As mandated by the City of Emeryville, California, an employer may provide the Paid Sick Leave Designation Form to employees to designate a nonfamily member for whom they may use paid sick leave.
The Americans with Disabilities Act requires an employer to provide an employee with a disability a reasonable accommodation to help the employee perform essential job functions. This form will help an employer obtain information from the employee concerning the accommodation request.
West Virginia employers with more than 15 employees that seek to educate employees about the availability of leave for Civil Air Patrol members and to demonstrate compliance with West Virginia law should consider including this model policy statement in their handbook.