Emeryville, California, Paid Sick Leave Designation Form
Entity Mandating Form: City of Emeryville, California.
Applicability: Employers covered by the City of Emeryville paid sick leave law.
Distribution Specifications: Under the Emeryville paid sick leave law, employees who do not have a spouse or registered domestic partner may designate a nonfamily member for whom they may use paid sick leave. An employer may use this form to provide employees with the opportunity to make or change a designation.
Obtaining This Form: An employer may download this form directly from the City of Emeryville website.