WESTERN CAROLINA UNIVERSITY
COVID-19 PAID ADMINISTRATIVE LEAVE
COVID-19 Paid Administrative Leave is available for permanent employees, temp hourly employees, and students if the
employee/student is subject to a quarantine order, has been advised to self-quarantine, or has had exposure to someone who
tested positive for COVID-19 and is awaiting a diagnosis. For leave earning employees, this leave is up to 80 hours (cumulative for
these reasons from March 2020 to March 2021) and can be used before an employee uses personal leave. Once this 80 hours is
exhausted and the leave employee’s personal leave is exhausted, then up to another 80 hours of paid administrative leave can be
provided for these absences. For temp hourly employees and students, this leave is up to 160 hours (cumulative for these reasons
from March 2020 to March 2021).
Questions may be directed to Trisha Ray at (828)227-2522/ trisharay@wcu.edu or Anne Banks at (828)227-2794/
ambanks@wcu.edu.
Employee Information:
N
ame: WCU I.D. Number:
C
lassification / Title: Work Phone Number:
D
epartment: Supervisor:
R
eason for Request:
Employee is subject to a quarantine order or has been advised to self-quarantine by medical provider
Employee has been exposed to someone who tested positive for COVID-19 and is awaiting a diagnosis
Contact information for the governmental entity ordering quarantine OR the health care provider advising self-
quarantine:
Name of Clinic/Hospital/Telemed Service:
Name of Provider:
Date of Service:
Approx return to work date:
E
mployee Signature: Date:
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