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Forms

Payroll Forms
Time Card Template - Excel version

Time Card Template - PDF

Leave Forms
Emergency Paid Sick Leave or COVID-19 Supplemental Paid Sick Leave Form (submit to HR mbenitez@burlingame.org)
Emergency FMLA Extension Act (EFMLEA) Request Form (submit to HR mbenitez@burlingame.org)

Volunteer Request Form
Employees may request to be allowed to volunteer up to 10 hours per week for the COVID-19 emergency and be paid by the City.

COVID-19 Testing/Screening
Temperate Check and Symptom Screening Form
Notice of Privacy Rights
Authorization for Disclosure and Use of Medical Information (CIMA)

Emergency Telecommuting Form
For employees to telecommute during the COVID-19 emergency.