Los Angeles Paid Sick Leave Determination Request Form

Entity Mandating Form: Los Angeles Bureau of Contract Administration, Office of Wage Standards (OWS)

Applicability: The Los Angeles Minimum Wage Ordinance (LAMWO) requires a covered employer to provide paid sick and safe time. The OWS may allow an employer's established paid leave or PTO policy to remain in place even if it does not meet all of the LAMWO's paid sick and safe leave requirements, if the OWS determines that the policy is overall more generous. An employer may request a determination by completing and submitting a form to the OWS.

Obtaining This Form: An employer may download this form directly from the OWS website.

Additional Resources

Bureau of Contract Administration

Office of Wage Standards