Employer COVID-19 Impact Sample Template - Evidence of Financial Hardship Due to COVID-19-Notice from Employer

Sep 4, 2026

This sample employer letter serves as proof of financial hardship caused by the ongoing COVID-19 pandemic for required supporting documents in an Excluded New Jerseyans Fund application. The employer confirms the employee’s status and specifies the hardship type: termination, layoff (with dates), or hours reduced (with time period). The template captures employer and employee identities, signatures, dates, and salary and hours details relevant to establishing eligibility.

LanguageEnglish

CategoryLetters

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

Evidence of Financial Hardship Due to COVID-19

Employer confirmation details

Employee hardship types and work information

Signatures and dates

Evidence of Financial Hardship due to COVID-19-Notice from Employer As part of the required documents for the Excluded New Jerseyans Fund application, you may use the following template as evidence of financial hardship. Financial hardship can include termination, lay off or reduction of employment hours. Your employer may use this template to confirm that you have experienced any of the aforementioned due to the ongoing COVID-19 pandemic. This statement will only be used for the purpose of establishing your eligibility to qualify for the Excluded New Jerseyans Fund. To whom it may concern, This letter is to confirm that (first and last name) is an employee/was an employee at: (place of employment) . Due to the ongoing COVID-19 pandemic, this employee ____________________ was: - Terminated: date of termination salary as of last day of work per hour or month hours worked per week: - Laid off: lay-off period DATES salary while employed per hour or month hours worked per week: - Hours reduced: time period hourly salary weekly hours before reduction average weekly hours after reduction It is my understanding that this statement will only be used for the purpose of establishing the applicant’s eligibility to qualify for the Excluded New Jerseyans Fund. I am happy to answer any further questions if needed and can be reached at Thank you, Employer First and Last Name Date Employer Signature ________________________ ____________________ Employee First and Last Name Date ____________________ Employee Signature (Optional template, you can submit your own letter) Evidencia de Dificultades Financieras Debido a COVID-19-Aviso del Empleador Como parte de los documentos requeridos para la solicitud del Fondo Para Residentes de New Jersey Excluidos, puede usar la siguiente plantilla como evidencia de dificultades financieras. Las dificultadeseconómicas pueden incluir despido, despido o reducción de horas laborales. Si su empleador está dispuesto a hacerlo, puede usar esta plantilla para confirmar que ha experimentado cualquiera de los casos mencionados anteriormente debido a la pandemia de COVID-19 en curso. Esta declaración solo se utilizará con el fin de establecer su elegibilidad para calificar para el Fondo Para Residentes de New Jersey Excluidos. A quien le interese, Esta carta es para confirmar que (nombre y apellido) es un empleado / fue empleadoen: (lugar de empleo) . Debido a la pandemia de COVID-19 en curso, este empleado fue: o Despedido: fecha de terminación ; salario al último día de trabajo por hora o mes; horas trabajadas por semana: o Despido: período de despido FECHAS ; salario mientras estaba empleado por hora o mes; horas trabajadas por semana: o Horas reducidas: período de tiempo ; salario por hora ; horas semanales antes de lareducción ; horas semanales promedio después de la reducción Tengo entendido que esta declaración solo se utilizará con el propósito de establecer la elegibilidad del solicitante para calificar para el Fondo Para Residentes de New Jersey Excluidos. Me complace respondera cualquier otra pregunta si es necesario y me pueden contactar en Gracias, Nombre y Apellido del Empleador Firma del Empleador Nombre y Apellido del Empleado Fecha Fecha Firma del Empleado (Plantillas de muestra opcional, puede usar su propia carta)

FAQs

What types of financial hardship does the employer letter cover?

It covers termination, layoff, or reduction of hours due to the ongoing COVID-19 pandemic.

What information must be provided for termination, layoff, or hours reduced?

The template requests the relevant dates or time periods, salary at specified times, and per-hour or per-month hours worked or average weekly hours before and after the change.

How is the completed statement used in the application?

The statement is used only to establish the applicant’s eligibility to qualify for the Excluded New Jerseyans Fund.

Sep 4, 2026

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