Sick and Family Leave Tax Credit Form

Sick and Family Leave Tax Credit (SFLC) is a credit in the form of a refund for the self-employed who missed work due to the affects of the COVID-19 Pandemic.

Blank Form (#4)

Contact Information

Please provide us with your contact information so if you do qualify for the refund, we can get ahold of you.


Did you file taxes in 2021?

Your tax filing status during the pandemic will help us determine whether or not you qualify for this refund. If you didn’t file during ths period, you do not qualify for the refund.


Did you receive self-employed income in 2021?

Self-employment status affects how the tax credit is calculated and claimed on your return, as well as potential benefit amounts.


Were there days in which your self-employed earnings were impacted by COVID?

This is a key criteria for eligibility and might come from a variety of circumstances. 

Missed work could look like:

  1. illness
  2. Complications from vaccinations
  3. Caring for those that were sick
  4. School closings
  5. Daycare/childcare closing

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