SUPPLEMENTAL COVID-19 LEAVE
Request for Additional Paid Time
Marquette University has announced that it will temporarily assist employees who need to stay
home in response to COVID-19 and who will exhaust their accrued time off balances within the
next pay period as a result.
Complete this form if 1) your role or department does not permit you working from home or you
are working remotely but unable to flex your time due to department needs, or you are too sick
to work and 2) you anticipate using all your available accrued time off before the last day of the
current pay period.
Email the completed form to your supervisor for their approval. Supervisors should forward the
form to human resources at humanresources@marquette.edu.
You will be notified by Human Resources if your request has been approved. Your balance will
be allowed to go negative and you will continue to be paid through April 10, 2020.
The university will communicate prior to April 10, 2020
whether additional temporary assistance will be available. You may be required to submit a
new request at that time.
Employee Name: MUID:
My dependent’s school or care center has closed due to COVID-19 and I am my
child’s/children only caregiver.
I have been directly exposed to a confirmed case of COVID-19 outside the university,
which has been confirmed by a healthcare professional and need to self-quarantine.
I have an underlying health condition and I have been instructed to not be at work
(you do not need to share medical information with your supervisor or colleagues;
however you will be required to provide information to human resources as part of this
request for additional time).
I am caring for myself, or an immediate family member, who has COVID-19. Please
note immediate family as defined by the Department of Labor includes children spouse,
or parent.
Other, please describe:
