Employee Verification Regarding Authorized Use of Earned Sick Time

Entity Mandating Form: Massachusetts Attorney General

Applicability: Private employers in Massachusetts with 11 or more employees must provide paid sick time, while smaller employers must provide unpaid sick time. An employer may use this model form if it requires employees to verify in writing that they have used earned sick time for an allowable purpose.

Obtaining This Form: An employer may download this form from the Attorney General's website.

Additional Resources

Massachusetts Attorney General