
By submitting this form, I certify that the information I have provided is true and accurate.
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