New York City Earned Sick Time Act Employee Verification Form Regarding Authorized Use of 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 require an employee to provide written verification that any amount of sick leave taken was used for a purpose allowed by law.

Obtaining This Form: An employer may download this form directly from the Department of Consumer Affairs website.

Additional Resources

New York City Department of Consumer Affairs