New York City Earned Sick Time Act Employee Notification Form of Intention to Use Sick Leave
Entity Mandating Form: New York City Department of Consumer Affairs
Applicability: Under New York City's Earned Sick Time Act, an employer may ask an employee to sign a form if he or she wants to use earned sick leave for a foreseeable need. A copy of the completed form should be provided to the employee as indicated on the form.
Obtaining This Form: An employer may download this form directly from the Department of Consumer Affairs website.